Day 4 of 4 · 6 hours · Level 3 Advanced · Advanced module

Specialised GBV programmes, complex cases and ethical data management

Learning objectives for today
  • Design a specialised GBV programme in line with the Inter-Agency Minimum Standards.
  • Support complex cases by balancing safety, consent and best interests.
  • Manage quality through data collected and shared ethically.

1The Inter-Agency Minimum Standards (2019)

The Inter-Agency Minimum Standards for Gender-Based Violence in Emergencies Programming, published by UNFPA and the GBV AoR, set sixteen standards grouped into three sets: the foundational standards (guiding principles, women's and girls' participation and empowerment, staff care and support), the programming standards (healthcare, mental health and psychosocial support, case management, referral systems, safety and risk mitigation, justice and legal aid, dignity kits and cash assistance, economic empowerment and livelihoods, transforming systems and social norms, women and girls safe spaces) and the coordination and management standards (preparedness, assessment, monitoring and evaluation, GBV data collection and use).

Each standard includes key actions and indicators. Examples: female staff for services to women, regular supervision of caseworkers, dignity kits designed with women and distributed as an entry point to services, a GBV risk analysis in all cash programming.

2Supporting complex cases

Some cases require careful analysis and close supervision:

  • Child survivors: application of the Caring for Child Survivors (CCS) guidelines, the child's consent according to age and maturity, agreement of the parent or guardian unless that person is the perpetrator or puts the child at risk, coordination with child protection.
  • Close or powerful perpetrator (husband, leader, humanitarian worker): reinforced safety plan, absolute discretion in movements, temporary accommodation solutions.
  • Sexual exploitation and abuse by humanitarian personnel: reporting through the dedicated PSEA channel, immediate assistance without waiting for the investigation, the victim is never confronted with the perpetrator.
  • Mandatory reporting obligation: know it, explain it before the interview, assess its risks with the supervisor and apply it while minimising the risks for the survivor.

The rule remains the same: the survivor, or the child according to their maturity, takes part in every decision, and every action is preceded by a safety assessment.

3GBVIMS, Primero and the sharing protocol

The GBVIMS includes a standard incident classification, an intake form and a consent form, a recording tool (or its electronic version GBVIMS+ on Primero) and an information sharing protocol that specifies who receives which statistics, how often and for what purpose.

Good practices: specific consent for sharing non-identifying data, codes instead of names, grouping of small areas to avoid identification, trend analysis (types of incidents, time to access care, locations) to adapt programmes. A key indicator is the proportion of rape survivors who received PEP within 72 hours: a low rate signals access barriers to be removed.

4Quality, accountability and staff care

Quality is managed through supervision of caseworkers (case file reviews, observation, case studies), confidentially conducted client satisfaction surveys, focus group discussions with women on the accessibility of services and an adapted complaints mechanism. Feedback is used to adjust opening hours, locations and staff profiles.

GBV work exposes staff to vicarious trauma: a manageable caseload, supervision, recovery time and psychological support are part of the programme and the budget. An exhausted team makes confidentiality and safety errors.

In-depth course

Detailed methods, a complete worked example, tools, common mistakes and interview questions.

5Designing a specialised GBV programme: from analysis to logical framework

A specialised GBV programme combines response services (health, case management, psychosocial support, safety, access to justice), support for risk mitigation in other sectors and, as soon as the context allows, prevention. The Inter-Agency Minimum Standards (2019) serve as a design framework: each component must be linked to a standard, its key actions and its indicators.

Phasing

PhasePrioritiesWhat to avoid
0 to 3 months (acute phase)Access to clinical management within 72 hours, psychological first aid, referral pathway, case management with a small team, dignity kits as an entry point, mitigation in sites, coordinationPrevalence surveys, social norms programmes, mass campaigns
3 to 12 months (stabilisation)Static and mobile safe spaces, full case management, focused psychosocial support, legal aid, economic empowerment, strengthening of local partners, GBVIMS and information-sharing protocolProliferation of small projects without continuity of services
Beyond 12 months (protracted crisis, recovery)Prevention through norm transformation, integration into public services, localisation, legislative advocacyService disruptions linked to funding cycles

A typical logical framework

LevelStatementIndicatorMeans of verification
Specific objectiveCrisis-affected women and girls access quality GBV services and are less exposed to GBV risks% of women and adolescent girls who report knowing at least one GBV service and how to access it; % of survivors satisfied with the services receivedCommunity knowledge survey; confidential satisfaction survey
Outcome 1Survivors receive case management and psychosocial support in line with the 2017 guidelinesNumber of survivors receiving case management (disaggregated by sex, age, disability); % of case files compliant during supervision reviewsGBVIMS, supervision reports
Outcome 2Rape survivors access clinical management within the required time frames% of rape survivors presenting within 72 hours who receive PEP; number of facilities with trained staff and kitsHealth facility registers, GBVIMS
Outcome 3Women and girls have safe spaces and support activitiesNumber of women and girls regularly participating in activities; % reporting a stronger support networkAnonymised attendance registers, surveys
Outcome 4Other sectors integrate risk mitigationNumber of safety audit recommendations implemented; % of partner staff trained in the GBV Pocket GuideAudit action plans, training registers

Indicators to avoid

  • "X% reduction in GBV cases": cannot be measured ethically and is counterproductive, because a good programme generally increases reporting.
  • "Number of people reached by awareness-raising" with no measure of knowledge and no link to services.
  • Targets for the number of survivors assisted presented as performance objectives: they encourage case-finding. Service capacity and quality are used instead.

Human resources

A programme covering 60,000 to 80,000 people across three sites and a host area typically includes: a GBV programme manager, one case management supervisor for every four to six caseworkers, a coordinator per safe space with two to three facilitators, a training and mitigation officer, an information management officer trained in the GBVIMS and a part-time clinical psychologist or technical mental health support. Field positions are mostly national; international management, where it exists, includes a skills transfer plan.

The quality of a GBV programme depends more on supervision and team stability than on the number of activities. A budget that funds six caseworkers without a supervisor produces a dangerous service.

6Full example: a twelve-month programme in Haute-Séno province

Fictional context. Haute-Séno province is hosting 72,000 internally displaced persons spread across three sites (Toumbel, 28,000; Garo, 21,000; Nawa, 9,000) and with host families in the provincial capital (14,000). A national women's rights NGO, the association Femmes Debout de Séno (fictional name), is the partner of an international NGO. The funding available for twelve months is USD 1,150,000, split between a humanitarian donor and the country-based pooled fund.

Components and budget

LineDetailsAmount (USD)Share (rounded)
Case management and psychosocial staff1 supervisor per site (3), 12 caseworkers, 9 facilitators, 1 half-time psychologist384,00033.4%
Safe spaces3 static spaces, 1 mobile team for the host area, equipment, running costs, childcare142,00012.3%
Support to clinical managementTraining of 24 health workers, 24-hour emergency transport, support to facilities (private rooms), additional kits in coordination with UNFPA96,0008.3%
Dignity kits and cash assistance9,000 dignity kits; emergency cash assistance for 450 survivors according to their action plan (three instalments)178,00015.5%
Legal aidAgreement with a legal clinic: information, accompaniment of survivors who choose it38,0003.3%
Mitigation and cross-sector trainingQuarterly safety audits, training of 400 staff, small emergency works (lighting, locks)64,0005.6%
Strengthening of the national partnerManagement and finance positions, training, data protection systems, core costs92,0008.0%
Staff careExternal clinical supervision, monthly group sessions, recovery days, insurance28,0002.4%
Information management and monitoringGBVIMS officer, secure equipment, satisfaction surveys, final evaluation46,0004.0%
Support and core costsLogistics, security, finance, indirect costs82,0007.1%
Total1,150,000100%

Service capacity and targets

Twelve caseworkers, each with 15 to 20 active cases and an average accompaniment period of three months, can support about 720 to 960 survivors over the year (12 caseworkers × 15 to 20 cases × 4 rotations). The target adopted is 800, presented to the donor as a service capacity and not as a number of cases to be reached. The safe spaces plan for 3,600 regular participants (at least four visits per month).

Results at six months and critical reading

IndicatorValueAnalysis
Survivors in case management412In line with capacity; 68% in Toumbel, 6% in the host area: under-coverage of the host area
Rape incidents recorded96Of whom 38 survivors presented within 72 hours
PEP received among presentations within 72 hours35 out of 38, i.e. 92%Good clinical quality once the survivor arrives
Proportion of rape survivors presenting within 72 hours38 out of 96, i.e. 40%Major barrier to early access: insufficient information or fear; priority action
Case files compliant during supervision reviews71%Incomplete safety plans; refresher training
Survivor satisfaction87% satisfied or very satisfied (survey of 120 survivors who consented)Dissatisfaction linked to waiting times in Garo

Decisions taken

  • Targeted information campaign on the message "after a rape, come within 72 hours", disseminated through community health workers, safe spaces and women's committees, without encouraging disclosure.
  • Redeployment of two caseworkers from the mobile team to the host area, with a weekly presence at the health centre in the provincial capital.
  • Two-day refresher training on safety planning, with targeted case file reviews by supervisors.
  • Review of opening hours in Garo with participants: opening on Saturday mornings.

At twelve months, the proportion of rape survivors presenting within 72 hours reaches 57%, which can still be improved but reflects the effect of community information. The national partner now provides supervision for two of the three sites.

7Complex cases: analysis and decision-making frameworks

Complex cases are those in which several principles come into tension: the survivor's choice and a legal obligation, consent and the best interests of the child, safety and access to justice. No caseworker should handle them alone. The rule is immediate supervision, a documented decision and, if necessary, a case conference bringing together, with the survivor's consent, only the actors involved, using codes and without unnecessary detail.

Five-question analysis framework

  1. What is the immediate risk to the life or physical integrity of the survivor, her children or staff?
  2. What does the survivor want, and has she received all the information she needs to decide?
  3. Which legal or institutional obligations apply (reporting concerning minors, PSEA policy)?
  4. Which options actually exist (shelter, relocation, care, protection) and what risks does each one carry?
  5. Which option best respects the guiding principles, and how can the risks of the chosen option be reduced?

Typical situations

SituationPoints of vigilanceRecommended course of action
Girl aged 9, alleged perpetrator: a family member living in the same householdThe parent may protect the perpetrator; mandatory reporting likely; risk of pressure on the childChild-appropriate clinical care by trained staff; assent of the child; consent of a protective parent or decision based on best interests; immediate coordination with child protection; safe care arrangement; reporting in accordance with the law, carefully prepared
Intimate partner violence with death threats and a weapon in the homeLethal risk; separation is a time of increased dangerStructured danger assessment (tools inspired by Campbell's Danger Assessment, adapted to the context); reinforced safety plan; emergency shelter or relocation if she wishes; daily contact; same-day supervision
Allegation of sexual exploitation by a humanitarian workerConflict of interest, institutional pressure, risk of reprisalsImmediate assistance in line with the survivor-centred approach; report to the PSEA focal point of the alleged perpetrator's organisation, with consent for identifying details; no investigation by the caseworker; the survivor is never confronted with the perpetrator; information on the next steps of the procedure
Pregnant 16-year-old girl following rape, considering terminating her pregnancyLegal framework, risks of unsafe abortion, family pressureFull and non-judgemental information on legal options; referral to health services that provide the authorised care; post-abortion care available in all cases; respect for her decision; consent according to maturity
Survivor who wants to file a complaint against a member of an armed groupRisk of reprisals, low capacity of the justice systemRealistic information on the procedure and its risks; safety assessment; referral to specialised legal aid; safety plan; respect for her decision, without encouraging or discouraging her
Male survivor of sexual violence in detentionShame, lack of adapted services, criminalisation of homosexuality possibly invoked wronglyReception by trained staff; identical clinical care; psychological support; strict confidentiality; referral to specialised organisations if they exist
Woman with a disability whose alleged perpetrator is her main caregiverDependence for activities of daily living, credibility called into questionInterview without the caregiver, adapted communication; search for an alternative caregiver; involvement of an organisation of persons with disabilities with her agreement
Survivor who discloses suicidal thoughtsRisk to lifeImmediate risk assessment following the mhGAP guide; do not leave her alone if the risk is high; referral to mental health care; limit of confidentiality explained and applied

In a complex case, the most common mistake is not a bad decision but a decision taken too quickly, alone and without documentation. A careful decision, supervised and explained to the survivor, protects both her and the organisation.

8GBVIMS in practice: from the intake form to the quarterly report

The Gender-Based Violence Information Management System (GBVIMS), developed by UNFPA, UNICEF, UNHCR, IRC and IMC, has four components: the incident classification, the intake and initial assessment form, the incident recorder (Excel database) or its electronic version GBVIMS+ on the Primero platform, and the information-sharing protocol.

The data flow

  1. Intake: the caseworker fills in the paper or electronic form using a code; consent to sharing non-identifying data is requested separately.
  2. Classification: the incident is classified according to the six GBVIMS types by following the decision tree (for example, a rape accompanied by beating is classified as rape, the most serious type according to the order of the classification).
  3. Data entry: within 72 hours, by an authorised person, on a computer protected by password and encryption; monthly quality control by the GBVIMS officer.
  4. Extraction: only data from survivors who have consented are included in the shared statistics.
  5. Consolidation: the agency designated in the protocol consolidates data from the signatory organisations and produces a quarterly report.
  6. Use: analysis at sub-cluster meetings, programming and advocacy decisions.

Worked example: quarterly report for the fictional district of Liboka

Data itemValueCalculated indicator
Incidents recorded with consent to sharing264Basis for shared statistics
Rape5822% of incidents
Physical assault9134%
Denial of resources, opportunities or services4718%
Psychological or emotional abuse3814%
Forced marriage228%
Sexual assault83%
Perpetrator: intimate partner14956% of incidents
Rapes presented within 72 hours21 out of 5836%; early access indicator
Survivors referred to health services who accepted71 out of 96 referrals offered74%; 26% refusals to be analysed (cost, fear, distance)
Survivors under 185119%; coordination with child protection

The percentages for incident types are rounded; their total may differ slightly from 100%. The correct reading of this table is not "intimate partner violence is the main form of violence in the district", but "among incidents reported to participating services, the majority involve an intimate partner; services must be adapted to this reality (safety plans, shelter, economic empowerment)".

Protection rules in reports

  • Suppress or group cells below the threshold set by the protocol (often 5) when they could allow a person to be identified, particularly for small sites, male survivors, persons with disabilities or certain nationalities.
  • Never cross-tabulate several fine-grained variables (exact age, site, incident type, month) in the same disseminated table.
  • Aggregate at the minimum geographical level set by the protocol (for example the district, not the site).
  • Accompany each report with the statement that the data do not reflect prevalence.

Day-to-day data security

MeasureRequirement
Paper filesLocked metal cabinet, keys held by two named persons, access log
Electronic filesDedicated computer, encryption, password changed every three months, no copies on personal USB sticks, no sending by email or messaging apps
Code-name matching listKept separately from case files, access restricted to the supervisor
Emergency planWritten procedure for securing or destroying files in the event of evacuation or attack, known to the team
Retention periodSet in the organisation's policy and the SOPs; secure destruction at the end of the period

9Quality, accountability to survivors and staff care

The quality of a GBV service is not measured by the number of case files opened but by the safety, respect and effectiveness of the support provided. The Core Humanitarian Standard (CHS) and the Inter-Agency Minimum Standards converge on three requirements: structured supervision, regular feedback from the people served and well-supported staff.

Case file review checklist (monthly supervision)

CriterionCompliant if
ConsentForm complete, separate consent for each referral and for data sharing
Safety assessmentCarried out at intake and updated at every contact
Action planGoals formulated with the survivor, persons responsible and time frames
Safety planPresent for any medium or high risk, revised after any new incident
Clinical time framesImmediate health referral for any incident within the last 120 hours
Follow-upFrequency consistent with the risk level
ConfidentialityCode used throughout, no identifying information in shared notes
ClosureReason documented, final safety assessment, information on the possibility of returning

Each month, the supervisor reviews a sample of at least 10% of each caseworker's active case files, and all high-risk case files. The results are discussed individually and feed into the training plan.

Accountability to survivors

  • Satisfaction survey at case closure, administered by someone other than the caseworker, anonymous, with a few closed questions (reception, respect for choices, confidentiality, usefulness) and one open question.
  • Quarterly focus group discussions with safe space participants on the accessibility of services, without discussing individual cases.
  • Complaints mechanism that allows inappropriate behaviour by GBV staff themselves to be reported, through a channel independent of the team.
  • Feedback to communities on the changes made as a result of their input.

Staff care

Repeated exposure to accounts of violence produces vicarious trauma, compassion fatigue and burnout. The Minimum Standards standard on staff care and support requires organisations to address these as an institutional rather than individual responsibility:

  • manageable caseloads and respected working hours;
  • regular clinical supervision, separate from line management where possible;
  • monthly group debriefings facilitated by a qualified person;
  • confidential access to external psychological support;
  • recovery days after particularly difficult cases;
  • security measures for staff exposed to threats from perpetrators;
  • attention to national staff, who are often themselves affected by the crisis and subject to community pressure.

Staff care appears in the budget. A programme with no "clinical supervision and psychological support for staff" line is not compliant with the Minimum Standards.

10Common mistakes, contextual variations, interview questions and references

Common mistakes

MistakeConsequenceCorrect practice
Setting targets for the number of survivors to "reach"Active case-finding, pressure on teams and communitiesService capacity and quality targets
Recruiting caseworkers without a supervisorUncorrected errors, burnout, risks for survivorsSupervisor budgeted for every four to six caseworkers
Agreeing to share individual data with a donor for verificationBreach of confidentiality and of the protocolVerification through coded registers, supervision reports, supervised visits
Handling a complex case aloneRisky, undocumented decisionsImmediate supervision, case conference, documentation
Classifying an incident according to the caseworker's perception rather than the GBVIMS classificationInconsistent data across organisationsTraining, decision tree, quality control
Abrupt end of funding without a transition planAbandoned case files, survivors without follow-upExit plan: transfer of case files with consent, informing survivors, preparation of partners

What donors, evaluators and auditors check

  • Compliance with the Minimum Standards, with quality indicators and not only volume indicators.
  • The caseload per caseworker and the actual frequency of supervision.
  • Signature of the SOPs and the information-sharing protocol, and the absence of any identifying data in reports.
  • The share of the budget allocated to the national partner and its institutional strengthening.
  • Staff care and data security measures.
  • The PSEA and safeguarding policies of the organisation and its partners.

Variations by context

  • Sudden-onset emergency: deployment of GBV experts through surge mechanisms (for example GBV AoR deployments), simplified procedures, clinical priority.
  • Protracted crisis: integration into national social protection systems, support to public services, legislative advocacy (age of marriage, marital rape, free health care).
  • Camp: concentrated services, risk that survivors are visible when going to the service; multiply discreet entry points.
  • Urban settings: case management linked to municipal social services, helplines, housing assistance.
  • Remote management: phone-based case management under strict criteria, remote supervision, adapted consent, strengthening of partners on the ground.
  • Local partners with low capacity: gradual support (information and referral, then psychosocial support, then case management), co-supervision, funding of core costs.

Interview questions

QuestionElements of a strong answer
Design a 12-month GBV programme for 70,000 displaced people.Analysis and mapping; phasing; components linked to the Minimum Standards; human resources with supervision; budget including staff care and the local partner; capacity and quality indicators; transition plan.
Only 40% of rape survivors arrive within 72 hours. What do you do?Analysis of barriers (information, distance, cost, fear, opening hours); targeted community information; transport; 24-hour availability; monitoring of the indicator.
A donor wants to check survivors' case files during an audit.Reasoned refusal; information-sharing protocol; alternative means of verification; explanation of the standards; involvement of the coordination mechanism if necessary.
How do you handle an allegation of sexual exploitation by a colleague?Assistance to the survivor first; report through the PSEA channel; no personal investigation; confidentiality; protection against reprisals; keeping the survivor informed.
How do you prevent burnout in your team?Manageable caseload, clinical supervision, debriefings, confidential external support, recovery time, dedicated budget, attention to national staff.

Key references

  • UNFPA and GBV AoR, Inter-Agency Minimum Standards for Gender-Based Violence in Emergencies Programming (2019).
  • Interagency GBV Case Management Working Group, Interagency Gender-Based Violence Case Management Guidelines (2017).
  • GBVIMS Steering Committee, GBVIMS User Guide, Incident Recorder and Information Sharing Protocol Template; GBVIMS+ and Primero documentation.
  • IRC and UNICEF, Caring for Child Survivors of Sexual Abuse (2012).
  • IASC, Six Core Principles relating to Sexual Exploitation and Abuse (revised in 2019); Secretary-General's Bulletin ST/SGB/2003/13.
  • WHO and UNHCR, mhGAP Humanitarian Intervention Guide (2015).
  • IRC, Guidelines for Mobile and Remote Gender-Based Violence Service Delivery (2018).
  • CHS Alliance, Core Humanitarian Standard on Quality and Accountability.
  • GBV AoR, Handbook for Coordinating Gender-Based Violence Interventions in Emergencies (2019).

Exercise: reviewing a GBV programme

Over six months, a GBV programme reports: 312 incidents recorded, including 74 rapes; 29 rape survivors received PEP within 72 hours; 3 caseworkers for 140 active cases; no activity outside the main town; no safe space accessible to women with disabilities. Calculate the proportion of timely PEP, identify five gaps against the Minimum Standards and propose a costed improvement plan for the next six months.

Key points

  • Minimum Standards 2019: sixteen standards, from foundational principles to data management.
  • Child survivors: consent according to maturity, best interests, guardian set aside if he is the perpetrator.
  • PSEA: dedicated reporting channel, immediate assistance, never any confrontation with the perpetrator.
  • GBVIMS: consent, codes, sharing protocol, trend analysis; PEP within 72 hours as a key indicator.
  • Quality: supervision, women's feedback, manageable caseload and staff care.

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Further reading: course references
  1. Inter-Agency Standing Committee (IASC) (2015). Guidelines for Integrating Gender-Based Violence Interventions in Humanitarian Action. gbvguidelines.org
  2. UNFPA, GBV AoR (2019). Inter-Agency Minimum Standards for Gender-Based Violence in Emergencies Programming. www.unfpa.org/minimum-standards
  3. IASC, GBV Guidelines Reference Group (2018). How to support survivors of gender-based violence when a GBV actor is not available in your area (GBV Pocket Guide). gbvguidelines.org
  4. WHO, UNFPA, UNHCR (2020). Clinical management of rape and intimate partner violence survivors: developing protocols for use in humanitarian settings. www.who.int/publications/i/item/9789240001411
  5. Gender-Based Violence Information Management System Steering Committee (2017). Interagency Gender-Based Violence Case Management Guidelines. www.gbvims.com
  6. World Health Organization (2007). WHO ethical and safety recommendations for researching, documenting and monitoring sexual violence in emergencies. www.who.int/publications/i/item/9789241595681
  7. Sphere Association (2018). The Sphere Handbook: Humanitarian Charter and Minimum Standards in Humanitarian Response. spherestandards.org/fr/manuel-2018
  8. GBV AoR, Global Protection Cluster (2024). Gender-Based Violence Area of Responsibility. gbvaor.net

Daily quiz

3 questions to check what you have learned. Answer them all to complete the day.

1A 12-year-old girl was assaulted by her uncle, who is also her guardian. For consent to services:
2Out of 74 rape survivors, 29 received PEP within 72 hours. This proportion (about 39%) indicates:
3How many standards do the 2019 Inter-Agency Minimum Standards for GBV contain?

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