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A Population-Based Household Study To A Population-Based Household Study to Assess Practical Strategies of Prevention and Response to Sexual and Gender Based Violence in Katana, Walikale, and Karisimbi Health Zones, DRC September 2016 This publication was produced for review by the United States Agency for International Development. It was prepared by IMA World Health. September 26, 2016 Cooperative Agreement No. # AID-623-A-10-00012-00 Prepared by IMA World Health Cover Photo Credit: “Walikale” Lynn Lawry DISCLAIMER The authors’ views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government. ii List of Acronyms ABA American Bar Association BCZS Bureau Central de Zone de Santé (Central Office) CDF Congolese Franc CPT Cognitive processing therapy DHS Demographic Health Survey DRC Democratic Republic of Congo FDLR Democratic Force for the Liberation of Rwanda FY Fiscal Year HA Health Area HGR General Reference Hospital HIV Human Immunodeficiency Virus HSCL-25 Hopkins Symptom Checklist (25 Item) HTQ Harvard Trauma Questionnaire HZ Health Zone IP Implementing Partner IPV Intimate Partner Violence Mai Mai Armed group in Eastern DRC MNCH Maternal, Newborn, Child Health MOH Ministry of Health NGO Non-Governmental Organization OFDA Office of U.S. Foreign Disaster Assistance OSC Overseas Strategic Consulting, Ltd. PEP Post Exposure Prophylaxis PF Panzi Foundation PHC Primary Health Care PPSSP Programme de Promotion des Soins de Santé Primaires PTSD Post-Traumatic Stress Disorder SBCC Strategic Behavior Change Communication SGBV Sexual and Gender Based Violence STI Sexually Transmitted Infection SV Sexual Violence ULPGL Université Libre Des Pays Des Grand Lacs UPC Patriotic Union of Congolese USAID United States Agency for International Development USD United States Dollar USHINDI We Will Overcome (Swahili) VSLA Village Savings and Loans Associations WHO-EPI World Health Organization Expanded Programme on Immunization WHO World Health Organization iii Table of Contents List of Acronyms ......................................................................................................................... iii List of Figures .............................................................................................................................. vii List of Tables .............................................................................................................................. viii List of Annexes ............................................................................................................................ ix Executive Summary ..................................................................................................................... 1 Evaluation Objectives ............................................................................................................................. 1 Project Background ................................................................................................................................ 1 Methods .................................................................................................................................................. 2 Limitations .............................................................................................................................................. 3 Findings ................................................................................................................................................... 4 Conclusions and Recommendations ...................................................................................................... 6 SGBV Recommendations .................................................................................................................... 6 IPV Recommendations ........................................................................................................................ 7 Trafficking Recommendations ............................................................................................................ 7 Mental Health Recommendations ...................................................................................................... 8 Social Norm Recommendations ......................................................................................................... 8 Background .................................................................................................................................... 9 History of the Ushindi Project ............................................................................................................... 9 History of sexual violence in the Democratic Republic of Congo (DRC) ........................................... 12 Objectives of the study ............................................................................................................. 15 Methodology ................................................................................................................................ 16 Definitions ............................................................................................................................................ 16 Human Subjects Protection .................................................................................................................. 16 Geographic Scope ................................................................................................................................ 17 Sample Size Estimation ......................................................................................................................... 17 Target Population ................................................................................................................................. 17 Sampling Frame ..................................................................................................................................... 18 Survey Instruments ............................................................................................................................... 21 Quantitative Instrument ................................................................................................................... 22 Training ................................................................................................................................................. 24 Field Team ............................................................................................................................................ 25 Household Sampling ............................................................................................................................. 26 Data Collection .................................................................................................................................... 29 iv Semi-Directed Qualitative Instrument and Sampling ........................................................................... 30 Data Entry and Quality Control ........................................................................................................... 31 Quantitative ...................................................................................................................................... 31 Qualitative ........................................................................................................................................ 31 Data Analysis ........................................................................................................................................ 31 Quantitative ...................................................................................................................................... 31 Results ........................................................................................................................................... 34 Household Characteristics ................................................................................................................... 34 Demographics ....................................................................................................................................... 34 Household Composition .................................................................................................................. 34 Age .................................................................................................................................................... 34 Marital Status .................................................................................................................................... 34 Ethnic Group .................................................................................................................................... 36 Religion ............................................................................................................................................. 36 Education, Literacy, and Job Training ............................................................................................... 36 Occupation ....................................................................................................................................... 37 Household Income and Land Ownership ......................................................................................... 38 Sexual Gender Based Violence ............................................................................................................. 38 Population Estimates .......................................................................................................................
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