PEPFAR Special Initiative on Sexual and Gender-Based Violence: Baseline report.
The PEPFAR Special Initiative on Sexual and Gender-Based Violence aims to strengthen care for survivors of sexual violence (SV) in 18 pilot sites in Uganda and Rwanda. Within these public facilities, implementing partners will support providers to undertake three sets of core interventions: 1) strengthening health services; 2) strengthening referrals from the health facility to other support services; 3) strengthening linkages between clinical services and other stakeholder groups to facilitate access to health services. The Initiative is expected to provide an evidence base for scaling up such efforts in the future and will be rigorously evaluated. This report contains results of the baseline assessment conducted between September and November 2009 in eight facilities in Rwanda and nine facilities in Uganda. It includes data from two sources: quantitative data from a Facility Inventory completed in 17 of the 18 intervention sites (data could not be collected from a military hospital for security reasons), and qualitative data from a series of focus group discussions (FGDs) conducted with health care providers from 13 of the intervention sites. Services in both countries were generally weak, with facilities and providers in Uganda slightly better prepared to provide services than those in Rwanda. Activities to strengthen SV services in both countries are recommended.