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"Only on Paper": Rights vs. Reality for Gender-Based Violence Survivors in Rural Bolivia.

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Adolescent survivors of gender-based violence in rural Bolivia face fragmented health services and legal recourse, risking re-traumatization. Integrating a human rights framework is crucial for effective post-assault care and accountability.

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Area of Science:

  • Public Health
  • Human Rights Law
  • Sociology

Background:

  • Gender-based violence (GBV) disproportionately affects adolescents, particularly in rural settings.
  • Access to adequate post-assault health services and judicial remedies is critical for survivors' well-being and recovery.
  • Existing legal and policy frameworks often fail to adequately protect adolescent survivors of GBV in resource-variable communities.

Purpose of the Study:

  • To analyze the challenges faced by adolescent survivors of GBV in accessing post-assault health services and judicial remedies in rural Bolivia.
  • To evaluate the sufficiency, equity, and effectiveness of current services and remedies using the availability, accessibility, acceptability, and quality (AAAQ) framework.
  • To advocate for a human rights-based approach to post-assault care for adolescent GBV survivors.

Main Methods:

  • Testimony from a primary care physician regarding challenges in service navigation.
  • Examination of international, regional, and national laws and policies related to adolescent sexual and reproductive health rights.
  • Application of the AAAQ framework to assess post-assault health and judicial services for GBV survivors.

Main Results:

  • Adolescent survivors of GBV in rural Bolivia encounter a fragmented system of care, leading to potential re-victimization and re-traumatization.
  • Services and remedies are often insufficient, inequitable, and of inadequate quality, failing to meet the needs of adolescent survivors.
  • The legal and healthcare systems present significant barriers to accessing justice and comprehensive care.

Conclusions:

  • A human rights framework is essential for designing, implementing, and evaluating post-assault care for adolescent GBV survivors.
  • Bolivia must be held accountable for ensuring adolescent victims of GBV can exercise their human and constitutional rights, as per the Angulo Losada v. Bolivia ruling.
  • Integrated and rights-based approaches are necessary to address the systemic failures in supporting adolescent survivors of GBV in rural areas.