Economic Costs of Violence Against Women and Girls in Low- and Middle-Income Countries: A Pilot Study on Management's Outlook.

backgroundIn low and middle-income countries (LMICs), violence against women and girls (VAWG) is rampant, primarily due to patriarchy. However, there is little understanding of its ripple effect in the workplace in LMICs. While recent studies in LMICs have attempted to understand the effects of VAWG on productivity using data collected from colleagues, survivors, or perpetrators, there is limited research on the employers' perspective of the impact of VAWG on productivity.

methodsA survey, developed by the investigators, based on previous research in Peru and Vietnam, was administered to 74 senior management executives in Ghana, Pakistan, and South Sudan. Based on female employees' absenteeism, tardiness, and presenteeism, this study provides the management's perspective on the invisible costs of VAWG.

findingsThe results show that 25% and 36% of senior executives have witnessed intimate partner violence and non-partner sexual violence, respectively, against their female colleagues. One (32%) in three managers also acknowledged the impact of VAWG on productivity and day-to-day operations.

conclusionsThis study provides evidence that there is a need for the development of employee assistance programs (EAPs) in LMICs. Due to significant increase in employees' productivity in the absence of VAWG, investing in occupational health services needs to be viewed as an investment, not cost. As many international companies in developed countries do business in LMICs, their occupational health departments need to be more aware of VAWG. Occupational health practitioners can assist in the needs assessment for EAPs as well as provide appropriate referrals and counseling to impacted employees.