The 123 Mujer Hotline: Reducing Domestic Violence in Colombia
“On May 21, 2014 at around noon, I called the police because I was being abused by my husband. I had called the police before and they came and calmed down the situation, but things remained the same after they left. The next time it happened, I called 123 Mujer and I finally felt that the situation would be resolved. The police detained my husband and I got psychological counseling by phone. They told me that I should press charges and I did. 123 Mujer also provided me transportation to the police station, then picked me up afterward and brought me home.”
The paragraph above is the summary of a testimony from a 57-year-old woman interviewed for an evaluation of the 123 Mujer hotline service provided by the city of Medellín, Colombia and its police department. Anyone can call the emergency line to report violence they have suffered or witnessed. All domestic violence callers receive a full police response before consenting to have their calls passed on to the 123 Mujer team for additional assistance. If the caller wants, and the situation legally permits it, she may be directed straight to the 123 Mujer team without police intervention.
Despite the obvious benefits of such domestic violence emergency hotlines, their effectiveness in reducing domestic violence in Latin American and the Caribbean had never been evaluated until recently. Almost all countries in the Region have such hotlines which provide a range of services of varying quality and cost administered either by public agencies or nongovernmental organizations.
The 123 Mujer hotline was one of five promising interventions in the Region assessed by the IDB and a committee of gender experts from the United Nations, the Pan American Health Organization, and the Colombian non-governmental organization Profamilia as one of the ideal candidates to conduct an impact evaluation. The government of Medellín agreed to facilitate the evaluation, which was financed by IDB technical cooperation resources.
Finding A Way to Respond to Domestic Violence
Colombia’s National Household Demographic Survey conducted in 2010 reported that 71.1 percent of women aged 13 to 49 in Medellin had experienced intimate partner violence, a type of domestic violence that occurs between current or former romantic partners. In response, Medellín’s Secretary for Women created the 123 Mujer hotline in March 2013 to provide timely and more responsive care for survivors of such violence. The goal was to prevent the escalation or repetition of violence and reduce its adverse impact on women, their families, and the community. The hotline also enabled the local government to collect accurate data on the number of intimate partner violence cases reported to the police. This allowed the city to tailor the hotline to respond more effectively to emergencies. Initially, the hotline operated only from 7 a.m. to 7 p.m. Monday through Friday. Women who called after hours and left their contact information were called back starting the following day, but most of those follow-up calls came more than 24 hours after the reported incident. Some calls were never completed because of difficulty making phone contact.
Evaluating Medellin’s Response
Increasing demand for assistance eventually led to the introduction of around-the-clock 123 Mujer hotline services in early 2015. But the two-and-a-half-year window during which the hotline operated on a limited schedule provided an optimal context to evaluate ex-post whether such services could in fact reduce the incidence of intimate partner violence in Medellin and, if so, what would be the most effective way to go about it.
From the 2,100 calls to the hotline between September 2013 and May 2014, the evaluation team randomly selected a sample and divided it into two groups: a treatment group of 459 women who called between 7 a.m. and 7 p.m. Monday through Friday and were attended to immediately or within 12 hours; and a control group of 290 women who called the hotline after hours and were helped 36 hours or more after the initial call or never contacted.
The evaluation found that women in the treatment group reported significant improvements in their situation compared to women in the control group. Women who received immediate attention or attention within 12 hours were 19 percent less likely to report having suffered moderate events of domestic violence in 2014, such as control over the woman’s comings and goings and threats of violence; 37 percent less likely to report having suffered physical domestic violence; and 16 percent less likely to report having suffered psychological domestic violence.
The evaluation also found that women assisted within 10 minutes of their call to the hotline were 25 percent less likely to report subsequent domestic violence events in 2014 than women assisted after 36 hours or more and 31 percent less likely to report subsequent domestic violence events than women that didn’t receive any attention at all.
The results of this rigorous quantitative evaluation suggest that providing prompt assistance to survivors of intimate partner violence improves their ability to take positive steps to liberate themselves from violent situations before that violence escalates to its severest and deadliest forms. The window for helping women suffering from domestic violence attacks is brief, and once it closes, the potential benefits of the hotline intervention quickly diminish. The results thus support introducing adequately staffed and around-the-clock emergency hotlines in conjunction with police services to assist survivors of intimate partner violence, rather than stand-alone services with limited hours.
Continue reading Chapter 3 - Evaluating Projects to Enhance Learning and Policy Making