Health and Medicine People and Community

New commission will investigate gender-based violence

Felicia Marie Knaul, director of the Institute for Advanced Study of the Americas, will lead a new Lancet Commission that will examine gender-based violence and maltreatment of young people.
Felicia Marie Knaul, director of the Institute for Advanced Study of the Americas, will lead a new Lancet Commission that will examine gender-based violence and maltreatment of young people.
Felicia Marie Knaul will lead the Lancet Commission on Gender-based Violence and Maltreatment of Young People. Photo: Jenny Abreu for the University of Miami

According to the World Health Organization, one in three women worldwide will suffer physical or sexual abuse in their lifetime, which equals about one billion women and girls alive today. Nearly a quarter of all adults worldwide report physical abuse as children, and the lifetime prevalence of childhood sexual abuse is nearly 20 percent for girls and almost 10 percent for boys.

“While we have a spectrum of opportunities and interventions at our disposal to counter gender-based violence and maltreatment, the pandemic has just not abated because we have not made it a priority,” said Felicia Marie Knaul, director of the University of Miami Institute for Advanced Study of the Americas. “It’s a public health priority, an equity imperative, and an economic sinkhole. We can and must address this travesty.”

Knaul will lead a new Lancet Commission that will take a deep dive into the troubling topics of gender-based violence and maltreatment of young people, two areas with a dearth of study and understanding. The Lancet, one of the world’s leading medical journals, tackles urgent topics to initiate debate, offer insight and explanation, and influence decision makers across the globe to improve health.

Announced this month in The Lancet, the new commission will be co-chaired by Flavia Bustreo, chair of the governance and nomination committee at The Partnership of Maternal, Newborn and Child Health.

Caroline Bettinger-López, professor of law and director of the Human Rights Clinic at the University of Miami School of Law, who previously served as the White House Advisor on Violence Against Women and senior advisor to Vice President Joe Biden, will serve on the commission, leading the work on legal frameworks for action.

“Legal systems have a critically important role to play in addressing gender-based violence and child maltreatment, but legal advocacy must not happen in a vacuum,” said Bettinger-López. “This Lancet Commission is especially innovative because of its interdisciplinary reach across various fields, including law, medicine, public health, economics, and education. I am optimistic that our commission will make a real impact on research and funding priorities at the global level.”

The Lancet Commission on Gender-based Violence and Maltreatment of Young People will bring together leaders and experts from the areas of law, medicine, economics, health systems, artificial intelligence, children’s rights, and public policy. 

The impacts of gender-based violence and maltreatment cut a wide swath across many aspects of society and government. “They increase demands on overstretched health systems and perpetuate poverty and gender inequality by constraining educational attainment and economic productivity of the survivor and their family,” Knaul, Bustreo, and Richard Horton, Lancet editor-in-chief,  wrote in announcing the new commission.

Examining the issues over the next several years, the commission aims to “generate new tools and data to enable policymakers and advocates to catalyze and scale up effective policies, interventions, and programs in health, education, income-generation, and gender equality,” the co-chairs said. “The work of the commission will cover all world regions, span the gamut of prevention to survivorship, take an all-of-society approach, and be gender-identity inclusive.”

An intriguing aspect of the commission is that it will utilize “youth commissioners” to “integrate the voices of young people that have been so prominent around the climate crisis, yet remain to be articulated for global health.”

“It’s our young people, including those championing the cause of this commission and those who are survivors of gender-based violence, who have the knowledge, the passion, and the support to make the biggest difference and hopefully overturn the denigrating cycle of violence and maltreatment that mark and mar the lives of an enormous number of women and young people,” Knaul said. “This is a pandemic that can be countered, and the University of Miami is committed to making this happen.”

Knaul was in Paris this week to participate in the Organization for Economic Cooperation and Development conference on ending violence against women, titled, Taking Public Action to End Violence at Home. She was scheduled to speak on one of the panels, and was going to discuss the new Lancet commission.