A man never cries: barriers to holistic care for male survivors of sexual violence in eastern DRC.

While we know that most male survivors of conflict-related sexual violence in the Democratic Republic of the Congo (DRC) do not have access to care, little attention has been devoted to a systematic analysis of why this is so. Drawing from semi-structured interviews with staff of service providers and male survivors of sexual violence, as well as from focus group discussions with community members in eastern DRC, this article sets out to explore challenges and barriers related to meeting the needs of male survivors of sexual violence with respect to their medical, psychological, socioeconomic and legal needs. Our findings suggest that local framings of masculinity can both negatively and positively influence support-seeking behaviour depending on how survivors themselves engage with masculinity ideals. Based on these findings, a conceptual framework including seven levels of barriers to care for male survivors has been developed. Although service providers strive to provide high-quality care to male survivors, we show that existing responses to sexual violence have mainly been designed to address sexual violence against women and need to be re-adapted to male survivors.

Effects of an empowerment program for survivors of sexual violence on attitudes and beliefs: evidence from the Democratic Republic of Congo.

BACKGROUND: Women's empowerment may require women to change their beliefs and views about their rights and capabilities. Empowerment programs often target women who have survived sexual and gender-based violence (SGBV), with the justification that these women may develop disempowered beliefs as a coping mechanism, or face greater barriers to, or derive greater benefits from, the adoption of empowered beliefs and preferences. We investigated an intensive, six-month residential empowerment program ("City of Joy") for SGBV survivors in eastern Democratic Republic of the Congo (DRC), where more than one in five women have experienced SGBV. METHODS: We asked 175 participants about their beliefs and preferences pertaining to political, financial, and domestic empowerment. Interviews took place immediately before and after participation in the program, and we tested for differences in views of empowerment between entry and exit using paired t-tests and McNemar's test. We also conducted 50 semi-structured interviews about empowerment with an additional 30 women who had completed the program up to 5 years earlier and then returned to their home community. RESULTS: Prior to enrolling in the program, participants had fairly empowered views regarding politics, less empowered views regarding finances, and still less empowered views regarding the domestic sphere. After completing the program, participants had significantly more empowered views in all three domains, particularly regarding domestic violence, how families should treat men and women, and women's economic rights. Participants in their home communities reported taking a more active role in community affairs and speaking out against the mistreatment of women. CONCLUSION: This study adds to the evidence that women's empowerment programs can change participants' beliefs and thus increase the confidence with which they participate in their communities and support one another.