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Sexual violence against women is a human rights violation and public health concern, with serious Implications for women's physical and mental health. Reducing non-partner sexual violence, including rape, sexual assault and other forms of non- contact sexual abuse, is one of the main indicators of the sustainable development goals. World Health Organization estimates, based on available prevalence data from 137 countries between 2000 and 2018, showed that, globally, 6% of women aged 15-49 years reported experiencing sexual violence in their lifetime from someone other than an intimate partner, with prevalence rates varying across regions. However, the reporting, measurement and documentation of the global extent of non-partner sexual violence against women is methodologically challenging, resulting in a gross underestimation of its magnitude and impact. To prevent and respond to this issue, policy-makers must consider interventions on education, access to relevant health-care services, public awareness, and effective and comprehensive legislation. To better estimate the prevalence of both sexual violence overall and non-partner sexual violence, it is essential to continue to strengthen the measurement of non-partner sexual violence, including the types of acts asked about and the mode of interviewing. Further research is needed to understand the cumulative impact of different forms of sexual violence on the lives of women and girls, including sexual violence during childhood and its associated risk with further exposure. Funding is required for more research and implementation of interventions to prevent and reduce all forms of violence against women and girls, including sexual violence. Les violences sexuelles a l'egard des femmes constituent une violation des droits humains et un probleme de sante publique qui ont de graves repercussions sur la sante physique et mentale des femmes. La reduction des violences sexuelles qui ne sont pas le fait d'un(e) partenaire, y compris le viol, l'agression sexuelle et d'autres formes d'abus sexuels sans contact, est l'un des principaux indicateurs des objectifs de developpement durable. Selon les estimations de l'Organisation mondiale de la sante, qui se fonde sur les donnees de prevalence disponibles dans 137 pays entre 2000 et 2018, 6% des femmes agees de 15 a 49 ans dans le monde ont declare avoir subi des violences sexuelles au cours de leur vie de la part d'une personne autre qu'un(e) partenaire intime, les taux de prevalence variant d'une region a l'autre. Toutefois, la declaration, la mesure et la documentation de l'ampleur mondiale des violences sexuelles a l'egard des femmes qui n'impliquent pas de partenaire sont difficilement realisables sur le plan methodologique, ce qui entraine une sous-estimation flagrante de leur ampleur et de leur impact. Pour prevenir et pallier ce probleme, les decideurs politiques doivent envisager des interventions dans les domaines de l'education, de l'acces a des soins de sante appropries, de la sensibilisation du public et de l'adoption d'une legislation efficace et complete. Afin de mieux estimer la prevalence des violences sexuelles en general et des violences sexuelles qui ne sont pas le fait d'un(e) partenaire en particulier, il est essentiel de continuer a renforcer la mesure de ce dernier type de violences sexuelles, notamment en ce qui concerne les types d'actes sur lesquels portent les questions et le mode d'interrogation. Des recherches supplementaires s'imposent pour comprendre l'impact cumulatif des differentes formes de violences sexuelles sur la vie des femmes et des filles, y compris les violences sexuelles subies pendant l'enfance et les risques associes a une exposition ulterieure. La recherche sur les interventions visant a empecher et a reduire toutes les formes de violences a l'egard des femmes et des filles, y compris les violences sexuelles, et leur mise en oeuvre doivent etre davantage financees. La violencia sexual contra las mujeres es una violacion de los derechos humanos y un problema de salud publica, con graves consecuencias para la salud fisica y mental de las mujeres. Reducir la violencia sexual fuera de la pareja, incluidas las violaciones, las agresiones sexuales y otras formas de abuso sexual sin contacto, es uno de los principales indicadores de los Objetivos de Desarrollo Sostenible. Las estimaciones de la Organizacion Mundial de la Salud, basadas en los datos de prevalencia disponibles de 137 paises entre 2000 y 2018, mostraron que, a nivel mundial, el 6% de las mujeres de 15 a 49 anos informaron haber sufrido violencia sexual en su vida por parte de alguien que no era su pareja, con tasas de prevalencia que varian segun las regiones. Sin embargo, la presentacion de informes, la medicion y la documentacion del alcance mundial de la violencia sexual contra las mujeres fuera de la pareja es metodologicamente dificil, lo que resulta en una gran subestimacion de su magnitud e impacto. Para prevenir y responder a este problema, los responsables de formular las politicas deben considerar la posibilidad de intervenir en la educacion, el acceso a los servicios sanitarios pertinentes, la concienciacion publica y una legislacion eficaz y exhaustiva. Para estimar mejor la prevalencia tanto de la violencia sexual en general como de la violencia sexual fuera de la pareja, es esencial seguir reforzando la medicion de esta ultima, incluidos los tipos de actos sobre los que se pregunta y el modo de entrevista. Se requiere mas investigacion para comprender el impacto acumulativo de las diferentes formas de violencia sexual en la vida de las mujeres y las ninas, incluida la violencia sexual durante la infancia y su riesgo asociado con una mayor exposicion. Se requiere financiacion para investigar mas e implementar intervenciones que prevengan y reduzcan todas las formas de violencia contra mujeres y ninas, incluida la violencia sexual., Introduction Sexual violence against women is a human rights violation and public health concern worldwide. (1,2) Such violence can occur in many circumstances and settings: within the home, in public [...]

Background: There is a need for robust evidence on the effectiveness and cost-effectiveness of domestic abuse perpetrator programmes in reducing abusive behaviour and improving wellbeing for victim/survivors. While any randomised controlled trial can present difficulties in terms of recruitment and retention, conducting such a trial with domestic abuse perpetrators is particularly challenging. This paper reports the pilot and feasibility trial of a voluntary domestic abuse perpetrator group programme in the United Kingdom., Methods: This was a pragmatic individually randomised pilot and feasibility trial with an integrated qualitative study in one site (covering three local-authority areas) in England. Male perpetrators were randomised to either the intervention or usual care. The intervention was a 23-week group programme for male perpetrators in heterosexual relationships, with an average of three one-to-one sessions, and one-to-one support for female current- or ex-partners delivered by third sector organisations. There was no active control treatment for men, and partners of control men were signposted towards domestic abuse support services. Data were collected at three-monthly intervals for nine months from male and female participants. The main objectives assessed were recruitment, randomisation, retention, data completeness, fidelity to the intervention model, and acceptability of the trial design., Results: This study recruited 36 men (22 randomly allocated to attend the intervention group programme, 14 to usual care), and 15 current- or ex-partners (39% of eligible partners). Retention and completeness of data were high: 67% of male (24/36), and 80% (12/15) of female participants completed the self-reported questionnaire at nine months. A framework for assessing fidelity to the intervention was developed. In interviews, men who completed all or most of the intervention gave positive feedback and reported changes in their own behaviour. Partners were also largely supportive of the trial and were positive about the intervention. Participants who were not allocated to the intervention group reported feeling disappointed but understood the rationale for the trial., Conclusions: It was feasible to recruit, randomise and retain male perpetrators and female victim/survivors of abuse and collect self-reported outcome data. Participants were engaged in the intervention and reported positive benefits. The trial design was seen as acceptable., Trial Registration: ISRCTN71797549, submitted 03/08/2017, retrospectively registered 27/05/2022., (© 2024. The Author(s).)