We are in the midst of a pandemic. One way to slow down the spread of coronavirus is to implement lockdown and quarantine measures, which means confining yourself to your home with your family. For some people, this includes an abuser. 

Pandemics often exacerbate existing inequalities for women and girls, who are often most vulnerable to violence and abuse in the home. Charities are already seeing a sharp rise in domestic violence reports since the outbreak of COVID-19. Pandemics also exacerbate discrimination of other marginalized groups, including LGBTQ+ people, people living with disabilities, older people, migrants, refugees and those in extreme poverty. 

Increased Violence 

In China, an anti-domestic violence charity in Hubei province reported that intimate partner violence have nearly doubled since cities had been put under lockdown. The same organization has reported that the police station in Jianli County registered three times more cases in February 2020 than in the same time in 2019. 

There have been huge increases in different forms of sexual and gender-based violence (SGBV), including intimate partner violence, in many other countries including the UK, Brazil, Germany, Italy, Spain and the United States. In the UK, it is reported that there has been a 120% increase in incidents of domestic violence. 

Self-isolation for women in coercive or violent relationships means being trapped (often without the means of accessing support) with a perpetrator who may become more abusive when there is no other outlet. Lockdowns also mean medical services and support to people affected by sexual and gender-based violence may be cut off or considered lower priority in healthcare structures overburdened by responding to COVID-19 cases.

Lockdowns and lack of prioritization of SGBV response services mean many women will face forced pregnancies. In turn, restricted access to abortion care facilities or pharmacies that provide medical abortions (i.e. misoprostol pills that can be taken at home) if quarantine periods are extended may lead to unsafe abortions and increased mortality among SGBV survivors. 

Another fear is that SGBV survivors may also face difficulties accessing contraception for HIV and STI prevention. Lack of timely treatment can put their health and life at risk. 

Prevention Measures 

Realizing the real danger to women’s lives, some countries have put measures in place to help mitigate SGBV. 

In China, survivors, activists, and organizations have launched a set of actions using social media to raise awareness and support survivors. Some of the actions included creating networks, publishing online manuals on intimate partner violence, and starting a hashtag: #AntiDomesticViolenceDuringEpidemic

After seeing the increase of SGBV cases in China and similar issues in Italy, the Ministry of Equality in Spain launched a national plan that acknowledged the exponential risks of SGBV due to the lockdown mitigation strategy adopted by the national government. 

The plan recognizes the difficulties faced by SGBV survivors in seeking help in confinement. It adapts services to prevent, address, and reduce these risks under the current circumstances. The services include, among other measures, emergency centers for the reception of victims at risks, safe accommodation for survivors, a hotline for information, and an emergency line to send alert messages with geolocation that will be received by state security forces. It has also been announced that an instant chat-messaging system for containment and psychological assistance will be activated. 

Other initiatives of local governments in Spain have caught national attention and will be replicated in different regions across the country. Survivors of SGBV or women at risk can go to a pharmacy and ask for a “Mask-19”. This tells staff at the pharmacy to activate protection services.

What can be done? 

It is clear that IPPF Member Associations have an important role to play by adapting how they provide services and supporting health authorities to adapt theirs. 

It is essential that sexual and gender-based violence helplines are available and that there is an option for women to access support. This could be hrough text message, call centers, or more sophisticated web/app systems, if available. We also want to see increased access to emergency contraception or other contraceptive methods, and for medical abortions to be made available for all women to use at home. 

Finally, we want all governments to recognize the fundamental human right to access sexual and reproductive healthcare. It is a life-saving, essential service for all, especially the most vulnerable and marginalized. 

Subscribe to IPPF’s newsletter for more engaging content about sexual healthcare. 

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