“We Feel Powerless”

A Social-Ecological Perspective on Challenges Experienced by Social Workers in Addressing GBV in Ethiopian Refugee Settings

Authors

DOI:

https://doi.org/10.18060/25994

Keywords:

gender-based violence, challenges, social workers, refugee settings, Ethiopia

Abstract

Gender-based violence (GBV), especially sexual violence with a 90% prevalence rate, is a top concern in humanitarian settings. This qualitative study explored the challenges and experiences of social workers in addressing Gender-based Violence (GBV) in Ethiopian refugee settings. In-depth interviews were conducted with eight social workers between the ages of 26-37 years who have had five to twelve years of experience in GBV prevention among refugees. Data were analyzed thematically using a codebook and Nvivo12 software. Three major themes emerged: power and political interest, institutional barriers, and strategic barriers. The Social-Ecological Model (SEM) was used to guide the discussion of the findings. Most of the challenges experienced by social workers were structural barriers emanating from the unbalanced power relationship and political interest between and within institutions, strategic/policy gaps, and organizational resource limitations. It is imperative that social workers are trained to function in a politically-sensitive practice setting and are prepared to embrace political activism to overcome structural challenges. Adopting anti-oppressive and integrated developmental approaches is recommended to resolve the complex socio-economic and political factors behind the widespread GBV acts in Ethiopian refugee settings.

References

Adugna, G. (2019). Migration patterns and emigrants’ transnational activities: Comparative findings from two migrant origin areas in Ethiopia. Comparative Migration Studies, 7(1), 1-28. https://doi.org/10.1186/S40878-018-0107-1

Ambikile, J. S., Leshabari, S., & Ohnishi, M. (2020). Knowledge, attitude, and preparedness toward IPV care provision among nurses and midwives in Tanzania. Human Resources for Health, 18(1), 1-7. https://doi.org/10.1186/S12960-020-00499-3/TABLES/4

Araujo, J. de O., Souza, F. M. de, Proença, R., Bastos, M. L., Trajman, A., & Faerstein, E. (2019). Prevalence of sexual violence among refugees: A systematic review. Revista de Saúde Pública, 53(78), 1-15. https://doi.org/10.11606/S1518-8787.2019053001081

Asgary, R., Emery, E., & Wong, M. (2013). Systematic review of prevention and management strategies for the consequences of gender-based violence in refugee settings. International Health, 5(2), 85-91. https://doi.org/10.1093/INTHEALTH/IHT009

Baines, D. (2011). Doing anti-oppressive practice: Social justice social work. Fernwood Publishers.

Centers for Disease Control. (2019). The social-ecological model: A framework for prevention violence prevention. https://www.cdc.gov/violenceprevention/about/social-ecologicalmodel.html

Chynoweth, S. K., Buscher, D., Martin, S., & Zwi, A. B. (2020). A social-ecological approach to understanding service utilization barriers among male survivors of sexual violence in three refugee settings: A qualitative exploratory study. Conflict and Health, 14(1), 1-13. https://doi.org/10.1186/S13031-020-00288-8/TABLES/3

Creswell, J. W., & Poth, C. N. (2017). Qualitative inquiry and research design: Choosing among five approaches. Sage.

Das, M. (2015). A critical exploration of forces impacting mental health and psychosocial wellbeing of conflict-induced displaced persons in Hong Kong [Doctoral Dissertation, University of Hong Kong]. https://www.researchgate.net/publication/283727027_A_Critical_Exploration_of_Forces_Impacting_Mental_Health_and_Psychosocial_Wellbeing_of_Conflict-Induced_Displaced_Persons_in_Hong_Kong

Frost, Nollaig. (2011). Qualitative research methods in psychology: Combining core approaches. Open University Press.

Fry, M. W., Skinner, A. C., & Wheeler, S. B. (2019). Understanding the relationship between male gender socialization and gender-based violence among refugees in Sub-Saharan Africa. Trauma, Violence, and Abuse, 20(5), 638-652. https://doi.org/10.1177/1524838017727009

Hansen, B., Wells, L., & Claussen, C. (2021). Engaging men across the violence prevention continuum. Advances in Social Work, 21(1), 199-216. https://doi.org/10.18060/24458

Heijden, I., Harries, J., & Abrahams, N. (2020). Barriers to gender-based violence services and support for women with disabilities in Cape Town, South Africa. Disability & Society, 35(9), 1398-1418. https://doi.org/10.1080/09687599.2019.1690429

Hossain, M., McAlpine, A., Muthuri, S., Bacchus, L., Muuo, S., Kohli, A., Egesa, C., Franchi, G., & MacRae, M. (2018). Violence, uncertainty, and resilience among refugee women and community workers: An evaluation of gender-based violence case management services in the Dadaab refugee camps. International Rescue Committee. https://www.rescue-uk.org/report/violence-uncertainty-and-resilience-among-refugee-women-and-community-workers-evaluation

Hossain, M., Sultana, A., & Das, A. (2018). Gender-based violence among Rohingya refugees in Bangladesh: A public health challenge. Indian Journal of Medical Ethics, III(3), 1-2. https://doi.org/10.20529/IJME.2018.045

International Rescue Committee. (2021). Ethiopia. https://www.rescue.org/country/ethiopia

Jewkes, R., Flood, M., & Lang, J. (2015). From work with men and boys to changes of social norms and reduction of inequities in gender relations: A conceptual shift in prevention of violence against women and girls. Lancet, 385(9977), 1580-1589. https://doi.org/10.1016/S0140-6736(14)61683-4

Keygnaert, I., Guieu, A., Ooms, G., Vettenburg, N., Temmerman, M., & Roelens, K. (2014). Sexual and reproductive health of migrants: Does the EU care? Health Policy, 114(2), 215-225. https://doi.org/10.1016/J.HEALTHPOL.2013.10.007

Kilanowski, J. F. (2017). Breadth of the Socio-Ecological Model. Journal of Agromedicine, 22(4), 295-297. https://doi.org/10.1080/1059924X.2017.1358971

le Mat, M. L. J., Kosar-Altinyelken, H., Bos, H. M. W., & Volman, M. L. L. (2019). Discussing culture and gender-based violence in comprehensive sexuality education in Ethiopia. International Journal of Educational Development, 65, 207-215. https://doi.org/10.1016/J.IJEDUDEV.2018.08.004

Lilleston, P., Winograd, L., Ahmed, S., Salamé, D., al Alam, D., Stoebenau, K., Michelis, I., & Joergensen, S. P. (2018). Evaluation of a mobile approach to gender-based violence service delivery among Syrian refugees in Lebanon. Health Policy and Planning, 33(7), 767-776. https://doi.org/10.1093/HEAPOL/CZY050

Marshall, J., & Barrett, H. (2017). Human rights of refugee-survivors of sexual and gender-based violence with communication disability. International Journal of Speech-Language Pathology, 20(1), 44-49. https://doi.org/10.1080/17549507.2017.1392608

Matthews, H., Sibbald, S., Szoke, T., & Varela, T. (2020). Anti-oppressive practice (AOP). Critically Infused Social Work. https://www.criticallyinfusedsw.com/antioppressive-practice

McAlpine, A., Bacchus, L. J., Muuo, S. W., Muthuri, S. K., Bangha, M., Izugbara, C., Franchi, G., Hess, T., Spangaro, J., Pearson, R., & Hossain, M. (2020). Research challenges in evaluating gender-based violence response services in a refugee camp. Global Health Action, 13(1), 1-12. https://doi.org/10.1080/16549716.2020.1820713

McIlwaine, C. (2013). Urbanization and gender-based violence: Exploring the paradoxes in the global south. Environment and Urbanization, 25(1), 65-79. https://doi.org/10.1177/0956247813477359

Medie, P. A. (2013). Fighting gender-based violence: The women’s movement and the enforcement of rape law in Liberia. African Affairs, 112(448), 377-397. https://doi.org/10.1093/AFRAF/ADT040

Mmatli, T. (2008). Political activism as a social work strategy in Africa. International Social Work, 51(3), 297-310. https://doi.org/10.1177/0020872807083913

Morgan, K., & Björkert, S. T. (2006). “I’d rather you’d lay me on the floor and start kicking me”: Understanding symbolic violence in everyday life. Women’s Studies International Forum, 29(5), 441-452. https://doi.org/10.1016/J.WSIF.2006.07.002

Muchacha, M., & Matsika, A. B. (2017). Developmental social work: A promising practice to address child marriage in Zimbabwe. Journal of Human Rights and Social Work 2017 3:1, 3(1), 3-10. https://doi.org/10.1007/S41134-017-0042-3

Müller, C., & Shahrokh, T. (2016). Engaging men for effective activism against sexual and gender-based violence (No. 108). Institute of Development Studies. https://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/7979

Muuo, S., Muthuri, S. K., Mutua, M. K., McAlpine, A., Bacchus, L. J., Ogego, H., Bangha, M., Hossain, M., & Izugbara, C. (2020). Barriers and facilitators to care-seeking among survivors of gender-based violence in the Dadaab refugee complex. Sexual and Reproductive Health Matters, 28(1), 245-260. https://doi.org/10.1080/26410397.2020.1722404

Nisanci, A., Kahraman, R., Alcelik, Y., & Kiris, U. (2020). Working with refugees during COVID-19: Social worker voices from Turkey. International Social Work, 63(5), 685-690. https://doi.org/10.1177/0020872820940032

Sakamoto, I., & Pitner, R. O. (2005). Use of critical consciousness in anti-oppressive social work practice: Disentangling power dynamics at personal and structural levels. The British Journal of Social Work, 35(4), 435-452. https://doi.org/10.1093/BJSW/BCH190

Salihu, H. M., Wilson, R. E., King, L. M., Marty, P. J., & Whiteman, V. E. (2015). Socio-ecological model as a framework for overcoming barriers and challenges in randomized control trials in minority and underserved communities. International Journal of MCH and AIDS, 3(1), 85. https://doi.org/10.21106/ijma.42

Schubert, J. D. (2012). Suffering/symbolic violence. In M. Grenfell (Ed.), Pierre Bourdieu: Key concepts (2nd ed., pp. 179-194). Routledge.

Serrano-Argüeso, M., Ereñaga-De Jesús, N., & Vidu, A. (2021). Overcoming poverty and social risk: A comprehensive action model for female victims of gender-based violence. Frontiers: A Journal of Women Studies, 42(2), 26-48. https://doi.org/10.1353/fro.2021.0015

Sloand, E., Killion, C., Gary, F., Dennis, B., Glass, N., Hassan, M., Campbell, D., & Callwood, G. (2015). Barriers and facilitators to engaging communities in gender-based violence prevention following a natural disaster. Journal of Healthcare for the Poor and Underserved, 26(4), 1-16. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4824059/

Stark, L., Sommer, M., Davis, K., Asghar, K., Baysa, A. A., Abdela, G., Tanner, S., & Falb, K. (2017). Disclosure bias for group versus individual reporting of violence amongst conflict-affected adolescent girls in DRC and Ethiopia. PLOS ONE, 12(4), 1-15. https://doi.org/10.1371/JOURNAL.PONE.0174741

Sword, W. (1999). A socio-ecological approach to understanding barriers to prenatal care for women of low income. Journal of Advanced Nursing, 29(5), 1170-1177. https://doi.org/10.1046/J.1365-2648.1999.00986.X

Tefera, G. M. (2022). Toward culturally relevant practice: Combating gender-based violence among refugees in Ethiopia. Journal of Ethnic and Cultural Diversity in Social Work, Latest articles, 1-12. https://doi.org/10.1080/15313204.2022.2027311

Titilope, A. O. (2017). Healthcare workers’ knowledge on gender-based violence and utilization of services in Kacyiru sector, Rwanda [Doctoral Dissertation, Mount Kenya University]. http://repository.mkurwanda.ac.rw/handle/123456789/5606

Tolman, R. M., Casey, E. A., Carlson, J., Allen, C., & Leek, C. (2019). Global efforts to engage men and boys in gender-based violence prevention. Global Social Welfare, 6(4), 215-218. https://doi.org/10.1007/S40609-019-00165-0

Touquet, H., & Gorris, E. (2016). Out of the shadows? The inclusion of men and boys in conceptualisations of wartime sexual violence. Reproductive Health Matters, 24(47), 36-46. https://doi.org/10.1016/J.RHM.2016.04.007

United Nations High Commissioner for Refugees [UNHCR]. (2019). Ethiopia refugee crisis explained. https://www.unrefugees.org/news/ethiopia-refugee-crisis-explained/

Vu, A., Wirtz, A. L., Bundgaard, S., Nair, A., Luttah, G., Ngugi, S., & Glass, N. (2017). Feasibility and acceptability of a universal screening and referral protocol for gender-based violence with women seeking care in health clinics in Dadaab refugee camps in Kenya. Global Mental Health, 4(21), 1-11. https://doi.org/10.1017/GMH.2017.18

Webb, J., Schirato, T., & Danaher, G. (2002). Understanding Bourdieu. Sage.

Wirtz, A. L., Glass, N., Pham, K., Aberra, A., Rubenstein, L. S., Singh, S., & Vu, A. (2013). Development of a screening tool to identify female survivors of gender-based violence in a humanitarian setting: Qualitative evidence from research among refugees in Ethiopia. Conflict and Health, 7(1), 1-14. https://doi.org/10.1186/1752-1505-7-13/TABLES/2

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Published

2023-03-22