We cannot remain silent

A recent World health Organisation study showed that globally, 38% of all women murdered are killed by their intimate partners. The report included some key findings on the health impact of domestic violence:

  • Death and injury– The study found that globally, 38% of all women who were murdered were murdered by their intimate partners, and 42% of women who have experienced physical or sexual violence at the hands of a partner had experienced injuries as a result.
  • Depression– Partner violence is a major contributor to women’s mental health problems, with women who have experienced partner violence being almost twice as likely to experience depression compared to women who have not experienced any violence.
  • Alcohol use problems – Women experiencing intimate partner violence are almost twice as likely as other women to have alcohol-use problems.
  • Sexually transmitted infections – Women who experience physical and/or sexual partner violence are 1.5 times more likely to acquire syphilis infection, chlamydia, or gonorrhoea. In some regions (including sub-Saharan Africa), they are 1.5 times more likely to acquire HIV.
  • Unwanted pregnancy and abortion– Both partner violence and non-partner sexual violence are associated with unwanted pregnancy; the report found that women experiencing physical and/or sexual partner violence are twice as likely to have an abortion than women who do not experience this violence.
  • Low birth-weight babies– Women who experience partner violence have a 16% greater chance of having a low birth-weight baby.

(http://www.who.int/mediacentre/news/releases/2013/violence_against_women_20130620/en/)

View the associated infographic here: http://www.who.int/reproductivehealth/publications/violence/VAW_infographic.pdf

Fear and shame keep victims of violence silent and isolated. But there are small glimmers of hope. It has been found that communities form and activism is sparked when victims are supported to speak up.

Pakistan has shown the way in this over many years. Women’s activism took on the government, legal system, constitution and laws after the draconian Hudood Ordinances punished victims for the violence perpetrated against them. Wave after wave of activism has confronted violence against women, pressing the government for change and calling society to action. Laws have been changed. The rate of change is slow, but with relentless pressure from activists changes have been made.

The rape of a young women on a bus in India, led to outrage and calls for action that gave other victims support and courage to speak up. Following the reporting of this one incident several others were immediately reported, raising questions about what was happening to women in the country.

The media must be encouraged to speak with clarity, not for the sake of a story but for justice, to prevent victims being hidden by the community because of shame, to challenge laws, policies, social conscience and the status quo that accepts such violence as the norm.

But more is needed. Perhaps the case of Pakistan shows that hand in hand with activism support structures are needed for victims. The structures need to empower women to make choices, enabling them to find their identity and not become stuck as victims. Activists must enable the voice of victims to be heard, even as they take up the cause.

Challenging violence that marginalises women needs the voices of all.

What will others say?

A number of years ago, in a letter to the editor of Dawn newspaper, Uzma Aslam Khan wrote: “Every girl in Pakistan grows up hearing: what will others say? Her reputation is the currency that measures her worth in her community, her country, and … to herself so that, it is hoped, she becomes her own prisoner.”

The combination of economic dependence, little or no education, lack of resources and access confined to the private sphere are the framework in which this question is often asked. Cultural norms and traditional practices, patriarchy and religious interpretations are a potent force brought to bear in formulating the answer. Defining identity in terms of reputation, and a reputation that is dependent on the control exerted by this social context, provides a double bind for many women.

Where custom and tradition are the gatekeepers of patriarchy, a woman’s behaviour is monitored not just by the males of her family, but also by the whole of her community and society. ‘What will others say?’ becomes a manipulative tool of control, and results in women internalizing the notion of the fragility and importance of their own behaviour and the insecurity of their status. Consumed by the notion that she carries the honour of the whole family in her body, as Khan wrote, ‘she becomes her own prisoner.

These issues need increased levels of discourse at every level of society, community, the nation, region and internationally. The opportunities created by information technology, social media, advances in communication, communities on the world-wide-web, and the global trade of values provides new resources for affecting change where static religious laws, traditions and cultural norms have been politically institutionalised.

At the same time, women who are daily negotiating the currency of her reputation need support and tools to cut the bars of this prison. Too many women feel that they are locked in solitary confinement. Creating communities, both face-to-face and virtual that even those who are isolated can access is an essential step in breaking through these barriers.