This document discusses using data on violence against children to guide actions to address the issues. It provides the following key points: - Violence Against Children Surveys (VACS) have been completed in over 20 countries and provide data on physical, sexual, and emotional violence experienced by children. - The data identifies problems, such as high rates of early sexual debut and sexual violence experienced by girls and boys before age 18. It also shows gaps in prevention efforts for ages 9-14. - In Uganda, VACS data was used to help target evidence-based interventions through the DREAMS program, such as parenting programs, in districts with the highest rates of sexual violence and HIV. - Evalu

1. Linking Data on Violence
Against Children to Action
for Impact
Susan Hillis, PhD, MS, CAPT, U.S. Public Health Service
Senior Advisor, Office of the Global AIDS Coordinator and Health
Diplomacy

2. Colombia
Cote d’Ivoire
Guatemala
Lesotho
Moldova
Mozambique
Namibia
In Progress
Completed
Botswana*
Cambodia
El Salvador*
Haití
Honduras*
Kenya (2010)
Laos*
Malawi
Nigeria
Rwanda*
Swaziland
Tanzania
Uganda*
Zambia
Zimbabwe (2011)
Repeating
Kenya (2018)
Zimbabwe* (2017)
*Countries have completed data collection. Reports are in development.
USE DATA ON VIOLENCE AGAINST CHILDREN
TO GUIDE ACTION

3. PHYSICAL
VIOLENCE
SEXUAL
VIOLENCE
EMOTIONAL
VIOLENCE
RISK FACTORS,
DEMOGRAPHICS
HEALTH
OUTCOMES
RISK
TAKING
HIV/AIDS TESTING
BEHAVIORS
GENDER
ATTITUDES
VACS Data

4. Early Sexual Debut increases HIV
risk: Percent with sexual debut <=15 years
among all youth 16-24, VACS
21
24
18 19 18
20 19
11
7
5
3
46
35
25
27
12
24
12
6
14
9
0
5
10
15
20
25
30
35
40
45
50
Girls
Boys
Percentage

5. There is a face in every number: 41% of women & girls ages
13-24 in Zimbabwe experienced forced sexual initiation
Lessons
to unite
Us

6. What are the gaps with
preventing HIV risk in ages 9-14?
-”The biggest gap is this
age – no one talks about
the 9-14 age group...they
are invisible”
- UNICEF

7. Percentage of individuals 18-24 years old who
experienced sexual violence prior to age 18
38%
27%
32% 33%
26%
22%
25%
20%
35.0%
12 %
18%
9%
21%
15%
11% 10%
17.0%
0%
10%
20%
30%
40%
50%
Females Males
*Only girls interviewed in Swaziland
**Updated denominator for Tanzania, uses 18-24 year olds prior to age 18;
*** Preliminary data
Girls and Boys experience high rates
of sexual violence prior to age 18

8. VACS Data Identifies Key Problem
35%
42% 42%
27%
16%
19%
15%
11%
5%
8%
6% 6%
3%
6% 6% 5%
0%
20%
40%
60%
National Central 1 Central2 Mid-Northern
SV Knew Sought Received
Lifetime Sexual Violence among Girls
R Apondi, Together to INSPIRE: Linking Violence Against Children Data to Successful Response.
CDC/Uganda, September 20, 2017, SVRI Conference, Rio-Brazil, cited with permission.

9. Stakeholders develop consensus on Evidence-Based Actions
(Module 8)
VACSData+
Social Protection
Health
Justice
Education
Finance
CSO
Evidence
Based
Programs
And
Policies
Precision Public Health in Uganda
DREAMS districts -
 Central 1 and 2 areas
– Higher sexual violence compared to
Mid Northern, and highest ever
reported
– Highest HIV prevalence areas in
Uganda
 Linked to Effective Programs
– Evidence-based parenting
interventions that target both HIV
risk and violence - Sinovuyo;
Families Matter
– Collaborate with FBO to implement
Norms change - Coaching Boys into
Men
– Collaborate with CSO to implement
Response services – lay CBT for
victims

11. Empower
Girls & Young
Women
and reduce risk
Mobilize
Communities
for change
Strengthen
Families
Reduce Risk of
Sex Partners
Community Mobilization
& Norms Change
Characterization of male partners to
target highly effective interventions
(ART, VMMC)
Youth-friendly sexual and reproductive
health care (Condoms, HTC, PrEP,
Contraceptive Mix, Post-violence care)
DREAMS Core Package
School-Based
Interventions
Social Protection
(Cash Transfers,
Education Subsidies,
Combination
Socio-Economic
Approaches)
Parenting/
caregiver
Programs
Social Asset
Building

12. Districts with > than 25 % declines
(2/3rd)
-0.7
-0.6
-0.5
-0.4
-0.3
-0.2
-0.1
0

14. PARENTING: Ambassador Malac at Kasaali, Rakai district, DREAMS Safe
Space AFTER SINOVUYO PARENTING

15. SASA! Raising Voices, Good
School Tookkit Free on line
Education and Life Skills

16. -”If the church could
become the answer
instead of the problem,
we could solve HIV.”
- Helmut Reutter
CHRESO, Founder

17. 86
92
82
91
91
91
89
82
77
0 10 20 30 40 50 60 70 80 90 100
TANZANIA
ZAMBIA
RWANDA
KENYA
NIGERIA
MOZAMBIQUE
UGANDA
SOUTH AFRICA
BOTSWANA
“>= Weekly or 1-2 times/month”
Access: Regular Attendance at
Religious Services,
Pew-Templeton Religious Futures Research

18. 19
Where? Adult Men: Unmet ART Need by Province, FY17;
Copperbelt is where the largest Protestant Seminary is located, which covers HIV/AIDS and their currucularm
37,690
29,126
23,257 17,340
13,060
15,068
14,364
6,893
4,254 3,030
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
Gap
Evangelical
University

19. Replacing Violence…
Changing Nations for Generations

20. Thank You!