Merike Blofield / Kristen Danforth / Shanaaz Matthews / Diana Acuña / Benedetta Armocida / Paula Dias Bevilacqua / Aislinn Delany / Padma Bhate-Deosthali / Beatrice Formenti / María Ana González / Nancy Madera / Deborah Malta / Dianah Kagere Mugerwa / Johanna Pieper / Isabella Vitral Pinto / Claudia Garcia Moreno / Mary Ellsberg / Flavia Bustreo / Felicia Knaul

Gaps in Government Recognition of the Service Needs of Women Who Experience Intimate Partner Violence: A Comparative Case Study Analysis of Policies and Implementation Across Eight Countries

Lancet Global Health, The | 2026


  • Abstract

    Intimate partner violence (IPV) is a substantial health and human rights concern. Governmental policies to address IPV are well-documented, but most available evidence on implementation focuses on specific initiatives covering small groups, and little is known about IPV policy responses at a national level. We conducted a comparative case study analysis on eight countries (Brazil, Chile, Colombia, India, Italy, South Africa, Spain, and Uganda) between January, 2024, and May, 2025. Drawing on police, health, and social sector administrative data, we assessed the extent to which governments recognise and respond to the need for services by women who have experienced IPV. We found varying levels of government response across countries. A qualitative analysis of the recognition gap—including access to care pathways and intersectoral coordination—identified ways to improve responses, including leveraging health sectors. The analysis moves us beyond counts of policy adoption and provides a novel approach in assessing responsiveness of services for women experiencing violence.

    Journal

    Lancet Global Health, The

    Volume

    14

    Number

    3

    Pages

    466-474



    Diana Carolina Acuña Quintero

    Diana Carolina Acuña Quintero


    Benedetta Armocida

    Benedetta Armocida

    University of Geneva







    Nancy Madera

    Nancy Madera

    Universidad Nacional de San Martín


    Prof. PhD Deborah Carvalho Malta

    Prof. PhD Deborah Carvalho Malta




    PhD Isabella  Vitral Pinto

    PhD Isabella Vitral Pinto

    René Rachou Institute




    Dr. Flavia Bustreo

    Dr. Flavia Bustreo

    Family, Women's and Children's Health, World Health Organization


    Prof. Dr. Felicia Knaul

    Prof. Dr. Felicia Knaul

    University of Miami


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