#Togetherfor10: Top 10 Things You Should Know About the Violence Against Children and Youth Surveys (VACS)

Meet Ashleigh Howard

00100lPORTRAIT 00100 BURST20190411191136743 COVER 1 225x300 - #Togetherfor10: 10 Things You Should Know About the Violence Against Children and Youth Surveys (VACS)Ashleigh Howard is a global health epidemiologist with expertise in violence and HIV.  She began her work with the U.S. Centers for Disease Control and Prevention (CDC) Zimbabwe country office in 2011 focusing on issues of violence and gender.


Throughout her career, Ashleigh has worked closely with the Violence Against Children and Youth Surveys (VACS), nationally representative household surveys of males and females designed to measure the prevalence, past 12-month incidence, and circumstances surrounding sexual, physical and emotional violence in childhood, adolescence and young adulthood.


“I strongly believe that the issue of violence against children and women is one of the most damaging and under-resourced health problems facing the world today,” said Ashleigh. “We are working to break the cycle of violence by collecting data that can help countries implement prevention strategies for their most vulnerable children and improve response services for survivors.”


Read on for Ashleigh’s list of the “Top 10 Things You Should Know about the Violence Against Children and Youth Surveys.”

Top 10 Things You Should Know About the Violence Against Children and Youth Surveys (VACS)

1. The VACS are the first comprehensive surveys on violence against children in the world.

Collectively, the VACS have data for more than 10% of the world’s youth (aged 13-24) in more than 20 countries and growing.

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2. The VACS methodology is nationally representative.

A unique aspect of the survey’s  methodology is that when a country elects to do a VACS, households from across the country are surveyed and anyone aged 13-24 has a chance of being selected to participate. This process means the survey is nationally representative of the experiences related to violence facing children and young people within the country.

3. The VACS provide critical insights to the relationships between violence and HIV.

The most recent VACS funded by the President’s Emergency Plan for AIDS Relief (PEPFAR) in Sub-Saharan Africa, including Botswana, Zimbabwe, Côte d’Ivoire, Lesotho, Kenya, Namibia, and Mozambique now include updated questions related to violence, sexual risks and HIV testing, which will greatly improve understanding of the links between experiencing violence and HIV.

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Ashleigh at the Zim Stat office in Harare, Zimbabwe, after data processing for the first VACS study.

4. When a country participates in the VACS, it can lead to survivors accessing important health services.

VACS interviewers are trained to support and refer individuals who disclose recent violence or exploitation, are in danger, and ask for help with violence-related issues to appropriate services. Data collection teams work with a response plan coordinator to link participants who are seeking services to a social worker who can then connect them to ongoing services within their communities. In past surveys, services provided have included medical care for injuries, HIV testing and counseling, psychosocial counseling and reunification of exploited youth with their families.

5. Participant safety and confidentiality are a top priority.

The most critical safeguard for VACS interviewers is protecting the confidentiality of study participants. Because perpetrators may retaliate against individuals who disclose violence, VACS takes measures to ensure no one else in the community is aware that the survey is about violence or can overhear participants’ responses to the survey. Additionally, VACS does not collect personally identifiable information and only presents group data.

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Ashleigh visiting a VACS data collection team in Malawi in 2013 to monitor data quality and safety protections.

6. Participating in the VACS can be empowering.

Data collection staff are often surprised at the willingness and strength of study participants to share extremely difficult experiences they have faced. Interviewers have been encouraged by study participants who have expressed relief in disclosing sensitive experiences in hopes that their story will help to improve the situation for children in their country. It can also be an empowering experience for interviewers to offer response services to participants, many of whom never knew assistance was available.

7. VACS data is available for public use.

To encourage widespread use of VACS data, survey datasets are made available by CDC (generally one year after the survey is complete), with permission of the respective country governments. These datasets provide an excellent opportunity for universities and independent researchers to conduct ongoing analyses of the rich, detailed data and help increase our understanding of and ability to prevent and respond to the pandemic of violence against children.

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Ashleigh with VACS interviewers in Indonesia before data collection in 2013.

8. VACS inform ongoing country-level action.

Each country’s approach to addressing violence is different. A helpful tool that guides countries and programs toward evidence-based interventions and action plans is the INSPIRE framework, which provides seven strategies with the greatest potential to reduce violence against children.


For example, in Uganda, VACS data indicated high levels of harmful gender norms leading to violence between young children. Using the INSPIRE framework, country-level partners decided to focus on implementing community-level programs for youth throughout the country, specifically targeting areas with the highest levels of sexual violence against girls. Partner organizations also engaged with boys’ sports teams through Futures Without Violence mentoring program, “Coaching Boys into Men,” to teach boys to challenge harmful gender attitudes, reduce violence perpetration and intervene when they see violence happening.

9. Countries can undergo more than one VACS to track their progress.

Subsequent VACS can both update current estimates as well as provide information for a country’s understanding of the epidemic of violence over time. To date, two VACS countries, Kenya and Zimbabwe, have conducted follow up surveys which explore estimates of violence in areas with high HIV prevalence.

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Ashleigh leading a discussion on the sensitivities of interviewing children about violence during data collection training for VACS interviewers in Lesotho in 2018.

10. Conducting a VACS is just the first step in breaking the cycle of violence.

The VACS country report is only the beginning of addressing the greater problem of violence against children.


The country of Nigeria is one of many governments which has continued to use VACS data to move forward in addressing the issue of violence against children over time. Following dissemination of its country report in 2014, the Nigerian government launched a Year of Action to End Violence Against Children, including state-level priorities. This was followed by a Roadmap to End Violence Against Children and Pathfinding status with the Global Partnership to End Violence Against Children. Nigeria has continued to demonstrate its commitment to responding to and using the VACS findings, including most recently in the publication of a 2019 report on The Economic Burden of Violence Against Children.

The VACS is a powerful tool to help countries take evidence-based actions that help prevent and respond to violence against children.  Learn more about the VACS by reading our VACS 101 fact sheet, and find out more about the work of the Together for Girls partnership here. You can also explore VACS country-data on our interactive map here.

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