Global Plan

of Action:
Health
systems
address
violence
against
women and
girls A
This is a popular version of the violence against women and girls section of The global plan of action to
strengthen the role of the health system within a national multisectoral response to address interpersonal
violence, in particular against women and girls, and against children.

World Health Assembly, Resolution 69.5, May 2016

Online at: http://apps.who.int/gb/ebwha/pdf_files/WHA69/A69_9-en.pdf
WHO Department of Reproductive Health and Research

WHO/RHR/16.13 © World Health Organization 2016

All rights reserved. Requests for permission to reproduce or translate WHO publications – whether for sale or
for non-commercial distribution – should be addressed to WHO Press through the WHO website (www.who.int/
about/licensing/copyright_form/en/index.html).

All reasonable precautions have been taken by the World Health Organization to verify the information contained in
this publication. However, the published material is being distributed without warranty of any kind, either expressed
or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the
World Health Organization be liable for damages arising from its use.
For more information, please contact: Department of Reproductive Health and Research, World Health
Organization, Avenue Appia 20, CH-1211 Geneva 27, Switzerland

E-mail: [email protected] Website: www.who.int/reproductivehealth

Design by Samson Mwaka and Lori Michau, Raising Voices

Printed in Switzerland
The Global Plan of Action compels
us to use our health systems to
respond to, prevent and lead
efforts to address violence against
women and girls.

1
 It is up to all of us to take
action . . . now.
2
Intimate partner violence and
sexual violence are the most
common forms of violence
experienced by women and girls
globally. They happen in ALL
countries across the world.

3
 Violence and harmful
practices affect
women and girls
at every stage
of life.
4
 child abuse and
neglect | female dating violence |
genital mutilation |
| acid throwing | early and
child marriage
forced marriage | sexual
violence | sexual elder abuse (sexual
harassment at school, work violence, violence by
in public, online | trafficking intimate partner,
violence by family
| intimate partner violence
members, carers)
| femicide

5
The violence experienced by
women and girls is rooted
in gender inequality.

6
 =
Gender Equality is essential to
prevent violence against women.

7
Consequences
of VAWG
are dire.
Women and girls
suffer
• physical injury and disability
• mental health problems
• reproductive health problems
• sexual health problems

8
Families suffer Communities and
• children of abused women societies suffer
experience anxiety and behavior • high cost of providing services
problems
• lost productivity
• loss of home, search for safe
space • loss of women’s and girls’
participation in public life
• loss of wages and income

9
 Women and girls
experiencing
violence need
support and
services, but
feel shame | face
stigma | lack support
from families and
communities

10
 Primary Health Care

health services often

are slow to recognize violence | lack
staff trained on violence | have limited
resources | do not consider violence a
health problem | are reluctant to talk
about it | do not know how to help

11
 We can change this.
With the Sustainable
Development Goals, there is
strong political momentum:
now’s the time to ensure that no
woman or girl is left behind.

12
 Health providers and health
systems have a critical
role in supporting women,
minimizing the impact and
preventing violence from
happening.

Why health systems?

• women and girls experiencing violence are more likely to
use health services
• health care providers are often women’s first point of
professional contact
• all women are likely to seek health services at some point in
their lives
13
 But the violence stays hidden, so
providers need training and skills
so that women and girls get the
support and care they deserve.

14
The Global Plan of
Action Vision
a world in which women and girls are free from
all forms of violence and discrimination, their
health and well-being are protected and promoted,
their human rights and fundamental freedoms
are fully achieved, and gender equality and the
empowerment of women and girls are the norm.

15
You can make this vision a reality

government health care

officials providers

clinic and
policy hospital
makers administrators

non-governmental
funders agencies

16
YOU CAN implement 4 strategic
priorities to change the lives of women
and girls.
Strengthen:
2. health service
1. health system delivery
leadership and
Primary Health Care
and health
governance providers’
capacity to
respond

3. programming
to prevent
violence 4. information
against collection
women and and evidence
girls

17
1.

YOU CAN
Strengthen health
system leadership and
governance
18
1. Publicly commit to address and condemn all forms of
violence against women and girls
2. Allocate budgets/resources to prevent and respond to
violence against women and girls
3. Integrate violence against women prevention and
response in health policies, plans, programmes and
budgets
4. Advocate to adopt or reform laws and policies
promoting sexual and reproductive health and rights and
gender equality
5. Designate a unit or focal point in ministries of health
to address violence against women
6. Improve coordination within health and with other
sectors

19
2. Primary Health Care

YOU CAN
Strengthen health service
delivery and health providers’
capacity to respond to violence
against women and girls
20
1. Implement protocols for providing quality care, using
WHO guidelines/tools
2. Provide comprehensive health care services to
all women and girls who have experienced violence,
including in humanitarian settings
3. Improve access to services by integrating care for
women experiencing violence into existing programmes
and services
4. Provide quality care to survivors which is woman-
centered and gender-sensitive
5. Eliminate mistreatment and abuse of women in health
care settings
6. Train health care providers and integrate training on
violence against women and girls in pre- and in-service
curriculum for all health professionals

21
3.
YOU CAN
Strengthen
programming
to prevent
violence against
women and girls

22
1. Address the needs of children witnessing intimate
partner violence in their homes
2. Promote messages about consent and respect in
intimate and sexual relationships in schools and in health
education and promotion activities
3. Support prevention programmes that challenge
norms that perpetuate male dominance or female
subordination, stigmatize survivors or normalize violence
4. Address harmful alcohol and substance use and
maternal depression as risk factors and consequences
of intimate partner violence
5. Inform policies and programmes in other sectors
about evidence-based prevention interventions,
including comprehensive sexuality education and
economic livelihood programmes for women

23
4. YOU CAN
Strengthen
information
collection
and
evidence

24
1. Strengthen routine reporting of violence against
women and girls statistics by including indicators and
collection of data in health information and surveillance
systems

2. Establish baselines for prevalence through

population-based surveys and integrate violence against
women and girls modules in recurring population-based
surveys

3. Conduct or support analysis and use of disaggregated

data on violence against women and girls

4. Conduct research to develop, evaluate and scale

up health systems interventions to prevent or reduce
violence against women and girls

5. Facilitate efforts by others to research violence

against women and girls knowledge gaps and evaluate
interventions
25
Your efforts should be guided
by the following principles:

Life-Course Gender Equality:

Human Rights:
Approach: address address gender
respect, protect
risk factors and inequality and
and fulfill women’s
needs at all stages gender-based
human rights
of life discrimination

Ecological Universal Health

Evidence-Based: Approach: Coverage: ensure
be informed by best address individual, that all receive
available scientific relationship, quality services
evidence community and without exacerbating
society level risks financial hardships

26
 Community
Woman-Centered
Health Equity: pay Participation: support
Care: provide
attention to the participation and
respectful care,
needs of those facing voices of women and
support women’s
multiple forms of adolescents, and
autonomy, and
discrimination partner with women’s
enhance their safety
organizations

Multisectoral Response: Strengthen

partnerships and coordination between health
and other sectors and with NGOs, professional
associations and private sector providers

27
 How will we know we’ve brought
the vision to life?
By the number of countries that:
1. include health care services to address intimate partner violence and
comprehensive post-rape care in line, with WHO guidelines, in national
health or sexual and reproductive health plans or policies.
2. develop or update their national guidelines or protocols for the health
system response to women experiencing violence, consistent with
international human rights standards and WHO guidelines.
3. provide comprehensive post-rape care in a medical facility in every
territorial and/or administrative unit, consistent with WHO guidelines.
4. have a national multisectoral plan which includes the health system and
which proposes at least one strategy to prevent violence against women and
girls.
5. have carried out a population-based, nationally representative study/
survey on VAW or that have included a module on violence against women
in other population-based demographic or health surveys within the past five
years, disaggregated by age, ethnicity, socioeconomic status, other.

28
 In line with the Sustainable
Development Goals, we have
15 years, until 2030, to make
this change happen.
It can be done.
It is up to us.

start today | get organized |

work with others | be clear and strategic |
focus on what you do best |
stay informed | call on everyone to commit
29
 Tools to help you implement the Global Plan of Action
http://www.who.int/reproductivehealth/topics/violence/en/
http://www.who.int/reproductivehealth/publications/violence/en/

30