By Sarah Ademun
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12 Oct, 2022
Sexual and gender-based violence (SGBV) is any sexual act that is perpetrated against a person’s will. In Africa and Uganda in particular, it’s based on gendered norms, cultures, and unequal power relationships all being results of the patriarchal power structure in societies and individual relationships. It includes physical, emotional, psychological, and sexual violence and denial of ownership of resources or access to services. Violence consists of threats and coercion. SGBV inflicts harm on women, girls, men, and boys and is a severe violation of several human rights. Victims of SGBV in Uganda confront a political economy that undermines their access to justice, even as the rights agenda works to develop and implement laws, policies and interventions that promote gender equality and balance. This notion provides insights into the daily struggles of women who have fallen victim to the structural patriarchy that is engrained in Ugandan society. The acts of fighting sexual and gender-based violence in Uganda have become futile without the involvement of Mental Health, one cannot address social, economic, political injustice, discrimination, unfairness, oppression, abuse, and stereotypes without bringing in the context of Mental health which is sensitive to both men and women. Sexual and gender-based violence is one of the hard realities that women in Uganda are facing, this is mostly because of a lack of power and authority due to the patriarchy we are born in. This has culminated into limited access to assets and no social networks to be sure of belonging, gender inequalities, conflict, power imbalance, insufficient food at home and alcoholism, and lack of assertiveness for those who fled their countries due to war (refugees), as a result, they are prone and all vulnerable, as we can all imagine, there is not much a refugee woman can do to keep herself occupied or safe and the inadequate or limited operation of the rescue organizations also put them at a vulnerable position where they can easily be abused or taken advantage of, these organizations fail to keep up or provide appropriate help usually due to increasing numbers of refugees coming into the refugee camps], hence increasing the rate of SGBV and creates a big setback in the acquisition of women empowerment and sustainable development in general. SGBV denies women and girls [men too] the security and freedom to explore their full potential. As long as women and girls are not given a chance to explore their full potential and build up individually, they are forced to settle for less than they could have if they had the freedom and security to do it. Very little is being said about the impact of SGBV on the mental health of the survivors and very little is being done to find out the extent of SGBV on the mental health of its survivors. SGBV has serious consequences on the psychological health of the survivors and their families, depression, anxiety, post-traumatic stress disorder (PTSD), shock, memory loss, sexual dysfunction, and suicide are some of the psychological effects of SGBV on the survivors and their families. According to research, one-third of all cases of suicide among women, and 60% of all female murder victims are linked to sexual and gender-based violence. Different forms of SGBV also leave a deep emotional scar on many of the survivors. Research conducted by Advocate for Humans Rights revealed that hopelessness, loss of control, anger, suicide, behavior disorders, and eating disorder are some consequences of Sexual and Gender-Based violence. The most common types of SGBV prevailing in Uganda (especially, in the refugee camps) include; rape, female genital Mutilation, forced marriage, wife inheritance, wife battering, defilement, forced prostitution, and incest, and all of these practices are fueled by families that use their daughters as a source of money or resources to survive, young girls in child marriage and forced marriage to be able to get money from the men, law institutions also aid these acts by not seriously taking these cases of abuse into account and punishing the perpetrators, it is purported that when one reports the case to the police, they have to pay an amount between ugx5000-ugx50000 to the police as facilitation fees to officers to arrest the oppressor. With this, few women report these cases of abuse to the authorities considering the financial hurdles in their daily lives. The community also fuels these evil acts of Sexual and gender-based violence by blaming the women and cruising their dressing as the reason for their abuse. If a girl or woman was raped yet she was dressed in a trouser earlier, community members blame her and call her dress code indecent and hence the man goes free. In some communities, women believe that being beaten by their husbands is a sign of love, such beliefs have encouraged SGBV and some of such women have even lost their lives. All that has been shared above have resulted in Post-traumatic stress disorders, anxiety, depression, loss of self-esteem, suicide, sexual dysfunction, and behavioral disorder. Aside from the community, law institutions, families, women, and young girls have little understanding of sexual and gender-based violence and its effect on their mental health. The general public’s understanding of SGBV is limited, men are isolated from discussions on ending SGBV yet they are the main offenders, and the information on which actor should end the vice has not percolated deep to some parties. While men are cited severally to be perpetrators, they too can be fighters of SGBV if sensitization had them in a plan (s). As an extra factor, there is a scarcity of information on SGBV and Mental health. Poverty is yet another reason why SGBV is prevailing because women are following men for bare necessities such as sanitary pads, soap, and lotion and have ended up being abused by these men, they cannot even report it because they will be blamed for it. There is an unmet need for SGBV and mental health services in West Nile resulting in high numbers of women struggling with mental disorders. Several organizations fighting for women’s rights and health could be motivated to take on the task to sensitize the women in these communities about SGBV and its effect on their mental health, the laws that protect them from SGBV, and where they can seek help in case they are abused, and also refer them to where they can get services and some organizations can even decide to provide these services to these survivors of SGBV and their families. Though men and women suffer SGBV, the magnitude of women victims cannot easily be juxtaposed to that of men. There is a need for all concerned to be vigilant, implement policies and handle this conundrum with compassion if we are to realize palpable results.