The COMPASS program was implemented in conflict-affected eastern Democratic Republic of Congo, refugee camps on the Sudan/Ethiopia border, and displaced populations in northwest Pakistan to address violence against adolescent girls in humanitarian settings.
While safe/child-friendly spaces are not interventions, they create opportunities for interconnected, empowering, child-friendly child protection and childhood sexual violence prevention and response.
Effectiveness of intervention type |
Conflicting |
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INSPIRE Pillar |
Safe environments |
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Evidence type |
Randomized Control Trial |
Adolescent girls in humanitarian settings face heightened risks of gender-based violence (GBV), including sexual violence and exploitation, intimate partner violence, and early and forced marriage. These violations are exacerbated by instability, displacement, and the breakdown of social support systems. Despite recognition of these challenges, evidence on effective strategies to protect adolescent girls in these contexts is lacking.
The Ethiopia Humanitarian Violence Against Children and Youth Survey (HVACS) 2024 showed that 13.9% of young women and 2.2% of young men in refugee camps in Ethiopia experienced sexual violence in childhood [1]. In refugee camps in Benishangul–Gumuz Ethiopia, and conflict-affected areas of South Kivu, DRC, the COMPASS baseline survey found that more than one in four girls experienced sexual violence in the past 12 months (24.5% in DRC among girls ages 13-14 and 27.2% in Ethiopia among girls ages 13-19) [2]. In Pakistan, a baseline COMPASS assessment showed that 22% of adolescent girls felt family members would say it was their fault if they experienced violence or harassment, while 15% indicated that they had not left home, due to safety concerns and social norms that limit girls’ mobility.
To address this critical gap, the International Rescue Committee (IRC), in partnership with Columbia University, developed the COMPASS program. Implemented over three years (2014–2017) in conflict-affected communities in eastern Democratic Republic of Congo, refugee camps on the Sudan/Ethiopia border, and displaced populations in northwest Pakistan.
COMPASS participant in Ethiopia. Credit: Lindsay Stark
One of the evaluation studies uses ACASI technology, where adolescent girls listen to survey questions on headphones and then indicate their response to the question on a touchscreen. These are interviewers practicing with the technology. Credit: Lindsay StarkCredit: Lindsay Stark
The International Rescue Committee (IRC) originally developed COMPASS to address both the individual and structural drivers of violence against adolescent girls. More than 1,938 girls and 1,875 caregivers participated in COMPASS in Ethiopia, DRC, and Pakistan between 2014 and 2017. COMPASS aimed to improve protective factors and reduce vulnerabilities through an integrated three-pronged model:
In Ethiopia, the IRC assigned participants to program groups by language, location, and age (i.e., 13-14 or 15-19 years). The groups participated in 30 weekly mentor-facilitated sessions consisting of 45-60 minutes of content and 30 minutes of unstructured time. Girls discussed life skills content ranging from reproductive health and gender norms to money management, savings plans, and decision-making.
IRC also facilitated eight monthly discussion groups to support parents and caregivers’ understanding of existing risks for girls and explore how they might protect girls in their environment. The discussions focused on positive relationship building, empathetic communication, nonviolent discipline methods, and specific developmental and cultural issues experienced by adolescent girls [3, 4].
One of the evaluation studies uses ACASI technology, where adolescent girls listen to survey questions on headphones and then indicate their response to the question on a touchscreen. These are interviewers practicing with the technology. Credit: Lindsay Stark
Columbia University conducted a randomized control trial to assess the COMPASS program’s impact on violence and social outcomes, including attitudes towards violence [3]. The study enrolled 919 South Sudanese girls ages 13-19 in three refugee camps in Enishangul-Gumuz regional state in Ethiopia who were assigned to either an immediate intervention or an intervention waitlist-control group.
The primary outcome of interest was sexual violence in the past 12 months. Secondary outcomes were physical and emotional violence, transactional sex, child marriage, attitudes toward rights of passage, feelings of social support, and sense of safety.
The findings showed:
“ Previously, before we began participating in the programme, we didn’t have a good relationship; we didn’t have the culture to visit each other; but now, after we got a lesson about the importance of neighbourhood, we realise that we should support each other like relatives. ”
Adolescent girl, 13 years old, evaluation interview, Ethiopia [5]
“ Previously, our parents used to argue with us because we used to spend our days doing nothing. But now, after we started participating in the programme, no one argues with us. There were no other programmes we used to go to before this programme. ”
Adolescent girl from Funj ethnic group, 15 years old, Bambasi Refugee Camp
The COMPASS program was adapted to address the unique needs of displaced adolescent girls living in host communities or camps in north-west Pakistan, including social norms that restricted their mobility. Despite initial community resistance, communications activities and transportation to and from the safe spaces facilitated enrollment.
Girls gained skills and knowledge related to safety and decision-making and developed increased social support. Before participating, girls had an average of one location away from home that they felt they could visit each month. This increased to two locations after participating, showing improved girls’ mobility. Girls were also more likely to report having more friends, higher quality friend relationships, and a trusted female adult to talk to outside their families following participation. Participants also showed improved knowledge of available services for experiences of violence and willingness to support. Further, girls' self-esteem improved and aspirations shifted; before the program 58% felt girls should receive the same opportunities as boys, while 82% agreed after participating. However, the program did not lead to shifts in harmful beliefs related to violence, safety, or confidence in talking about life skills [6, 7].
“ Initially, I was telling her [my friend] limited things. After taking these sessions, I came to know how to recognise trusted friends, and after this our relationship is better because I came to know that she could be trusted. Now I share more things with her. ”
Adolescent girl, 19 years old, evaluation interview, Pakistan
COMPASS was also implemented in eastern DRC among girls in a region that has faced ongoing armed conflict for more than two decades. There, an RCT tested the added benefit of the caregiver component and noted positive improvements in caregiver-child relationships.
However, no significant change was found in measured sexual violence outcomes that was attributable to the caregiver intervention. The number of girls who indicated they had four or more friends doubled after program participation, from 54% to 96%.
They were also more likely to report that they had a trusted adult outside of their family and to become more hopeful about their futures than girls who had not participated in the program. Some decreases in experiences of sexual violence were noted, but it was unclear if this was associated with program participation.
There was no impact on harmful gender beliefs, such as prioritizing men as decision makers in the home or on girls’ feelings of safety [8, 5].
Refugee mentors. Credit: Lindsay Stark
COMPASS was one of the first programs to address adolescent girls’ risk of sexual violence in humanitarian settings, a context for which limited evidence is available. The program in Ethiopia demonstrated that well-designed and implemented programs can successfully improve adolescent girls’ well-being in challenging humanitarian settings. The program showed success in outcomes related to sexual violence, including attitudinal shifts and knowledge of sources of social support. However, there was no impact on any type of violence, including sexual violence, within the study timeframe. The findings have informed successful adaptations of programs that address violence and mental health in humanitarian settings, including Safe and Home and SSAGE, and additional research to develop effective violence prevention interventions for adolescent girls in humanitarian settings.
IRC has revised the COMPASS program based on key learnings from the project. The updated curriculum is now available for adaptation and implementation as ‘Girl Shine’, a program model and resource package with step-by-step implementation and training guidance to prevent violence against girls in humanitarian settings.
“ My relationship with my family has changed a lot, due to my participation in the programme. Before I began participating in the programme, I often made mistakes and my mother hit me. But now, after I began participating in the programme, I don’t make mistakes at home and nobody hits me. ”
Adolescent girl from the Funj ethnic group, 14 years old, Sherkole Refugee Camp [4]
Refugee girls and mentors at the International Rescue Committee safe space in Sherkole camp, Ethiopia. Credit: Lindsay Stark
[1] Wado, Y., Dessie, Y., Obare, F., Odwe, G., & Habteyesus, D. (2025). Ethiopia Humanitarian Violence Against Children and Youth Survey 2024. Population Council.
[2] Stark, L., Asghar, K., Yu, G., Bora, C., Baysa, A. & Falb, K. (2017). Prevalence and associated risk factors of violence against conflict–affected female adolescents: a multi–country, cross–sectional study. Journal of Global Health, 7(1). doi: 10.7189/jogh.07.010416
[3] Stark, L., Asghar, K., Seff, I., Yu, G., Gessesse, T., et al. (2018). Preventing violence against refugee adolescent girls: findings from a cluster randomised controlled trial in Ethiopia. BMJ Global Health, 3(5). https://doi.org/10.1136/bmjgh-2018-000825
[4] International Rescue Committee. (2017). A Safe Place to Shine: Learning from the COMPASS programme for Adolescent Girls in Refugee Camps in Ethiopia.
[5] International Rescue Committee. (2017). A Safe Place to Shine: Creating opportunities and raising voices of adolescent girls in humanitarian settings (global report).
[6] Asghar, K., Mayevskaya, Y., Sommer, M., Razzaque, A., Laird, B., et al. (2018). Promoting Adolescent Girls' Well-Being in Pakistan: a Mixed-Methods Study of Change Over Time, Feasibility, and Acceptability, of the COMPASS Program. Prevention Science, 19(8). DOI: 10.1007/s11121-018-0890-9
[7] International Rescue Committee. (2017). A Safe Place to Shine: Creating opportunities and raising voices of adolescent girls in humanitarian settings in Pakistan.
[8] Stark, L., Seff, I., Asghar, K., Roth, D., Bkamore, T., et al. (2018). Building caregivers' emotional, parental and social support skills to prevent violence against adolescent girls: findings from a cluster randomised controlled trial in Democratic Republic of Congo. BMJ Global Health, 3(5). doi: 10.1136/bmjgh-2018-000824
[9] Jennings, L., George, A., Jacobs, T., Blanchet, K., & Singh, N. (2019). A forgotten group during humanitarian crises: a systematic review of sexual and reproductive health interventions for young people including adolescents in humanitarian settings. Conflict and Health, 13(57). https://doi.org/10.1186/s13031-019-0240-y
Special thanks to Dr. Lindsay Stark, Dr. Ilana Seff, and Dr. Kathryn Falb for co-developing this case study and for sharing early results, challenges, and lessons learned related to implementation.
For more information, please contact Dr. Lindsay Stark at [email protected].