Violence against women and children in Yemen: A mixed-methods systematic review

Violence against women and children (VAWC) is a significant health and human rights issue closely tied to multiple Sustainable Development Goals. While VAWC is prevalent in all countries, the severity and incidence of VAWC increase during wars, natural disasters, economic crises, and pandemics, all of which have affected Yemen in recent years. This systematic review synthesizes evidence from qualitative and quantitative studies on the types, prevalence, perpetrators of, and risk factors for VAWC in Yemen. Before initiating the search, the protocol and search strategy were registered to PROSPERO (CRD42021237855). We systematically searched four biomedical databases and grey literature sources and used reverse snowball sampling to identify eligible studies. The 31 studies included in the analysis depicted a range of forms of VAWC, encompassing honor violence, female genital mutilation and cutting, early and very early marriage, tourist marriage, family and intimate partner violence, and gender inequities in access to food, education, and medical care. Included studies reported a high prevalence of many forms of violence, including corporal punishment in schools and intimate partner violence. We reviewed study quality and how studies addressed ethical concerns in VAWC-related research. We found that several studies did not report ethics review or interviewer training and no studies discussed safety planning or addressing the mental health needs of participants in VAWC research. This systematic review provides a much-needed synthesis of existing research on VAWC in Yemen. Since the start of the 2014 war, Yemen has become the world's largest humanitarian crisis, with the highest rate of maternal mortality and gender inequality in the world. We only identified one study initiated after the recent war in Yemen. This deficiency represents a missed opportunity to understand how the ongoing war has reversed prior gains in reducing the prevalence of child and very early child marriage and introduced new forms of gender-based violence, including tourist marriage.