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Item type:Publication, Midwives' experiences working with women and girls surviving violence in Yemen: a qualitative study(Frontiers Media, 2025-01-01)Background: Yemeni women and girls have long endured pervasive violence, a situation further exacerbated by the ongoing humanitarian crisis. Violence against women and girls (VAWG) is strongly stigmatized in the Yemeni context. In under-resourced, rural settings like Yemen, where gender inequities prevent women and girls from accessing the formal health system, community midwives may be an important resource for women and girls who experience interpersonal violence. This study explored community midwives' knowledge, training, and applied experience working with women and girls who experience interpersonal violence. Methods: We conducted 20 in-depth interviews with community midwives in four Yemeni governorates. A female Yemeni physician and qualitative researcher trained in the ethical conduct of VAWG-related research conducted interviews using a semi-structured interview guide. Participants gave verbal consent for participation in the one-time interview. We used thematic analysis to summarise the findings. Interviews were transcribed in Arabic and English, and differences in interpretation were resolved through consensus. Results: While midwives had limited formal training in supporting women and girls who experience interpersonal violence, they play a critical role in responding to VAWG in Yemen. Community midwives provide psychological support, contraception, violence-related health care, and referrals to more advanced healthcare and protection services, including women-friendly spaces (WFSs) and shelters. Lack of training and treatment guidelines, in addition to a lack of supportive services and VAWG-related stigma, were important barriers for midwives working with VAWG. The stigma associated with sexual violence discouraged women from seeking health care or accessing limited protection services. Conclusion: Community midwives in Yemen are well-placed to support women and girls who experience violence. Midwives should receive context-appropriate training and support to work with women and girls who experience violence. The lack of available services and the stigma associated with experiencing, reporting and supporting VAWG survivors must be carefully considered before designing any intervention.4 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, “Men's is the only and final word.” A qualitative study of community midwives' insights on violence against women and girls in Yemen, including the forms, causes, and responses of survivors and their families(2025-01-07)Violence against women and girls (VAWG) is a serious human rights violation that has intensified in Yemen due to war, displacement, and pandemics. The cultural stigma surrounding discussions of VAWG, particularly sexual violence, compounded by a lack of resources for affected individuals, poses significant challenges for research and program implementation. This study involved qualitative interviews with 20 community midwives from the National Yemeni Midwifery Association across four governorates to explore the causes, forms, and consequences of VAWG and identify potential resources for survivors. A Yemeni physician trained in ethical VAWG research conducted the interviews, which were analysed thematically by two researchers. The findings indicated that physical partner violence was widely recognised as a crime; however, women and girls facing sexual violence often faced severe social ramifications, including ostracism or violence aimed at preserving family honour, leading to underreporting. Midwives identified patriarchal culture and the ongoing economic crisis as key contributors to VAWG. Health-related consequences for survivors included physical injuries such as vaginal tears and obstetric fistula. Additionally, midwives reported that survivors encountered humiliation within the healthcare system. Most women and girls did not seek help; however, when they did, they turned to their families or local leaders for support. To effectively understand, prevent, and address VAWG in Yemen, strategies should prioritise the safety and needs of women and align with cultural values. Insights from community midwives can guide the development of VAWG-focused community-led initiatives.3