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Gender-Based Violence and Mental Health

Gender-based violence (GBV) refers to violence directed at a person because of their sex or gender. It can affect anyone and takes many forms, including physical, sexual, emotional, psychological, verbal and economic abuse, as well as the deliberate deprivation of opportunities and resources. GBV can occur in homes, schools, workplaces, communities and online spaces.

While women and girls are disproportionately affected, men and boys can also experience GBV, and many cases go unreported because of fear, stigma or a lack of access to appropriate support. Survivors often carry the emotional consequences of violence for many years, which is why understanding its impact on mental health matters so much.

Who Is at Risk

GBV occurs across all socioeconomic and cultural backgrounds. Certain factors can increase the risk of exposure. These include having experienced violence or abuse during childhood, substance misuse, harmful gender norms and behaviours that treat violence as acceptable, poor communication and unresolved conflict within relationships, and economic and social inequalities that leave people dependent on others. Community attitudes that normalise or tolerate violence also play a powerful role, because they can make it harder for survivors to be believed and supported.

The Mental Health Impact of Violence

GBV can have serious short- and long-term effects on a survivor’s physical, emotional and mental wellbeing. Physical injuries are often the most visible consequence, but sexual and reproductive health complications can also follow. Many survivors experience depression and anxiety, and post-traumatic stress disorder is common. Some turn to alcohol or other substances to cope, and others withdraw from friends, family and activities that once gave them joy. Self-esteem can be deeply damaged, and in some cases the distress becomes so overwhelming that survivors think about self-harm or suicide.

Children who witness or experience violence at home may also develop emotional and behavioural difficulties. These can affect their schooling, friendships and relationships later in life, and they can carry the effects of early exposure well into adulthood. Protecting children from exposure, and supporting them when harm has already occurred, is essential.

Why Survivors Often Stay Silent

Many survivors do not speak about what has happened to them. They may fear being blamed, disbelieved or shamed. They may worry about the consequences for their children, their finances, their home or their safety. They may depend on the person who harmed them, or they may simply not know where to turn. Understanding these barriers helps those around survivors respond with patience and compassion rather than pressure or judgement.

Preventing Violence and Promoting Recovery

Preventing GBV requires collective action from individuals, families, communities and institutions. Effective approaches include providing safe and accessible psychosocial support for survivors, encouraging early reporting and help-seeking, and promoting healthy communication and respectful relationships from a young age. Challenging harmful gender norms and attitudes, strengthening social and economic empowerment, and increasing community awareness and education all help to build an environment in which violence is less likely to occur and survivors are more likely to be believed.

For survivors, recovery is a journey that often involves several forms of support. Trauma-informed counselling can help people process what they have experienced and rebuild a sense of safety. Safety planning, support groups, practical help and, where needed, medical and legal assistance all contribute to recovery. Recovery does not follow a single path, and it is important that survivors are able to set their own pace and make their own choices.

How to Respond If Someone Tells You

If someone discloses that they have experienced violence, your response matters a great deal. Listen calmly and without judgement. Believe them, and avoid asking probing questions that may cause further distress. Tell them that the violence is not their fault, and respect their right to decide what they do next. Help them to find support, whether that means a counsellor, a medical professional or a trusted organisation, and offer to accompany them if they would find that helpful. If you are worried that someone is in immediate danger, make sure they are not left alone and seek urgent help.

Our Commitment at Chiromo Hospital Group

At Chiromo Hospital Group, we recognise the significant psychological impact that violence and abuse can have on individuals and families. We are committed to providing confidential, compassionate and dignified mental health support to survivors as they navigate their recovery. Our team works with survivors at their own pace, focusing on safety, healing and rebuilding a life they feel is their own. With greater awareness, early intervention and collective action, we can help create safer communities and support survivors to recover in dignity.

Where to Find Help

If you or someone you know is in immediate danger, call the Chiromo Hospital Group Emergency Line at +254 203 971 000, or come to the nearest Chiromo Hospital Group facility.

CHG Support

•  Call Emergency Line +254 203 971 000

•  Take our assessments

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