November 8, 2012

I. Gender-based Violence and Displacement

You hear that in Colombia, the laws are beautiful, and then when you learn the truth, you realize it’s nothing more than words on a page.
—Olga M., displaced woman and victim of gender-based violence, Cali, May 2012

Gender-based violence is not unique to displaced women and girls in Colombia, but it is particularly acute for displaced women and girls. Available data strongly suggests it is more prevalent than for the non-displaced population. Studies (described in more detail below) have found displaced women experience more frequent incidents of rape and other physical abuse by spouses and others compared to the non-displaced. Extreme levels of socio-economic disadvantage mark the lives of the majority of displaced women and girls. This both increases their risk and constitutes a challenge to accessing government services when they are victims of gender-based violence.

Conditions of Displacement

Along with Sudan and Iraq, Colombia has one of the largest populations of internally displaced people in the world—roughly 10 percent of the total population by most estimates.[5] Cumulative estimates of the size of Colombia’s displaced population range from approximately 3.9 million[6] people registered by the government since 1997, to almost 5.5 million people reported by a prominent Colombian NGO since 1985.[7] The latter estimate includes individuals who have not been registered with the government’s registry of internally displaced persons (formerly the Registro Único de la Población Desplazada-RUPD, and now combined with the government’s registry of victims in general under the Registro Único de Víctimas created by Law 1448 of 2011).

Although government figures indicate that the rates of new displacements have declined in recent years, they continue to be high: the government registered 143,116[8] people as newly displaced in 2011, while the respected Colombian civil society organization, CODHES, reported 259.146[9] newly displaced the same year.

Studies have found that displaced individuals tend to have lower rates of education and literacy than the general population.[10] One study in Valle del Cauca department, for example, found that in 2008 and 2009 over 50 percent of displaced women in the region had received five years of schooling or less, with six percent having received no formal education at all.[11] This compares to an average of 10 years of school for the general population ages 20 to 34 for this department.[12] Less schooling means higher rates of illiteracy. The government’s Department for Social Prosperity estimates that the rate of illiteracy for displaced heads of households is about 20 percent.[13] This compares to the national total illiteracy rate of 6.3 percent for persons over 15 years of age.[14]

Indigenous and Afro-Colombian individuals constitute a large number of the displaced population—potentially creating another level of discrimination for certain displaced persons. The government estimates that, as of November 2011, 105,818 registered internally displaced people were indigenous and 383,924 were “black or Afro-Colombian”.[15] However, civil society organizations estimate the true number to be much higher, with the discrepancy perhaps due to lower registration rates among indigenous and Afro-Colombians. The Constitutional Court-mandated Monitoring Committee for Public Policy on Forced Displacement estimates that in 2010, 22 percent of the internally displaced were Afro-Colombian and 6.1 percent indigenous.[16] Moreover, while government figures show that the national trend has been to fewer displacements since 2006, the internal displacement rates for Afro-Colombians reached its highest levels in 2007 and 2008.[17]

The Monitoring Committee found in 2010 that only 11 percent of displaced persons with employment earned the monthly minimum wage set by the government, and almost 60 percent received less than half of that amount, jumping to 68 percent for internally displaced women.[18] Displaced individuals are also more than twice as likely to live below the poverty line as the general population. According to the committee, in 2010, 97.6 percent of registered displaced families and 96 percent of non-registered families had income below the poverty line, which compared to an estimated 45 percent of the general population (from the same study and date).[19] The number of extreme poor among displaced populations is even more striking, with nearly 79 percent of registered internally displaced families living below the extreme poverty line as of 2010, compared to only 17 percent of the general population. The rate of extreme poverty among female-headed displaced households was even higher, at 86 percent.[20]

Living conditions are also difficult for many displaced families. While the government has subsidized—and in some cases built—housing for displaced populations in certain cities, many displaced families live in cramped, shoddy housing far from schools, health clinics, food markets, and town centers. Just 5.5 percent of displaced households registered by the government live in decent housing, according to a 2009 study.[21]

Over half of those registered as displaced in Colombia are female: adults, adolescents, and girls.[22] About 50 percent of displaced households are female-headed, double the national average.[23] Many of the displaced women and girls with whom Human Rights Watch spoke identified themselves as heads of their households, yet struggled to find formal employment in their new cities. Many had insecure and low-paid informal jobs as domestic workers, street vendors, artisans, or recyclers.[24] One woman said she engaged in sex work to support her family.[25]

In addition to the daily challenges of displacement, displaced women and girls are at high risk for an additional trauma: gender-based violence. Gender-based violence is a risk for all women in Colombia, but the problem is more acute for displaced women and girls.

Scope of Gender-Based Violence in Colombia Generally, and Related to the Conflict and Displacement

Gender-based violence is a pervasive problem throughout Colombia. A government-sponsored national demographic and health survey, La Encuesta Nacional de Demografía y Salud or ENDS, is conducted every five years by Profamilia (a Colombian health organization) in partnership with the government and international agencies, such as USAID. The survey covers about 50,000 households and includes questions about intra-familial and sexual violence in the population generally—finding high rates of violence.

From 2005 to 2011, the National Institute for Legal Medicine and Forensic Sciences (INMLCF) conducted almost 420,000 forensic exams on victims of intra-familial violence.[26] Along with the health sector, the INMLCF conducted almost 19,000 exams in 2011 of female victims of sexual violence, up from less than 17,000 in 2010. According to the INMLCF, the total rate of cases of sexual violence increased 11 percent from 2010 to the highest rate in ten years; 49 cases for every 100,000 inhabitants.[27]

Neither the ENDS nor INMLCF distinguish whether respondents or victims are displaced or whether the violence was linked to the conflict. The INMLCF has acknowledged that little is known regarding the full dimension of sexual violence suffered by women and girls in connection with the conflict and displacement.[28] The National Institute of Health began a public health reporting program in June 2012.[29] The program requires medical facilities to report treatment of cases of sexual or intra-familial violence as a public health problem, similar to reporting mechanisms required for certain communicable diseases. The data are disaggregated by cases related to the conflict.[30]

While the magnitude of gender-based violence linked to the conflict and displacement in Colombia is difficult to approximate due to underreporting and gaps in government data collection, civil society organizations and independent agencies have undertaken their own studies. A body of independent research strongly suggests a high rate of conflict-related sexual violence and that displaced women and girls face a greater risk of gender-based violence than other sectors of the population. Notably, a 2011 Profamilia and USAID study that looked specifically at the sexual and reproductive health of two marginalized communitiespoor and displaced—found higher rates of intra-familial violence and sexual violence among displaced women than was reported in the national ENDS survey of the general population.[31] The survey found that almost 48 percent of displaced women who were or had been married or partnered reported having suffered violence at the hands of their intimate partners.[32] Over nine percent of displaced women reported being raped by someone other than their partner.[33]  This contrasts with the 37 percent of women in the general population who were or had been married or partnered reported in the 2010 ENDS survey having suffered physical violence at the hands of their partners, and almost 10 percent reported that the form of violence was rape.[34] Nearly six percent of the women of the general population said they had been raped by someone other than their husband or current partner.[35]

The most expansive study of conflict-related violence—looking at rape, sexual slavery, enforced prostitution, forced pregnancy, and enforced sterilization—was a survey by Intermón Oxfam in collaboration with national women’s civil society organizations, including Casa de la Mujer, Sisma Mujer, Ruta Pacífica de las Mujeres, Fundsarep, and Vamos Mujer.[36] Together they conducted the first-ever prevalence study regarding sexual violence against women in the context of the conflict in the years 2001 to 2009, based on interviews with 2,693 women. This study, released in 2011, found that in 407 municipalities in which armed groups were present, 17.6 percent of women—that is almost half a million women—were direct victims of sexual violence.[37] The sample is randomized and systematic, identifying a small number of municipalities for the survey, but then the statistics can be extrapolated to the broader population living in the 407 municipalities in the study area. This is slightly higher than estimates from a smaller 2008 study by Colombia’s ombudsman’s office that was based on a convenience sample covering four municipalities and about 2,000 respondents, which found that almost 16 percent of the survey participants indicated they had been victims of sexual violence.[38]

Other studies on specific departments or municipalities have also found that displaced women and girls face high rates of gender-based violence. For example, a small 2009-2010 study of 98 displaced women in Valle del Cauca department found that 38 percent of respondents reported being victims of forced sex and 51 percent reported being victims of sexual assault.[39] Another study of 187 women from Bogotá and Bolívar, Chocó, Cundinamarca, Tolima, and Valle de Cauca departments found that 50 to 88 percent of women in some regions had been victims of intra-familial violence since their displacement.[40] The same study found that up to 58 percent of women in these regions had been victims of sexual violence since their displacement.[41]

Displacement Exacerbates the Effects of Gender-Based Violence

Any victim of gender-based violence in Colombia may experience obstacles in seeking justice or accessing services after violence, but displaced women and girls face distinct barriers by virtue of being displaced. The Constitutional Court has found at least 18 different facets of forced displacement that impact women differently.[42] The court identified structural patterns of gender-based violence and discrimination exacerbated by displacement, as well as specific problems faced by women due to their increased vulnerability that do not affect women who are not displaced.[43] It also found that displacement itself makes access to health care harder to achieve.[44] The UN Special Representative on the human rights of internally displaced persons noted in his report on Colombia that domestic violence and other forms of gender-based violence rise sharply in conflict and, he expects, in displacement as well.[45]

The difficult conditions of displacement combined with the high-risk of violence make the need for services for displaced women and girls particularly acute. However, the increased vulnerabilities of displaced women and girls make access to these services difficult. Displaced women and girls often arrive in new urban areas with few belongings and no connections. Ana Maria, a 27-year-old woman displaced to Bogotá alone with her small children, told Human Rights Watch, “If you are given 24 hours to leave [your home], you don’t want to take 24 hours to leave. You leave with what’s on your back.”[46] Often, they settle in marginalized communities at the edge of urban centers. Some face stigmatization for being identified as displaced.[47] 

When displaced women and girls need access to government services in Colombia, they struggle to reach them. A UN treaty body reviewing Colombia’s performance under CEDAW found that displaced female heads of household are “disadvantaged and vulnerable in regard to access to health, education, social services, employment and other economic opportunities, as well as at risk of all forms of violence.”[48] As a representative of Profamilia who coordinates health programs for displaced women explained to Human Rights Watch, “if a displaced woman is the head of household, lives alone in a community at the margins of a large city, has no money and has six children, it is difficult to go to the hospital.”[49] Moreover, fear of more abuse is more likely to stop these women from reporting cases of gender-based violence to authorities.[50]

[5] United Nations High Commissioner for Refugees (UNHCR), “Internally Displaced People: On the Run in their Own Land,” undated, http://www.unhcr.org/pages/49c3646c146.html (accessed August 10, 2012).

[6] Both the Government of Colombia and UNHCR have estimates close to 3.9 million displaced as of late 2011. See UNHCR, “2012 UNHCR Country Operations Profile-Colombia,” http://www.unhcr.org/cgi-bin/texis/vtx/page?page=49e492ad6&submit=GO (accessed August 10, 2012). Sistema de Información para la Población Desplazada, Reportes de Información General de Población Desplazada, generated August 13, 2012 (accessed August 13, 2012).

[7] This number is the cumulative estimate from 1985 to December 2011 and includes both registered and unregistered internally displaced peoples. Consultoría para los Derechos Humanos y el Desplazamiento-CODHES, Deplazamiento creciente y crisis humanitaria invisibilizada,”Boletín número 79, March 2012, http://reliefweb.int/sites/reliefweb.int/files/resources/Informe%20Completo_101.pdf(accessed August 2012, 2012), pp.8. For background on the conflict, see Human Rights Watch, Colombia— Displaced and Discarded: The Plight of Internally Displaced Persons in Bogotá and Cartagena, Human Rights Watch vol. 17, no. 4(B), October 2005, http://www.hrw.org/sites/default/files/reports/colombia1005.pdf, pp. 11 -15.

[8]Departamento de Prosperidad Social, “Informe de Gestión,” 2011, http://www.dps.gov.co/documentos/InfoDPS/INFORME%20DE%20GESTI%C3%93N%20%202011-FEB01%20con%20Ajustes.pdf (accessed September 19, 2012).

[9]CODHES, “Desplazamiento creciente y crisis humanitaria invisibilizada,” March 2012, http://reliefweb.int/sites/reliefweb.int/files/resources/Informe%20Completo_101.pdf (accessed September 19, 2012).

[10]See, for example, Mónica M. Alzate, “The sexual and reproductive rights of internally displaced women: the embodiment of Colombia’s crisis,” Disasters, vol. 32, issue 1, 2008, p. 137.

[11]Taller Abierto (Cali), “Del Campo a la Ciudad…De lo Domestico a lo Público…Un Continuo de Violencias y Lucha por Sus Derechos: Mujeres en Situación de Desplazamiento Forzado por el Conflicto Armado en el Valle del Cauca,” 2009, p. 5.

[12]Departamento Administrativo Nacional de Estadística (DANE), “Encuesta de Calidad de Vida, Region Valle,” (2010), http://www.dane.gov.co/files/investigaciones/condiciones_vida/calidad_vida/ECV_2010_Valle.pdf (accessed August 7, 2012). The comparison is not perfect, as the age range of the Taller Abierto survey ranged from 21 to 60 years of age, with 59 percent of respondents between the ages of 21 and 40. The DANE number refers to respondents ages 20 to 34.

[13]Comisión de Seguimiento a la Política Pública sobre Desplazamiento Forzado, “Tercer Informe de Verificación sobre el Cumplimiento de Derechos de la Población en Situación de Desplazamiento,” December 2010, http://mesadesplazamientoydiscapacidad.files.wordpress.com/2011/01/iii-informe-de-verificacic3b3n-cs-2010.pdf (accessed August 7, 2012), pp. 58-59. The rate of illiteracy for registered internally displaced  women and girls is 14 percent of those over the age of 15, but jumps to almost one in three registered internally displaced women over the age of 40.

[14]DANE, “Encuesta de Calidad de Vida,”2010, http://www.dane.gov.co/files/investigaciones/condiciones_vida/calidad_vida/Presentacion_ECV_2010.pdf (accessed August 7, 2012), p. 22.

[15]See Departamento para la Prosperidad Social, Unidad de Atención a Víctimas, “Estadísticas de la Población Desplazada,” undated, http://www.dps.gov.co/EstadisticasDesplazados/GeneralesPD.aspx?idRpt=5 (accessed August 7, 2012). 

[16]Comisión de Seguimiento a la Política Pública sobre Desplazamiento Forzado, “Tercer Informe de Verificación sobre el Cumplimiento de Derechos de la Población en Situación de Desplazamiento,” December 2010, http://mesadesplazamientoydiscapacidad.files.wordpress.com/2011/01/iii-informe-de-verificacic3b3n-cs-2010.pdf (accessed August 7, 2012), pp. 57-58.

[17]Comisión de Seguimiento a la Política Pública sobre Desplazamiento Forzado, “Aportes de Política Pública para la Superación del estado de Cosas Inconstitucional: Seguimiento a la Sentencia T 025-04 y sus Autos Diferenciales,” October 2011, http://www.codhes.org/index.php?option=com_content&task=view&id=39&Itemid=52 (accessed August 7, 2012), pp. 40-42. 

[18]Ibid., pp.171-182.

[19]Ibid., pp.182-186. Some current government estimates now consider 39 percent of the general population to live below the poverty line.

[20]Ibid.

[21]Luis Jorge Garay Salamanca, “Tragedia humanitaria del desplazamiento forzado en Colombia,” Estud. polit., Medellín no.35 Medellín,  July/Dec. 2009, http://www.scielo.org.co/scielo.php?pid=S0121-51672009000200008&script=sci_arttext (accessed September 19, 2012).

[22]See, for example, Mónica M. Alzate, “The sexual and reproductive rights of internally displaced women: the embodiment of Colombia’s crisis,” Disasters, vol. 32, issue 1, 2008, p. 137. 

[23]Ibid.

[24]A recycler is someone who sorts trash for valuable items that are sold to recycling centers for cash. Human Rights Watch interview with Valeria G., Bogotá, April 21, 2012.

[25]Human Rights Watch interview with Sofia V., Bogotá, February 24, 2012. See also Human Rights Watch interview with Pilar A., Bogotá, February 25, 2012, Human Rights Watch interview with Andrea S., Cartagena, February 26, 2012, and Human Rights Watch interview with Nora P., Cali, May 7, 2012, confirming many displaced women engage in this type of work.

[26] On file with Human Rights Watch. The 2011 data is preliminary, and subject to change. The fundamental mission of the National Institute for Legal Medicine and Forensic Sciences is to provide scientific and technical assistance and support related to medical legal exams and forensic sciences for the administration of justice. Organic Law of the Attorney General of the Nation, Law 938/2004, 2004, http://www.ciddh.com/archivos/pdf5371146277.pdf (accessed July 7, 2012), art. 35. Its data is limited to the number of cases referred to it for forensic exams. INMLCF has 8 regional locations, 25 sectional locations, and 116 basic units, totaling coverage of 66 percent of the population. Since 2009, it has managed a National System of Indirect Statistics (SINEI – Sistema Nacional de Estadístic Indirecta) for registration of forensic exams conducted by rural doctors or officials in 504 municipalities.

[27]Instituto Nacional de Medicina Legal y Ciencias Forenses, Forensis 2010 Datos para la vida: Herramienta para la interpretación, intervención y prevención de lesiones de causa externa in Colombia (Bogotá, 2011), p. 162; and Instituto Nacional de Medicina Legal y Ciencias Forenses, Forensis 2011: Datos oficiales sobre la violencia en Colombia en el 2011 (Bogotá, 2012), p. 210-11.

[28]Instituto Nacional de Medicina Legal y Ciencias Forenses, Forensis 2010 Datos para la vida: Herramienta para la interpretación, intervención y prevención de lesiones de causa externa in Colombia (Bogotá, 2011), p. 162.

[29] Human Rights Watch interview with Drs. Maritza Gonzalez, Luz Janeth Forero and Maira Alejandra Ortize, National Institute of Health, Bogotá, October 12, 2012.

[30]Ibid.

[31]Profamilia has pioneered investigations into intra-familial violence in Colombia since 1990, and thus has comparable data over the last 23 years.

[32]USAID/ProFamilia, Encuesta en Zonas Marginadas 2011: Salud Sexual y Salud Reproductiva, Desplazamiento Forzado y Pobreza 2000-201 (Bogotá, 2000-2011), p. 153.

[33]Ibid., pp. 71 and 162. 

[34] Profamilia, Ministry of Social Protection, Bienestar Familiar, and USAID, Encuesta Nacional de Demografía y de Salud 2010 (Bogotá, 2011), pp. 4 and 371 (hereinafter ENDS 2010).

[35]Ibid., p. 386.

[36] The Oxfam survey looked at the prevalence of forms of sexual violence specifically enumerated in the Rome statute. See Rome Statute of the International Criminal Court (Rome Statute), A/CONF.183/9, July 17, 1998, entered into force July 1, 2002, arts. 7(1)(g) and 8, which defines crimes against humanity and war crimes to include rape, sexual slavery, enforced prostitution, forced pregnancy, enforced sterilization, and any other form of sexual violence of comparable gravity. The ICC’s Elements of Crimes explains what actions constitute these crimes. International Criminal Court, Elements of Crimes, U.N. Doc. PCNICC/2000/1/Add.2 (2000), arts. 7(1)(g)1-6. Forced pregnancy is defined in the statute of the International Criminal Court as the unlawful confinement of a woman forcibly made pregnant, with the intent of affecting the ethnic composition of any population or carrying out other grave violations of international law.

[37]Intermón Oxfam et al., “Primera encuesta de prevalencia: Violencia sexual en contra de las mujeres en el contexto del conflicto armado colombiano 2001-2009,” January 2011, p. 13. It provides lower estimates than other reports relying only on convenience samples. For example, a 2008 Doctors Without Borders’s (MSF) survey covering conflict zones and areas with displaced populations found that 35 percent of the women attending its mobile clinics and 22 percent of those seeking care at the health facilities had been raped at least once. See MSF, “Shattered Lives: Immediate Medical Care Vital for Sexual Violence Victims,” March 2009, http://www.doctorswithoutborders.org/publications/article.cfm?id=3422 (accessed August 10, 2012), p. 34.

[38]Defensoría del Pueblo, Promoción y Monitoreo de los Derechos Sexuales y Reproductivos de Mujeres Víctimas de Desplazamiento Forzado con Énfasis en Violencias Intrafamiliar y Sexual (Bogotá, 2008), p. 169. Almost 18 percent of women participating in the same survey indicated that sexual violence against them or a family member served as the cause of their displacement.

[39] Taller Abierto (Cali), “Los Derechos en Salud Sexual y Reproductiva de Mujeres Victimas del Conflicto Armado en el Valle del Cauca,” 2010, p. 27.

[40]Observatorio de los Derechos Humanos de las Mujeres en Colombia, “Informe de seguimiento al Auto 092 de 2008: prevención y atención de las violencias contra las mujeres,” December 2011, p. 67. The rates were: 84 percent for Bogotá, 88 percent for Bolívar, 50 percent for Chocó, 56 percent for Cundinamarca, and 63 percent for Tolima and for Valle de Cauca.

[41]Ibid., p. 68. The rates were: 58 percent for Bogotá, 55 percent for Bolívar, 27 percent for Chocó, 24 percent for Cundinamarca, 27 percent for Tolima, and 51 percent for Valle de Cauca.

[42] The 18 facets of forced displacement that the Court identified as impacting women differently are: (i) sexual violence and abuse, including forced prostitution, sexual slavery or human trafficking for sexual exploitation: (ii) intrafamilial and community gender-based violence; (iii) the lack of knowledge of sexual and reproductive rights at all levels, with particular gravity in the case of girls and adolescents, and pregnant and lactating mothers; (iv) the assumption of the role of head of household without access to the material subsistence minimally required for human dignity; (v) aggravated obstacles preventing access to the education; (vi) aggravated obstacles to participation in the economic system and access to the labor market; (vII) domestic and labor exploitation; (viii) aggravated obstacles to land ownership and protection of future patrimony, especially in regards to plans for return and restitution; (ix) acute social discrimination of indigenous women and Afro displaced (x) violence against women leaders; (xi) discrimination in political and public spaces, with special impact on the right to participation, and (xii) lack of knowledge regarding the rights as victims of armed conflict to justice, truth, reparation and guarantees of non-repetition, (xiii) the special need for care and psychosocial support for displaced women, (xiv) specific problems regarding the official registration system of the displaced population  (xv) accessibility to humanitarian assistance programs; (xvi) a high frequency of officials not trained to care for displaced women or openly hostile and insensitive to their situation; (xvii) the familial focus of the system of care for displaced population, neglecting the care of a very large number of displaced women, and (xviii) the reluctance to grant an extension of the emergency humanitarian assistance to women who meet the conditions for it.

[43] Constitutional Court of Colombia, Auto 092 of 2008, http://www.acnur.org/t3/fileadmin/scripts/doc.php?file=biblioteca/pdf/6321 (accessed July 7, 2012).

[44]Constitutional Court of Colombia, Ruling No. T-138-06, sec. 3, February 2006.

[45] Report of the Representative of the Secretary-General on the human rights of internally displaced persons, Walter Kälin: Mission to Colombia, U.N. Doc. A/HRC/4/38/Add.3, para 48, January 24, 2007, http://daccess-dds-ny.un.org/doc/UNDOC/GEN/G07/104/50/PDF/G0710450.pdf?OpenElement (accessed September 25, 2012).

[46]Human Rights Watch interview with Ana Maria P., Bogotá, February 25, 2012.

[47] Report of the Representative of the Secretary-General on the human rights of internally displaced persons, Walter Kälin: Mission to Colombia, para 64.

[48]See CEDAW, Concluding Comments: Colombia, (2007), CEDAW/C/Col/Co/6, paras 10-11. The Committee also found that displaced women and children “continue to be disadvantaged and vulnerable in regard to access to health, education, social services, employment and other economic opportunities, as well as at risk of all forms of violence.” See CEDAW, Concluding Comments: Colombia, (2007), CEDAW/C/Col/Co/6, paras 12-13. Accordingly, it called on the government to increase efforts to meet this population’s specific needs.

[49]Human Rights Watch interview with Patricia Ospina M., Coordinator for Displacement Program, Profamilia, Bogota, March 13, 2012.

[50] See USAID/ProFamilia, Encuesta en Zonas Marginadas 2011, Anexo 9.10, p. 160. The study also found that higher numbers of displaced versus non-displaced women said they did not report due to lack of faith in the justice sector, negative experiences with denouncing, not knowing where to go, belief that the violence was not severe, not wanting to harm the aggressor.