In humanitarian settings, timely access to care is essential for survivors of gender-based violence (GBV). Despite the existence of GBV support services, challenges still exist in maximising benefits for survivors. This study aimed to understand the characteristics of violence against women and explore barriers and facilitators to care-seeking for GBV by women in two camps within the Dadaab refugee complex in Kenya. A mixed-methods design was used to study women accessing comprehensive GBV services between February 2016 and February 2017. Women were recruited into a cohort study (n = 209) and some purposively selected for qualitative in-depth interviews (n = 34). Survivor characteristics were descriptively analysed from baseline measures, and interview data thematically assessed. A majority of women were Muslim, of Somali origin, had been residents in the camp for more than five years, with little or no formal education, and meagre or no monthly income. From the survey, 60.3% and 66.7% of women had experienced non-partner violence or intimate partner violence in their lifetime respectively. Facilitators to accessing GBV services by survivors included awareness of GBV services and self-perceived high severity of acts of violence. Barriers included stigma by family and the community, fear of further violence from perpetrators, feelings of helplessness and insecurity, and being denied entry to service provision premises by guards. Women in the Dadaab refugee camps face violence from intimate partners, family, and other refugees. There is an urgent need to address drivers of GBV and the barriers to disclosure and access to services for all survivors of GBV.

中文翻译：

---

Dadaab难民综合体中基于性别的暴力幸存者中寻求关怀的障碍和促进者。

在人道主义环境中，及时获得护理对于性别暴力幸存者至关重要。尽管存在GBV支持服务，但在为幸存者争取最大利益方面仍然存在挑战。这项研究旨在了解暴力侵害妇女行为的特征，并探索在肯尼亚达达布难民综合体两个营地中妇女寻求性暴力的障碍和促进者。在2016年2月至2017年2月期间，采用混合方法设计来研究获得全面GBV服务的妇女。将妇女纳入队列研究（n = 209），并有意选择进行定性深入访谈（n = 34）。通过基线测量对幸存者特征进行描述性分析，并通过专题评估访谈数据。大多数妇女是穆斯林，来自索马里，在难民营中居住了五年以上，几乎没有正规教育，甚至没有月收入。根据调查，一生中分别有60.3％和66.7％的女性经历过非伴侣暴力或亲密伴侣暴力。幸存者获得GBV服务的促进者包括对GBV服务的认识以及对暴力行为的高度自觉。障碍包括家庭和社区的耻辱，担心肇事者会进一步遭受暴力，无助和不安全感，以及被警卫拒绝进入服务提供场所。Dadaab难民营中的妇女面临亲密伴侣，家庭和其他难民的暴力侵害。迫切需要解决GBV的驱动因素以及GBV所有幸存者公开和获得服务的障碍。