University-Based Approaches to Gender-Based Violence Prevention in Low- and Middle-Income Countries: A Scoping Review

Abstract

Despite increasing research on gender-based violence (GBV) in higher education, a critical gap persists in understanding GBV prevention strategies in low- and middle-income countries (LMICs). This scoping review aims to identify and synthesize existing evidence on GBV prevention interventions in higher education institutions within LMICs. A scoping review was conducted following Joanna Briggs Institute guidelines and reported following Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews guidelines, identifying 14 manuscripts across LMIC higher education contexts. The review included 14 manuscripts published between 2017 and 2023, detailing ten distinct interventions. Studies were conducted in sub-Saharan Africa (<i>n</i> = 7), East Asia (<i>n</i> = 4), South Asia (<i>n</i> = 2), and South America (<i>n</i> = 1). Interventions focused on primary and secondary prevention. No study focused on tertiary prevention. Most of the studies aimed to pilot test and develop interventions, with only one study employing a randomized controlled trial. The scope of the interventions encompassed participants' education about gender inequalities, consent, healthy relationships, and bystander behavior. The most consistent findings included improved knowledge, attitudes, and bystander self-efficacy. Current GBV prevention interventions in higher education institutions within LMICs are still evolving, revealing significant gaps in long-term efficacy and survivor support. These findings highlight the necessity for future culturally grounded, sustainable interventions and rigorous evaluation of long-term impact.