A CK NOWLEDGMENTS Susan Bartels, MD, MPH (Faculty; HHI and Beth Israel Deaconess Medical Center [BIDMC]) was the primary author of this report. Co-authors include Michael VanRooyen, MD, MPH (CoDirector, HHI; Faculty, Brigham & Women’s Hospital [BWH]); Jennifer Leaning, MD, SMH (Co-Director, HHI; Professor, Harvard School of Public Health); Jennifer Scott, MD, MBA (Fellow, Global Women’s Health, BWH); and Jocelyn Kelly, MS (Gender Based Violence Research Coordinator, HHI). Scott, Kelly, and Bartels entered data in conjunction with three local data entry personnel, Olin Bilmana-Olinabanji, Didier Tshibadi, and Boaz Bahati Niaboba. The data entry was facilitated by Bagabo Saleh (Statistician at the Victims of Sexual Violence Program, Panzi Hospital) and Rita Sifa Baraka (Secretary / Interpreter, Panzi Hospital). Mr. Bercky Masheka Zihindula (Strategic Management Consultant, Panzi Hospital) helped coordinate travel and logistics. The quantitative analysis was performed by Nina Joyce, MPH (Research Assistant, Department of Emergency Medicine BIDMC) and Robert Lipton, PhD (Research Director, Department of Emergency Medicine, BIDMC). The qualitative analysis was performed by Scott and Bartels. The photographs included in this report were taken with the permission of subjects. Photos do not link specific quotes or findings with the individuals depicted. Cover photo was taken by Megan App (University of Illinois at Chicago). All other photos were taken by either Justin Ide (Harvard University News Office), John Paul Doguin or Susan Bartels. The Institutional Review Board at the Harvard School of Public Health granted permission to quote the narratives of sexual violence survivors in a manner that protects the subjects’ anonymity in accordance with human subjects research guidelines. HHI is especially grateful to Dr. Denis Mukwege, Medical Director, Panzi Hospital who served as the primary Congolese collaborator for this project. His tireless work with sexual violence survivors is truly inspirational. As a front-line medical provider and strong patient advocate, Dr. Mukwege is committed to preventing sexual violence and to healing those already affected. We are also grateful to PMU InterLife (The Swedish Pentecostal Mission Relief and Development Cooperation Agency). PMU InterLife has been aiding Panzi Hospital for almost a decade and funds the hospital’s program for survivors of sexual violence. A special thank you to Maria Bard, who was the Program Manager for PMU during data entry. HHI would like to thank its donor, Oxfam America. Without Oxfam’s generous support, this work would not have been possible. Special thanks to Miriam Aschkenasy, Lauren Bateman, Krista Riddley and Liz Lucas for their dedication to this project. We are also grateful to the Oxfam team for contributing the recommendations section of the report. Finally, we are indebted to the women of South Kivu who have had the courage to come forward and tell their stories of horrific violence. This report is dedicated to them. They demonstrate great strength and resilience every day as they continue to care for their children and to provide for their families despite the grave atrocities committed against them. iv