Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK
Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.
BMJ Glob Health. 2021 May;6(5). doi: 10.1136/bmjgh-2021-005739.
Since early 2020, global stakeholders have highlighted the significant gendered consequences of the COVID-19 pandemic, including increases in the risk of gender-based violence (GBV). Researchers have sought to inform the pandemic response through a diverse set of methodologies, including early efforts modelling anticipated increases in GBV. For example, in April 2020, a highly cited modelling effort by the United Nations Population Fund (UNFPA) and partners projected headline global figures of 31 million additional cases of intimate partner violence due to 6 months of lockdown, and an additional 13 million child marriages by 2030. In this paper, we discuss the rationale for using modelling to make projections about GBV, and use the projections released by UNFPA to draw attention to the assumptions and biases underlying model-based projections. We raise five key critiques: (1) reducing complex issues to simplified, linear cause-effect relationships, (2) reliance on a small number of studies to generate global estimates, (3) assuming that the pandemic results in the complete service disruption for existing interventions, (4) lack of clarity in indicators used and sources of estimates, and (5) failure to account for margins of uncertainty. We argue that there is a need to consider the motivations and consequences of using modelling data as a planning tool for complex issues like GBV, and conclude by suggesting key considerations for policymakers and practitioners in using and commissioning such projections.
自 2020 年初以来,全球利益攸关方强调了 COVID-19 大流行对性别造成的重大影响,包括基于性别的暴力(GBV)风险增加。研究人员通过多种方法力求为大流行应对提供信息,包括早期建模预测 GBV 增加的努力。例如,2020 年 4 月,联合国人口基金(UNFPA)和合作伙伴的一项备受关注的建模工作预计,由于封锁 6 个月,全球将新增 3100 万例亲密伴侣暴力案件,到 2030 年将新增 1300 万例童婚。在本文中,我们讨论了使用建模进行 GBV 预测的基本原理,并利用 UNFPA 发布的预测结果提请注意基于模型的预测所依据的假设和偏见。我们提出了五个关键批评意见:(1)将复杂问题简化为简化的线性因果关系,(2)依赖少数研究来生成全球估计,(3)假设大流行导致现有干预措施完全中断,(4)所用指标和估计来源不明确,(5)未能考虑不确定性幅度。我们认为,有必要考虑使用建模数据作为 GBV 等复杂问题的规划工具的动机和后果,并最后提出决策者和从业人员在使用和委托此类预测时的关键考虑因素。