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Mh0921238enn PDF
Mh0921238enn PDF
http://www.youtube.com/eurogender
European Institute for Gender Equality, EIGE
Gedimino pr. 16 http://eurogender.eige.europa.eu
LT-01103 Vilnius
LITHUANIA https://www.linkedin.com/company/eige/
Abbreviations
CSEW Crime Survey for England and Wales
EIGE European Institute for Gender Equality
GREVIO Group of Experts on Action against Violence against Women and Domestic Violence
LAA Legal Aid Agency
MHCLG Ministry of Housing, Communities and Local Governance
NGO non-governmental organisation
OECD Organisation for Economic Co-operation and Development
ONS Office for National Statistics
Contents
Abbreviations3
Executive summary 5
1. Introduction 7
1.1. Structure of this report 7
2. Estimating the costs of gender-based violence in the EU – UK case study 8
2.1. Methodology 8
2.2. UK case study 11
2.3. Extrapolation to EU Member States 22
2.4. Conclusions 24
3. Methodologies for estimating the costs of gender-based violence and violence
against women and men – critical review 25
3.1. Methodology of the literature search 25
3.2. Overview of the selected studies 28
3.3. Comparison of methodologies for estimating the costs of gender-based
violence or violence against women and men 29
3.4. Strengths and limitations of the selected studies 42
3.5. Reflections and lessons learned 43
References50
Executive summary
Gender-based violence is one of the most Extrapolating the UK case study results to the
severe forms of gender inequality and it remains EU by adjusting the estimates to the population
one of the most pervasive human rights vio- size of each EU Member State, the estimated
lations, affecting women disproportionately. cost of gender-based violence against women
Gender-based violence not only causes pain in the EU-27 was more than EUR 290 billion (1),
and suffering to the victims, but also places representing 79 % of all costs of gender-based
large costs on the economy and society as violence against both women and men. The esti-
a whole. However, the extent and associated mated cost of intimate partner violence against
costs of gender-based violence, encompass- women in the EU-27 was nearly EUR 152 bil-
ing lost economic output, public spending on lion (2), representing 87 % of all costs of intimate
health, legal, social and specialised services to partner violence against both women and men.
mitigate harms, and personal impacts on vic-
tims, are rarely seen. As well as the cost estimates, this report pro-
vides a critical assessment of studies carried
In this context, this study provides updated esti- out within the EU to estimate the costs of
mates of the costs of gender-based and intimate gender-based and intimate partner violence that
partner violence in the European Union. These have been published since EIGE’s 2014 study.
updated estimates are based on the 2014 Euro- Based on an in-depth assessment of the cost-
pean Institute for Gender Equality (EIGE) report ing methodologies applied in recent literature,
entitled Estimating the costs of gender-based vio- this review provides a set of lessons learned for
lence in the European Union. The method used future costing studies at European level, as well
to calculate these costs involved calculating as recommendations for estimating the costs of
estimates for the United Kingdom and extrap- gender-based violence at Member State and EU
olating the results to EU Member States. The levels.
United Kingdom was chosen as a case study as
relevant information was available to calculate The review noted that gender-based violence
these costs. is a complex problem that can affect the lives
of the victims, those close to them and society
Because of the absence of comprehensive data as a whole, both directly and indirectly, making
for comparable cost estimates, the final esti- it particularly difficult to capture the full extent
mates were extrapolated to EU Member States of the effects of violence in costing studies.
by adjusting the total costs of gender-based Therefore, careful conceptualisation is required
and intimate partner violence to the relative to fully understand the landscape of the agents
population size of the United Kingdom and involved (individuals and organisations), as well
each Member State. The method of extrapo- as the costs they incur.
lating costs from the United Kingdom based
on population sizes alone has some limitations The review also highlighted the need to
and these should be considered when inter- strengthen national and EU data collection
preting the cost estimates. Potential differ- on the extent of gender-based violence and
ences in survey-based prevalence and report- its costs and the use of services as a result of
ing rates in crime surveys or police data across gender-based violence, including comprehen-
Member States as well as differences in service sive administrative data from public services
costs and expenditure data need to be taken and population surveys. Because of cultural
into account. and institutional factors such as barriers to re-
(1) The full estimated cost of gender-based violence against women in the EU was EUR 290 309 795 927.
(2) The full estimated cost of intimate partner violence against women in the EU was EUR 151 950 791 341.
porting, the use of a range of values or different lence can further advance policymaking. The
data sources is recommended to address uncer- examples provided in this report can also sup-
tainties in the extent of gender-based violence port policymakers and relevant institutions in
in a country. For example, uncertainties can be their efforts to combat gender-based violence
addressed through the use of confidence inter- and assess the gaps between service use and
vals, by using both prevalence and incidence the budgets allocated to gender-based vio-
data and multiple sources of data. Moreover, lence policies, measures and service provision.
it is recommended that sensitivity analyses are They can also be used to develop a macroeco-
carried out to assess the robustness of the me nomic model for measuring total output gains
thodology used in order to quantify how uncer- or losses to the economy and to monitor the
tainties regarding different inputs can impact evolution of service provision and the extent of
final cost estimates. In addition, following up gender-based violence to inform future costing
on existing cost estimates of gender-based vio studies.
1. Introduction
Gender-based violence is a widespread phenom- petrator shares or has shared the same resi-
enon in the European Union, affecting women dence with the victim’ (4). The broader category
disproportionally – in 2012, one in three women of gender-based violence additionally includes
aged 15 or over experienced physical and/or violence from other family and household mem-
sexual violence (3). Although a price cannot be bers and forms of gender-based violence that
put on women’s lives and suffering, estimating are perpetrated by non-intimate partners and
the lost economic output and public spending non-household members (EIGE, 2014). This
on health, legal, social and specialised services broader category of violence against women is
with regard to gender-based violence can cre- defined by the UN as ‘any act of gender-based
ate a better understanding of the extent and violence that results in, or is likely to result in,
associated costs of this phenomenon. Attaching physical, sexual or psychological harm or suf-
a monetary value to the issue can also further fering to women, including threats of such acts,
support both Member States and the EU in mak- coercion or arbitrary deprivation of liberty,
ing informed decisions regarding resource allo- whether occurring in public or in private life’ (5).
cation across different policy areas (EIGE, 2014).
Analysis of the economic costs of gender-based
violence may also show the cost of inaction and 1.1. Structure of this report
lack of financial prioritisation.
This report focuses on updating estimates of
Acknowledging the importance of preventing the costs of gender-based and intimate part-
and combating gender-based violence in the EU, ner violence in the United Kingdom in 2019.
this study estimates the costs of gender-based These estimates are then extrapolated from
violence, using existing methodology from the the United Kingdom to EU Member States. This
European Institute for Gender Equality’s (EIGE) updated study on the costs of gender-based
2014 study entitled Estimating the costs of gen- violence in the EU is accompanied by a critical
der-based violence in the European Union (EIGE, review of studies carried out within the EU to
2014). As in the previous study, this report estimate the costs of gender-based and intim
focuses on intimate partner violence as a sub- ate partner violence that have been published
set of gender-based violence. Intimate partner since EIGE’s 2014 study. This review provides
violence is defined by the Council of Europe a set of lessons learned for future costing stud-
as ‘all acts of physical, sexual, psychological or ies at European level and recommendations for
economic violence between former or current estimating the costs of gender-based violence
spouses or partners, whether or not the per- at Member State and EU levels.
(3) https://fra.europa.eu/en/data-and-maps/violence-against-women-survey/survey-information
(4) https://www.coe.int/en/web/conventions/full-list/-/conventions/treaty/210
(5) https://www.ohchr.org/EN/ProfessionalInterest/Pages/ViolenceAgainstWomen.aspx
2. E
stimating the costs of gender-based
violence in the EU – UK case study
ent set of classifications. Corresponding to the Wales, Scotland and Northern Ireland. When data
updates to crime classifications in the CSEW, the from England and Wales are extrapolated to the
2018 edition of the Home Office methodology United Kingdom using a population-based multi
provided unit costs subdivided by the following plier, the cost estimates might be biased towards
crime classifications: homicide, violence with costs in England and Wales as the calculations
injury, violence without injury, rape and other do not account for potential differences in costs
sexual offences. of service provision between England and Wales
and the rest of the United Kingdom.
The methodologies applied to estimate the
costs of the utilisation of the civil justice sys- The most significant change from the 2014 me
tem, self-funded legal costs and the costs of thodology concerns the incidence data. The pre-
homelessness prevention (previously sanctuary vious study relied on microdata from the CSEW,
schemes) were updated based on the availabil- whereas this update relies on publicly available
ity of data and examination of the current policy information published by the ONS. Often, this
context in the United Kingdom. These changes published information did not include the re-
are detailed in the technical report. quired breakdown of the data (e.g. by sex, by
victim–perpetrator relationship). Therefore, we
used auxiliary information to make assumptions
2.1.2. Data updates in the UK case study about the data and adjusted estimates based
on these assumptions. The main assumptions
This case study used a combination of updated are as follows and are discussed in detail in the
survey data on victims of crime and cost esti- technical report.
mates based on administrative data from the
same statistical sources as in EIGE’s 2014 study 1. Published crime statistics from the CSEW
where available; alternative data sources with provide estimates of the number of victims
more recent or complete data where appro- of crime rather than the number of incidents
priate; and old indicators where appropriate of crime. In order to follow the methodology
alternative data sources were not available. All used in EIGE’s 2014 study and the Home
costs were adjusted for inflation to 2019 Office methodology, transformation of the
levels in accordance with the 2014 methodology. data was required to estimate the number of
Moreover, in accordance with the 2014 method- incidents of crime using victim-based data.
ology, if the required data were not available for This was carried out by using information
the United Kingdom, data for the cost estimates on the proportion of victims of domestic vio-
were extrapolated to the United Kingdom using lence who said they were victims once (one
multipliers based on relative population sizes incident: 66 % of victims), two to four times
(e.g. from England and Wales to the United King- (a median of three incidents: 27 % of victims)
dom). The method for extrapolating costs to the or five or more times ((at least) five incidents:
United Kingdom based on population sizes 7 % of victims) (10). The number of victims was
alone has some limitations, which should be then scaled up by this information to esti-
considered when interpreting the cost esti- mate the number of incidents. A limitation of
mates. Because of the devolution of health and this approach is that it does not distinguish
social care services and justice and policing in between men and women victims of repeat
the United Kingdom (9), public service systems violence but assumes the same rate for both.
and expenditures may vary across England, It also assumes that the same rates apply for
(9) https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/770709/DevolutionFactsheet.
pdf
(10) Table D7 for year ending March 2020 in ‘Crime in England and Wales: Annual trend and demographic tables’ (https://www.ons.gov.
uk/peoplepopulationandcommunity/crimeandjustice/datasets/crimeinenglandandwalesannualtrendanddemographictables).
victims of domestic violence and victims of costs of gender-based and intimate partner vio-
intimate partner violence. lence (themselves extrapolated from England
and Wales for some of the data) were adjusted
2. No survey data were available on rape by to the relative population sizes of the United
victim’s gender regardless of the victim’s Kingdom and each Member State, in accord
relationship to the perpetrator (although ance with the 2014 methodology. For example,
data on police-recorded crimes were availa- the population of Belgium was estimated to be
ble). This study used information on rape by around 17.1 % of the population of the United
domestic partners from the CSEW (domes- Kingdom in 2019; therefore, the total costs of
tic abuse module) and applied a multiplier gender-based violence and intimate partner
obtained from police administrative data on violence in the United Kingdom were multiplied
the proportion of rapes that are reported by 0.171 to extrapolate them to Belgium.
in a domestic abuse context to scale up the
number of victims of rape. The limitation of Extrapolation was applied because of the
this approach is that this attribution relies absence of comprehensive data providing com-
on recorded offences and does not consider parable cost estimates. However, there are sev-
instances in which offences are not recorded eral limitations to this approach, which should
(e.g. women and men may be less likely be considered when interpreting the cost esti-
to report instances of domestic rape, or mates in EU Member States.
domestic rape overall may be reported less
frequently). Extrapolation does not consider potential differ-
ences in survey-based prevalence rates across
3. No data were available on violence with injury Member States, which means that the cost esti-
and violence without injury by relationship to mates do not capture if some Member States
the perpetrator although these data were have a higher prevalence of gender-based and
available by gender of the victim. The CSEW intimate partner violence than others.
data were disaggregated into intimate part-
ner and domestic violence using multipliers Reporting rates for gender-based and intimate
obtained from police administrative data on partner violence in crime surveys and police
the proportions of violent incidents recorded data may vary between countries depending on
by relationship to the perpetrator, without awareness of the issue and institutional and cul-
disaggregation by sex. A limitation of this tural barriers to reporting. Extrapolation does
approach is that the sex of the victims was not quantify potential differences in reporting
not considered; rather, the same proportions rates and how such differences may affect the
for domestic and intimate partner violence cost estimates for EU Member States. Simi-
were applied to women and men. In addition, larly, the inability to access microdata from the
the police data on recorded crime do not CSEW restricted the analysis to publicly avail-
include data from Greater Manchester Police able data from the ONS. To estimate the num-
and therefore they underestimate recorded bers of incidents of gender-based and intimate
crimes in England and Wales. partner violence, this study used data on the
prevalence of gender-based violence in England
and Wales in the year ending March 2020.
2.1.3. Extrapolation to EU Member States Given that one person can be a victim more
than once, prevalence is not sufficient to esti-
To extrapolate the costs of gender-based and mate the costs of gender-based and intimate
intimate partner violence in the United King- partner violence, especially in the case of the
dom in 2019 to EU Member States, the total latter, where repeated incidents tend to be the
norm. Because of these limitations, this study Another important limitation of the pre
transformed the available prevalence data to sent study relates to the reliance on existing
numbers of incidents using estimates from the research to estimate the proportion of expend
CSEW on the percentages of the sample who iture in the overall population resulting from
reported that they had been victimised once, intimate partner violence. In particular, some
two to four times or five or more times. How- of the cost estimates (civil legal costs and child
ever, this is likely to underestimate the actual welfare costs) relied on Walby’s (2004) esti-
numbers of incidents, given that the victimisa- mates on the proportion of divorces result-
tion rates were capped at five for respondents ing from intimate partner violence and on the
who reported that they were victimised five or co-occurrence of child abuse/negligence and
more times. domestic violence. These multipliers were esti-
mated using data from 2001 or earlier. As such,
Moreover, this extrapolation relies on UK ser- using these multipliers in the present study
vice costs and expenditure data and therefore meant relying on the assumption that trends in
does not capture differences between countries the pattern of divorces attributable to intimate
based on the type, availability and use of ser- partner violence and in the co-occurrence of
vices. Public service systems and government child abuse/negligence and domestic violence
expenditure vary across EU Member States were unchanged. Finally, assumptions were
depending on factors such as the utilisation of made about what to include and what not to
services, levels of decentralisation, legal duty include in some of the categories associated
to provide financial assistance, for example in with intimate partner violence based on the
the case of homelessness (Baptista and Marlier, available data. For example, in the case of child
2019), and the types of services available. The welfare expenditure, to estimate the proportion
level of government expenditure is also likely to of children in need because of intimate partner
influence the average cost of utilising a service violence, this study relied on the number of
for a victim of gender-based or intimate partner children referred because of ‘abuse or neglect’.
violence. The technical report of this study details the
methodological choices and assumptions made
for each cost estimate.
Table 1. Lost economic output costs of gender-based and intimate partner violence, United
Kingdom, 2019
NB: Lost economic output is not broken down by sex nor adjusted for the wage gap. It also does not take into account unpaid care
work.
Source: This table presents calculations by EIGE using data from the CSEW published by the ONS and homicide data published by the
ONS (England and Wales homicide data, Tables 11a and 11b), the Scottish government (Scotland homicide data, Table 8) and the Police
Service of Northern Ireland (Northern Ireland homicide data, ‘Domestic abuse annual trends’, Table 3.9). The unit costs used in the
calculations were taken from Heeks et al. (2018).
2.2.2. Health services of crime category from Heeks et al. (2018) were
adjusted to 2019 prices. The adjusted unit costs
Victims of gender-based and intimate partner were then multiplied by the incidence of each
violence make use of health services to treat the category of crime for men and women to obtain
physical and mental harms caused. As described the costs of gender-based and intimate partner
in the previous section, unit costs for each type violence by gender (Table 2).
Table 2. Health service costs of gender-based and intimate partner violence, United Kingdom,
2019
2.2.3. Criminal justice system 2018 Home Office report calculations do not
include police time spent on no-crime inci-
The criminal justice system (such as the police dents. This may result in an underestimation
and prosecutors) is often involved in the of the costs of police time related to cases of
investigation of cases of gender-based vio- domestic violence, as ‘domestic incidents’ are
lence or intimate partner violence. As men- often initially recorded as no-crime incidents
tioned earlier, unit costs for calculating the even if they cross the crime threshold (Walby,
criminal justice system costs of gender-based 2004, p. 101). Therefore, Table 3 includes the
and intimate partner violence were based on estimated proportion of no-crime costs for
2018 Home Office estimates from Heeks et police time spent on assault-related domestic
al. (2018), adjusted for inflation. However, the incidents.
Table 3. Criminal justice system costs of gender-based and intimate partner violence, United
Kingdom, 2019
No-crime costs
GBV cost IPV cost
GBV cost Total GBV IPV cost Total IPV
women women
men (EUR) cost (EUR) men (EUR) cost (EUR)
(EUR) (EUR)
No-crime costs 505 254 865 177 521 980 682 776 844 334 424 098 88 897 545 423 321 643
2.2.4. Civil justice system legal assistance (legal help and civil represen-
tation). For public family proceedings and legal
Victims of intimate partner violence may make help, costs for 2019/2020 were taken from the
use of the civil justice system to disentangle legal aid statistics using direct statistics on the
themselves from a violent partner, with finan- total expenditure in these subcategories. The
cial support from the Legal Aid Agency (LAA). percentages of proceedings attributable to
This may take the form of matrimonial proceed- intimate partner violence estimated by Walby
ings (such as divorce and judicial separation) or (2004) were then applied to these costs: 29 % of
proceedings related to children. To estimate the divorces are estimated to be related to intimate
proportion of civil justice system costs attrib- partner violence, whereas the co-occurrence
utable to intimate partner violence, data were of child abuse and intimate partner violence in
obtained from legal aid statistics for England public family law proceedings is estimated to be
and Wales provided by the LAA, which have 40 % (mostly concerning the Children Act 1989)
been published quarterly since 2015. The legal (Table 4).
aid statistics provide detailed data on both the
volume and the value of successful applications For private family civil representation, an
for legal aid for civil representation and legal updated estimate of the proportion of expend
help by type of proceedings. This study is pri- iture attributable to intimate partner violence
marily concerned with private and public family was used. Since 2013, the Legal Aid, Sentenc-
law proceedings, as they cover the issues sur- ing and Punishment of Offenders Act 2012 has
rounding intimate partner violence. established that legal aid for private family law
cases is available only when there is evidence
The methodology used to obtain the civil justice of child abuse or domestic violence. Therefore,
system costs of intimate partner violence-related a new estimate was calculated using detailed
proceedings was based on the previous EIGE information available on the number of applica-
report (EIGE, 2014), with costs divided by type tions and successful applications made through
of family law (public and private) and type of the domestic violence and child abuse gateway.
Table 4. Civil justice system (CJS) costs of intimate partner violence (IPV), United Kingdom,
2019/2020
Source: This table presents calculations by EIGE using data from the legal aid statistics published by the ONS through the LAA. The
multipliers used in the estimation of the costs of intimate partner violence were taken from Walby (2004) (for legal help and public civil
representation) and from own calculations using the legal aid statistics (for private civil representation).
Table 5. Self-funded legal costs of intimate partner violence (IPV), United Kingdom, 2019
Source: This table presents calculations by EIGE using data from legal aid statistics, the ONS (2019 divorce data for England and Wales)
and Walby (2004).
(11) Ministry of Justice (2020), ‘Family Court Statistics Quarterly: January to March 2020’ (https://www.gov.uk/government/collections/
family-court-statistics-quarterly).
(12) ONS (2019), ‘Divorces in England and Wales 2019’ (https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmar-
riages/divorce/datasets/divorcesinenglandandwales).
2.2.5. Social welfare from the MHCLG live tables on homelessness (13)
and used to extract the total cost of intimate
The UK government has a statutory duty to assist partner violence-related homelessness owed
people who have been made homeless because statutory assistance. Moreover, local authorities
of intimate partner violence. The Ministry of Hous- have a homelessness prevention duty to victims
ing, Communities and Local Governance (MHCLG) of domestic abuse, which includes sanctuary
provides annual updates on local authority rev- schemes. The MHCLG live tables on homeless-
enue expenditure and financing, which includes ness estimate that 6.1 % of people are owed
data on total expenditure on homelessness a prevention duty because of domestic abuse.
prevention and relief in England. An estimate of This percentage was used to calculate the pro-
12.5 % for the proportion of people who received portion of the GBP 140 million expenditure on
statutory assistance for homelessness because homelessness prevention that is attributable to
of domestic violence in 2019/2020 was derived intimate partner violence (Table 6).
Table 6. Cost of housing aid for intimate partner violence (IPV), United Kingdom, 2019
Source: This table presents calculations by EIGE using data from the MHCLG published by the ONS (‘Local authority revenue expenditure
and financing England’; ‘Live tables on homelessness’).
2.2.6. Personal costs of divorce from Aviva, in which costs were esti-
mated from ad hoc surveys of recent divorcees
Individuals who are victims of intimate partner (see the note in Table 7). Because of the high
violence may incur costs that are not covered variability of these data, the estimated average
by the government. These include the costs of cost of setting up a new home was obtained
non-legally aided civil legal services as well as by averaging across the three estimates after
moving expenses and the costs of setting up adjusting for inflation. This cost was then multi
a new home (Table 7). An estimate of the aver- plied by the estimated number of people who
age cost of setting up a new home was obtained divorced because of intimate partner violence
from 2006, 2014 and 2018 reports of the costs in 2019.
Table 7. Intimate partner violence (IPV)-related personal costs (civil legal services and moving
expenses), United Kingdom, 2019
Total IPV-related personal costs (EUR) Cost women (EUR) Cost men (EUR)
Civil legal services 204 786 259 171 989 088 32 797 171
Moving home 400 000 085 335 842 786 64 157 300
Total 604 786 345 507 831 874 96 954 471
Source: This table presents calculations by EIGE using 2006, 2014 and 2018 data from Aviva on the hidden costs of divorce. An estimate
of the number of people who divorced in 2019 was obtained from ONS divorce statistics for England and Wales. The cost of divorces
used in the estimation of civil legal services costs was estimated using values from Walby (2004) and estimates from legal aid statistics.
Housing aid and child protection portion of children referred to social workers
because of domestic abuse perpetuated against
The total cost of local authority expenditure themselves or one of their parents. The best
on children’s social care was obtained from estimate of the co-occurrence of child abuse
2019/2020 MHLCG statistics on local author- and domestic violence is 40 % (Walby, 2004).
ity revenue expenditure and financing in
England (14). To calculate the total expenditure The total estimated cost of child welfare attrib-
on children in need when ‘abuse or neglect’ was utable to intimate partner violence was calcu-
listed as the primary reason, additional informa- lated by multiplying the total expenditure on
tion was obtained from Department for Educa- children in need by the co-occurrence multiplier
tion statistics (15). Finally, to calculate the cost of and the proportion of children referred because
child protection attributable to intimate partner of abuse or neglect (which amounts to 56 %)
violence, an estimate was needed of the pro- (Table 8).
Table 8. Social welfare costs (housing aid and child protection) attributable to intimate partner
violence (IPV), United Kingdom, 2019
Source: This table presents calculations by EIGE using data from the MHCLG published by the ONS (‘Local authority revenue expenditure
and financing England’; ‘Live tables on homelessness’) and data from the Department for Education (‘Characteristics of children in
need, 2019 to 2020’).
(14) https://www.gov.uk/government/statistics/local-authority-revenue-expenditure-and-financing-england-2019-to-2020-final-out-
turn
(15) https://www.gov.uk/government/collections/statistics-children-in-need
Table 9. Costs of specialist services for gender-based violence (GBV) and intimate partner
violence (IPV), United Kingdom, 2019
Total cost Cost of GBV Cost of GBV Cost of IPV Cost of IPV
(EUR) women (EUR) men (EUR) women (EUR) men (EUR)
Refuge services 167 439 520 128 103 073 39 336 447 140 583 554 26 856 200
Specialist advice services 17 193 953 22 295 885 6 846 369 14 436 160 2 757 793
Total 184 633 473 150 398 958 46 182 816 155 019 714 29 613 994
Source: This table presents calculations by EIGE using data from EIGE (2014), SafeLives (2019) and the Women’s Aid Federation of
England (2019).
2.2.8. Physical and emotional impacts on As detailed in Section 2.1, the costs of the physical
victims and emotional impacts of gender-based and in
timate partner violence on victims were estimated
The physical and emotional impacts of by multiplying the 2018 Home Office report unit
gender-based and intimate partner violence result costs, adjusted to 2019 prices, by the incidence
in a reduction in the quality of life of the victims. of crime for each crime category (Table 10).
Table 10. Costs of the physical and emotional impacts of gender-based and intimate partner
violence on victims, United Kingdom, 2019
Table 11. Costs of gender-based and intimate partner violence, United Kingdom, 2019
Table 12. Extrapolated costs of gender-based violence (GBV) and intimate partner violence
(IPV) against women and men (in euro, non-purchasing power parity) in EU Member States,
2019
Table 13. Population of EU Member States in 2019 and multipliers used to extrapolate UK costs
to EU Member States
(16) https://www.coe.int/en/web/istanbul-convention/country-monitoring-work
(17) Belgium, Denmark, Germany, Spain, France, Italy, Malta, Netherlands, Austria, Poland, Portugal, Romania, Slovenia, Finland and
Sweden.
3. Searches were carried out in academic UN Women, United Nations Development Pro-
journals such as the Journal of Interpersonal gramme, United Nations Population Fund, UN
Violence, Violence Against Women and Feminist Children's Fund Office of Research – Innocenti,
Economics. CARE, Organization for Security and Co-operation
in Europe (22) and Organisation for Economic
4. The publications sections of academic web- Co-operation and Development (OECD) (23).
sites that present the work of the following
authors in this field were searched: Sylvia 6. Finally, a snowballing approach was used to
Walby (18), Nata Duvvury (19), Philippa Olive (20) identify additional studies cited in the bibli-
and Caroline Forde (21). ographies and references of the identified
literature.
5. The publications sections of the websites of sev-
eral international organisations working in the A full list of the studies identified is provided in
area of violence against women were searched: Table 14.
Table 14. Cost studies published after 2014 considered for review
Author and
Location year of Title and language Scope of study Observations
publication
Ireland Ford and Duv- ‘The social and economic cost The costs of domestic abuse Not used in the analysis. This
vury (forthcom- of domestic abuse for women against women and children publication was not selected for in-
ing) (a) in Ireland’ (English) (girls and boys). depth analysis because of a lack of
online access to the entire study.
The organisation Safe Ireland cites
this research in its 2019 and 2020
publications (b).
Finland Hietamäki et al. ‘Arvio turvakotien perhepaik- The impact of domestic and Not used in the analysis. This pub-
(2020) kojen intimate partner violence – lication is available only in Finnish.
riittävästä määrästä ja kustan- women and children who
nuksista’ [‘Estimate of needed look for refuge in shelters.
places for families in shelters
and their costs’] (Finnish)
(18) https://www.city.ac.uk/about/people/academics/sylvia-walby
(19) https://www.nuigalway.ie/our-research/people/political-science-and-sociology/nataduvvury/
(20) https://www.uclan.ac.uk/academics/dr-philippa-olive
(21) https://www.nuigalway.ie/our-research/people/political-science-and-sociology/carolineforde/
(22) Based on the results of a survey on violence against women (https://www.osce.org/VAWsurvey/publications), carried out in 2018
in eight European countries (not EU Member States: Albania, Bosnia and Herzegovina, Kosovo (*), Moldova, Montenegro, North
Macedonia, Serbia and Ukraine), the Organization for Security and Co-operation in Europe (OSCE) plans to carry out a comparative
study (meta-study) on the costs of violence against women and the budgets allocated for prevention and response (OSCE, 2019).
(*) This designation is without prejudice to positions on status, and is in line with UN SCR 1244/1999 and the ICJ Opinion on the
Kosovo declaration of independence.
(23) The topic of violence against women (https://www.oecd.org/gender/vaw.htm) has only recently been considered by the OECD
(since 2019: identified in the OECD’s Public Governance Committee’s strategy for gender mainstreaming and its action plan). The
main event carried out by the OECD has been the High-Level Conference on Ending Violence Against Women in February 2020
(https://www.oecd.org/social/ending-violence-against-women-2020.htm), which had a particular focus on sexual harassment at
work (OECD, 2017). No studies or research have yet been carried out on costs.
Author and
Location year of Title and language Scope of study Observations
publication
Italy Ciaschini and ‘Evaluating the impact of vio Violence against women and Not used in the analysis. The
Chelli (2020) lence against women in the girls – women aged from 16 methodology proposed by Badalas-
macroeconomic input–output to 70; intimate partner vio- si et al. (2013) to calculate the costs
framework’ (English) lence against women: phys- of violence against women was
ical or psychological abuse reviewed in the 2014 EIGE report
during their lifetime and (see Italy; INTERVITA (2013)). This
physical and/or sexual as- study uses the costs from 2013 to
sault. develop an input–output approach
to develop a stimulation tool for
determining total output gains and
losses to the economy.
United King- Oliver et al. (2019) The Economic and Social Costs The costs of domestic abuse; Used in the analysis.
dom of Domestic Abuse (English) data are not disaggregated
by sex.
Spain Alcon et al. (2019) El Impacto de la Violencia de The costs of intimate partner Used in the analysis.
Genero en Espana: Una valo- violence against women; an
racion de sus costes en 2016 analysis of perpetrators, em-
[The Impact of Gender-based ployers and friends and fam-
Violence in Spain: Estimates of ily members is also included.
its costs for 2016] (Spanish)
France Néréa et al. (2018) Où est l’argent contre les vio The costs of intimate partner Used in the analysis.
lences faites aux femmes? violence against women after
[Where is the money for women leave a violent rela-
combating violence against tionship.
women?] (French)
France Cavalin et al. Étude relative à l’actualisation Costs of intimate partner vio Used in the analysis.
(2015) du chiffrage des répercussions lence against women and
économiques des violences men; an analysis of perpetra-
au sein du couple et leur in- tors (both women and men)
cidence sur les enfants en and the impact of intimate
France en 2012: Rapport final partner violence on children
de l’étude [Study updating the is included.
economic quantification of in-
timate partner violence and
its consequences on children
in France in 2012: Final report]
(French)
Sweden Ornstein, P. ‘The price of violence: conse- The cost of non-lethal inter- Used in the analysis.
(2017) quences of violent crime in personal violence against
Sweden’ (English) women and men.
Germany Sacco, S. (2017) Häusliche Gewalt Kostenstudie Domestic violence against Not used in the analysis. This pub-
für Deutschland – Gewalt ge- women lication is available only in paper
gen Frauen in (ehemaligen) (hard copy) format.
Partnerschaften [Cost of do-
mestic violence against wom-
en in (ex)partnerships in Ger-
many] (German)
Author and
Location year of Title and language Scope of study Observations
publication
EU-27/EU-28 Walby et al. (2020) Study on the economic, social The costs of trafficking in Used in the analysis.
and human costs of trafficking human beings – trafficked
in human beings within the EU victims suffer harms of phys-
(English) ical violence and sexual vio-
lence and threats. The study
includes women, men and
children and several forms of
exploitation (sexual, labour,
other)
EU-27 EPRS (2021) Combating Gender-based vio- The costs of gender-based Used in the analysis.
lence: Cyber violence (English) cyberviolence against women.
(a) The study is cited under this title in Safe Ireland (2021), p. 3, footnote 12.
(b) ‘A new study conducted by NUI Galway and Safe Ireland is giving a clearer indication of the combined costs of domestic violence
on an individual basis. It is showing that the total average cost of domestic violence to a survivor is €115 790 delineated across
three distinct phases of a woman’s journey from abuse to recovery’ (bold added for emphasis). See Safe Ireland (2019).
Of the 11 studies identified, two were not As shown in Table 15, four of the seven studies
selected for in-depth analysis because of a lack selected estimated the costs of gender-based
of online access to the entire study (Ford and violence against women, focusing on domes-
Duvvury, forthcoming; Sacco, 2017). Moreover, tic abuse, intimate partner violence or gen-
the study by Hietamäki et al. (2020) was not der-based cyberviolence. One Member State
selected as it was accessible only in Finnish. study (Ornstein, 2017) estimated the costs of
In addition, the study by Ciaschini and Chelli interpersonal violence against women and men
(2020) was not included because it follows up and one EU-level study (Walby et al., 2020) es-
on costs estimated in a previous study carried timated the costs of trafficking of women and
out in 2013 to develop an input–output model men. Similar to the present study, some of the
determining total output gains and losses to selected studies (Cavalin et al., 2015; Ornstein,
the economy. As the purpose of the literature 2017; Walby et al., 2020) calculated separate
review was to assess the methodologies used costs for women and men. Other studies (Alcon
for estimating costs, this study was outside the et al., 2019; Cavalin et al., 2015; EPRS, 2021)
scope of this review. considered costs for other agents such as fam-
ily and friends of victims, the perpetrator, and
employers. Moreover, one study (Cavalin et al.,
3.2. Overview of the selected 2015) calculated the cost of the impact of in
studies timate partner violence on children. The study
by Oliver et al. (2019) for the United Kingdom
The following sections outline the method- presents a methodology for calculating the
ologies identified for estimating the costs of impacts on children from witnessing domestic
gender-based violence or violence against abuse but does not include them in the final cal-
women. First, this section provides an over- culations.
view of the studies selected for in-depth
assessment. Section 3.3 then provides a com-
parison of the methodological approaches
followed.
Table 15. The scope of EIGE’s 2021 study and the seven studies selected for in-depth analysis
isolate the costs borne by other actors (employ- only a few (Alcon et al., 2019; Cavalin et al., 2015;
ers and society) from those borne by the vic- EPRS, 2021) separately considering the economic
tims. Table 16 shows that the majority of the impact of gender-based violence on employers
studies reviewed focused on victim costs, with or the state in terms of lost tax revenue.
NB: GDP, gross domestic product; Insee, National Institute of Statistics and Economic Studies
The methodology was similar across the income that benefits society as a whole. One
studies, with the majority using a bottom-up study (Ornstein, 2017) applied a regression
approach to quantify the costs of lost eco- analysis using panel data on hospitalisations
nomic output. This bottom-up methodology because of assault to estimate the impact of
consisted of measuring the total amount of interpersonal violence on victims’ earnings.
time (in hours) lost at work as a consequence of Compared with the reliance of other studies
gender-based violence and multiplying this by on survey data, this methodology takes advan-
the average national wage. The methodology tage of the larger-scale administrative data
used to estimate the proportion of lost hours available to apply propensity score matching,
at work that are attributable to gender-based that is, to compare the outcomes of individuals
violence varied, with most studies relying who visited a hospital after an assault with the
on representative survey data on the preva- outcomes of individuals who did not experi
lence of gender-based violence. As discussed ence an assault but who were statistically
in Walby et al. (2020), depending on the type indistinguishable from the victims of assault.
of unit cost used (gross domestic product or In doing so, it addresses some of the existing
net wages), the approach may also incorporate limitations in the literature in terms of causal
the output lost in taxed income from the over- inference, thus providing a robust estimate of
all economy. This is because gross estimates the effect of interpersonal violence on lost eco-
of earnings include the portion of the taxed nomic output.
3.3.3. Legal costs civil justice service costs that are attributable
to gender-based violence are less widely avail-
The legal costs associated with gender-based able and, hence, these costs are more difficult
and intimate partner violence can be divided to quantify. These costs are mostly associated
into two categories: criminal justice system with divorce and related proceedings (such as
costs and civil justice system costs. The crim financial matters and child custody) and child
inal justice system deals with the prosecution of welfare cases (where intimate partner violence
crimes associated with gender-based violence co-occurs with child abuse). Table 18 provides
and data from court cases are relatively widely a comparison of the methodologies used in the
available. Disaggregated data on the portion of studies reviewed to estimate legal costs.
Most of the legal costs associated with the number of proceedings or the amount of
gender-based violence concern service sec- time (hours or days) spent in court.
tor costs, especially for criminal justice sys-
tem cases. Legally aided civil justice family law Methodologies for estimating the civil justice
proceedings are also included in service sec- system costs associated with gender-based
tor costs. However, legal aid for private civil violence varied – top-down approaches
justice proceedings may not be available or were more common. In most cases, the num-
accessible to all victims of intimate partner ber of family law proceedings was used to
violence, who have to cover the costs using obtain expenditure data for cases relevant to
private means. Data on the costs of private civil gender-based violence. The methodology used
legal proceedings are mostly unavailable. For to estimate the number of civil law proceed-
this reason, some studies (EIGE, 2021; Oliver et ings attributable to intimate-partner violence
al., 2019) attempted to estimate victim costs for varied. Some studies (Cavalin et al., 2015; EIGE,
self-funded legal proceedings using unit cost 2021; EPRS 2021) used a multiplier consisting
estimates derived from legally aided costs. As of the estimated number of divorces caused
discussed in Alcon et al. (2019), the time spent by intimate partner violence based on existing
in court should also be considered when calcu- research or administrative data.
lating costs. In their study, the authors included
an estimate of the time spent in court for crim-
inal and civil proceedings in the lost output cal- 3.3.4. Other monetisable costs
culations. However, this approach was not fol-
lowed in all studies, which may have led to an There are other monetisable costs that occur
underestimation of costs. because of gender-based violence. These include
the costs of public services to assist victims, in
The method used to estimate legal costs varied terms of both housing and other specialised ser-
across the studies. In general, the prevailing vices, and costs that co-occur with gender-based
methodology for estimating criminal justice violence, such as public expenditure on child
system costs used a bottom-up approach. In welfare. Table 19 provides a comparison of the
these cases, the unit costs for courts, prosecu- methodologies used in the studies reviewed to
tions and magistrates were multiplied by either estimate other monetisable costs.
Types of costs
Author Elements needed Types of data
and actors Methodology used
and year to estimate costs source used
bearing the costs
EIGE (2021) Service sector costs: Top-down: local authority ex- y Budget data: local author- y Budget data: MHCLG ex-
housing aid costs penditure on homelessness ity expenditure on home- penditure
prevention and relief multiplied lessness prevention and y Multiplier: MHCLG live
by the reported percentage of relief homelessness tables
households due housing aid y Multiplier: proportion of
because of domestic violence beneficiaries of preven-
tion or relief funds that are
homeless because of inti-
mate partner violence
EIGE (2021) Victim costs: costs of Top-down: estimate of the total y Budget data: average cost y Budget data: Aviva sur-
moving home cost incurred by divorced indi- of setting up a new home veys (2006, 2014 and
viduals for moving home multi after divorce 2018)
plied by the estimated per- y Multiplier: proportion of y Multiplier: Walby (2006)
centage of couples who have divorces attributable to in-
divorced because of intimate timate partner violence
partner violence
Types of costs
Author Elements needed Types of data
and actors Methodology used
and year to estimate costs source used
bearing the costs
EIGE (2021) Costs to the economy: Top-down: government ex- Budget data from specialist Variety of sources
specialist service costs penditure data and budget service sources
data from specialist service
organisations were used to es-
timate costs
Oliver et al. Service sector costs: Top-down: expenditure data on y Budget data: expenditure y Budget data: MHCLG
(2019) housing costs (temporary housing (temporary housing, on temporary housing, (England) and Welsh
housing, homelessness homelessness aid and main- homelessness aid and government data (hous-
aid and maintenance and tenance and repair) multiplied maintenance and repair ing and homelessness)
repairs) by the estimated proportion of y Multipliers: percentages of y Multipliers: MHCLG
beneficiaries who are victims of beneficiaries of temporary (2017), SafeLives and
intimate partner violence accommodation, home- Gentoo (maintenance
lessness aid and mainten and repair)
ance and repair services
who are victims of intimate
partner violence
Oliver et al. Costs to society / the Top-down: budget and expend- y Budget data: expenditure y Budget information from
(2019) economy: victim services iture data from specialised ser- on specialised services charities, average sal
(charity expenditure, do- vices were used to derive part y Multiplier: FTE data for ser- aries from ONS, Safe-
mestic abuse practition- of the costs of victim services vice employees Lives’ domestic abuse
ers, independent domes- practitioners survey
tic violence advocates, y FTE data: information
government support from charities and Safe-
costs) Lives’ domestic abuse
practitioners survey
Walby et al. Criminal justice system Bottom-up: detailed costs for Unit costs: cost per day multi Unit costs: cost estimate
(2020) costs (police and court units of activity, which were plied by the number of days data per day provided by
costs) then aggregated used per trafficking case by questionnaire responses
the police, by prosecutors from rapporteurs and
and by courts equivalent mechanisms
Cavalin et al. Service sector costs: costs Top-down: the budget provid- Unit costs: state budget: na- Unit costs: state budget
(2015) of supporting victims and ed by the state to which the tional subsidies for receiving from ministerial plan for
prevention services for support provided by depart- and supporting victims (in- fighting against violence
perpetrators of intimate ments and regions is added cluding subsidies for diverse against women; depart-
partner violence associations, e.g. CNIDFF and mental and regional
FNSF); departmental and re- budget: authors’ calcula-
gional budget: budget for tions
local actions
Types of costs
Author Elements needed Types of data
and actors Methodology used
and year to estimate costs source used
bearing the costs
Cavalin et al. Service sector costs: costs Bottom-up: unit cost of refuge y Unit costs: average cost y Unit costs: cost of ref-
(2015) of housing assistance space per year or housing sub- per space per year (ref uge units obtained from
provided to victims of in- sidies multiplied by the number uges), average cost of the DGCS; housing as-
timate partner violence of people who will use these housing subsidies (hous- sistance data computed
(refuge spaces and hous- services because of intimate ing assistance) using National Fund for
ing aid) partner violence y Frequency data: number Family Allowances data
of refuge spaces available, y Frequency data: avail
number of people hav- able housing spaces
ing divorced because of from a survey carried
intimate partner violence out by the DGCS in 2013;
(considering only couples number of people seek-
with children) ing housing aid because
of intimate partner vio-
lence from French Min-
istry of Justice data and
Insee data
Cavalin et al. Service sector costs: costs Bottom-up: number of divorces y Unit costs: average family y Unit costs: National Of-
(2015) of family support allow- attributable to intimate part- support allowance, aver- fice for Family Allocations
ance and active solidar- ner violence multiplied by the age active solidarity in- y Multipliers: number of
ity income for victims in percentage of intimate partner come divorces obtained from
connection with divorces violence victims who will need y Multipliers: number of di- ‘key data from Justice
attributable to intimate support multiplied by the aver- vorces attributable to inti- 2013’ and percentage
partner violence age amount of family support mate partner violence and of intimate partner vio-
allowance given to each family proportion of victims who lence victims estimated
or amount of active solidarity will need support services from conversations with
income lawyers; percentage of
intimate partner violence
victims who need ser
vices obtained from In-
see data
Cavalin et al. Service sector costs: child Top-down: total budget for y Budget data: total budget y Total budget for child
(2015) welfare support costs child welfare multiplied by the for child welfare (ASE) in welfare: Insee data
attributable to intimate percentage of children who are 2012 y Multiplier: estimate
partner violence ASE (child welfare) beneficiaries y Multiplier: percentage of based on seven different
as a result of intimate partner children who are ASE bene studies
violence ficiaries as a result of inti-
mate partner violence
Néréa et al. Service sector costs: costs Bottom-up: unit cost of service y Unit cost: cost of providing y Unit cost: estimated
(2018) of supporting victims, e.g. multiplied by the number of support from interviews
provision of information, victims who will need this sup- y Victim-based data: number y Victim-based data: re-
listening, orienting and port of victims who will need course rate estimated
supporting during the ju- this support (recourse rate from interviews and the
dicial process, vocational multiplied by number of number of victims ob-
reintegration and coordin victims) tained from data from
ation the French government
(https://arretonslesvio-
lences.gouv.fr) and Insee
surveys (2012–2017)
Types of costs
Author Elements needed Types of data
and actors Methodology used
and year to estimate costs source used
bearing the costs
Néréa et al. Service sector costs: costs Bottom-up: unit cost of service y Unit cost: costs of housing y Unit cost: existing re-
(2018) of housing women in dedi multiplied by the number of y Victim-based data: number search by Cavalin et al.
cated and specialised cen- victims who will need this sup- of victims who will need (2015)
tres port this support (recourse rate y Victim-based data: re-
multiplied by number of course rate estimated
victims) based on the experiences
of specialised associ
ations (percentage of vic-
tims who need support
and amount of time they
will need to be housed
for)
Néréa et al. State costs: costs of re- Top-down: 10 % of the pro- Top-down approach: 10 % of Authors’ calculations
(2018) searching or developing posed total budget the proposed total budget
new innovative policies to
help fight against violence
against women
Néréa et al. Other support service y Other: costs for telephone Top-down approach: state y Other: other sources
(2018) costs (‘serious danger’ support and awareness- budget: national subsidies y Bottom-up: state
phones, 24/7 telephone raising campaigns are from for receiving and supporting budget: data obtained
assistance, annual aware- another source victims (including subsidies from ministerial plan for
ness-raising campaign) y Bottom-up: unit cost of for diverse associations, e.g. fighting against violence
a ‘serious danger’ phone CNIDFF and FNSF); depart- against women; depart-
multiplied by the number of mental and regional budget: mental and regional
phones distributed budget for local actions budget: authors’ calcu-
lations
Alcon et al. Victim costs: costs of Bottom-up: number of victims y Unit costs: average cost y Unit costs: methodology
(2019) moving home (changing relocating multiplied by the of relocation assuming based on Zhang et al.
neighbourhood/city and average cost of relocating a move to a two-bedroom (2012)
possibly employment) flat within the same city y Number of women relo-
y Victim-based data: num- cating: Macroencuesta
ber of women (and chil- de la Violencia contra la
dren) relocating Mujer (2015) de la Dele
gación del Gobierno para
la Violencia de Género
(2015 Survey on Violence
against Women)
Alcon et al. Service sector costs: costs Costs of specialist services that y Budget data from a select- y Budget data from annual
(2019) of providing basic assist provide assistance to women ed number of specialist expenditure reports of
ance, telephone services victims of gender-based vio- services relevant organisations
for information and emer- lence y Victim-based data: num- (where available)
gencies, and specialised ber of women who contact y Victim-based data: Macro
units specialist services encuesta de la Violencia
contra la Mujer (2015) de
la Delegación del Gobier-
no para la Violencia de
Género (2015 Survey on
Violence against Women)
NB: ASE, Aide Sociale a l’enfance; CNIDFF, Centre national d’information sur les droits des femmes et des familles; DGCS, Directorate
General for Social Cohesion; FNSF, Fédération nationale solidarité femmes; FTE, full-time equivalent; Insee, National Institute of
Statistics and Economic Studies.
The majority of the cost types included in data. Similarly, in most cases, expenditure on
this category relate to service sector costs for specialist services is almost entirely attributable
housing aid and child welfare. It is difficult to to gender-based violence given the specificity of
quantify some of these costs because of the vari- the services provided. As such, no assumptions
ety of services and specialised organisations about users were needed for the cost estima-
available at both local and national levels and the tions. However, data on specialist services are
lack of reliable data associated with them. The dispersed and incomplete because of the variety
majority of the studies reviewed relied on the of these services across countries and the lack of
top-down approach, using expenditure data details in the administrative data in some non-
on housing, child welfare and specialist ser- profit organisations.
vices. The method used to estimate the propor-
tion of these costs attributable to gender-based
violence varied. Because of the unavailability of 3.3.5. Other non-monetisable costs
disaggregated data on the proportion of expend
iture associated with gender-based violence, An important proportion of the costs associated
most studies relied on assumptions (based on with gender-based violence is non-monetisable.
common knowledge) on the use of these ser- This includes the longer-term physical and emo-
vices by victims of gender-based violence. Data tional impacts on the quality of life of victims
on housing are more comprehensive and often and the loss of human life as a consequence of
include calculations on the proportion of hous- gender-based violence. Table 20 summarises
ing beneficiaries in need of support because of the methodologies used in the studies reviewed
domestic violence, available from administrative to calculate non-monetisable costs.
Types of costs
Author Methodology Elements needed Types of data source
and actors
and year used to estimate costs used
bearing the costs
EIGE (2021) Victim costs: physical and Bottom-up: the unit y Unit cost: negative y Unit cost: existing 2018 Home
emotional impacts on vic- cost of the physical percentage impact on Office research on the economic
tims – reduction in the and emotional impacts a person’s quality of life and social costs of crime
quality of life of victims multiplied by the inci- (QALY loss) from differ- y Incidence data: estimated from
from the physical and emo- dence of gender-based ent injuries multiplied 2019/2020 CSEW data and 2019
tional harms suffered as violence and intimate by the duration of harm ONS data
a result of the crime partner violence in the for different injuries
United Kingdom for dif- y Incidence data: num-
ferent crime categories ber of incidents of gen-
der-based and intimate
partner violence in the
United Kingdom
Oliver et al. Victim costs: physical and Bottom-up: QALY ap- y Unit cost: statistical y Unit cost: The Green Book (HM
(2019) emotional impacts on vic- proach, using the sta- value of 1 year of life Treasury, 2012)
tims – reduction in the tistical value of 1 year y Multipliers: likelihood of y Multiplier: likelihood of physical
quality of life of victims of life without disability physical and emotional or emotional injury as a result of
from the physical and emo- discounted by the dis harms as a result of do- intimate partner violence from
tional harms suffered as ability weights by injury mestic abuse, disability the CSEW, Heeks et al. (2018)
a result of the crime multiplied by the like- weights and duration and Acquadro Maran and Ver-
lihood of experiencing etto (2018)
physical and emotional y Incidence: ONS (2018a-g); dur
harms as a result of do- ation: SafeLives (2018)
mestic abuse
Types of costs
Author Methodology Elements needed Types of data source
and actors
and year used to estimate costs used
bearing the costs
Walby et al. Victim costs: loss of qual Bottom-up: health- y Unit cost: value of 1 year y Unit cost: benchmark for the sta-
(2020) ity of life as a result of the oriented framework of of life without disability tistical value of human life (Euro-
physical, sexual and mental the Global Burden of y Prevalence: likelihood of pean Commission, 2009)
injuries caused by human Disease study, in which injury/harm by type of y Prevalence of physical injuries
trafficking disability weights are violence from the CSEW and mental
used to estimate the y Multipliers: disability harms from the Protect study
impact on QALYs both weights and duration (Oram et al., 2016)
during trafficking and y Multiplier: disability weights
post trafficking from the Global Burden of Dis-
ease study and duration from
Reed et al. (2018) for physical in-
juries and from the Adult Psychi-
atric Morbidity Survey for mental
health harms
Cavalin et al. Costs to society / the econ- Bottom-up: number of y Unit cost: statistical y Unit cost: official report by
(2015) omy: loss of human capital deaths linked to inti- value of human life Quinet and Baumstark (2013)
because of deaths linked to mate partner violence (EUR 3 million) y Incidence data: report by the
intimate partner violence multiplied by the statis- y Incidence data: number Délégation aux victimes
(victims, perpetrators and tical value of human life of deaths linked to inti-
children) mate partner violence
Cavalin et al. Victim costs: cost of rapes Bottom-up: estimated y Unit cost: cost of the y Unit cost: computations based
(2015) in relation to intimate part- number of rapes multi- harm on Quinet and Baumstark (2013)
ner violence plied by the cost of the y Incidence data: number y Incidence data: number of re-
harm of rapes related to inti- ported rapes from the National
mate partner violence Observatory of Crime and Crim-
reported to the police/ inal Justice
gendarmerie y Multiplier: obtained from the
y Multiplier: factor for vic- Collectif féministe contre le viol
tims who lodge a com-
plaint (1 in 10) to take
into account rapes that
are not reported
Ornstein (2017) Victim/society losses: loss Econometric approach: y Effects of assault on y Effects of assault on mortality:
of human life propensity score mortality: estimated based on regression model
matching used to es- yearly increase in mor- y Multiplier: value of statistical life
timate percentage in- tality for women and calculated by the Swedish Trans-
crease in mortality men port Administration
after an increase in as- y Multiplier: value of sta-
sault, which was then tistical life
multiplied by the value
of statistical life
EPRS (2021) Victim costs: reduced qual- Bottom-up: (QALY) y Unit cost: value of y Value of a healthy life-year: Euro-
ity of life value of 1 year of a healthy life-year – pean Commission (2020)
healthy life discounted same value estimated y Loss of healthy life-years be-
by disability weights across Member States cause of disability: Global Bur-
multiplied by rates of y Multiplier: loss of den of Disease study
gender-based cyber healthy life-years be-
violence cause of disability
y Prevalence: rates of
gender-based cyber-
violence and regres-
sion-based estimates of
prevalence
Types of costs
Author Methodology Elements needed Types of data source
and actors
and year used to estimate costs used
bearing the costs
Alcon et al. Victim costs: loss of quality Bottom-up: estimated y Unit cost: value of y Prevalence of gender-based vio
(2019) of life as a result of violence prevalence multiplied a healthy life-year, im- lence by injury: Dolan et al. (2005)
by the costs of either pact of gender-based and Macroencuesta de la Violen-
anxiety or depression vio
lence on a healthy cia contra la Mujer (2015) de la
in terms of quality of life-year, disability Delegación del Gobierno para la
life weights Violencia de Género (2015 Survey
y Prevalence of gender- on Violence against Women)
based violence by injury y Value of a healthy life-year:
Dolan et al. (2005, pp. 964–966)
and Dubourg et al. (2005)
All except one study relied on a bottom-up required to measure these latter costs incurred
approach to estimate the loss of quality of life as a result of gender-based violence. The study
as a consequence of gender-based violence. by EPRS (2021) also provides the only recent
This approach consisted of using a benchmark estimate of the cost of gender-based cybervio
for the statistical value of 1 year of human life lence in the EU, which is a growing phenom
without disability as the unit cost, which was enon of concern in the EU and worldwide.
discounted by the physical or emotional harms
to which victims were subjected. Each of the A key strength of the studies reviewed is that
harms was associated with a disability weight they provide a range of estimates, such as
(from the Global Burden of Disease study). The low and high scenarios (Cavalin et al., 2015;
method used to estimate the likelihood of vic- Néréa et al., 2018) and most conservative and
tims incurring these harms varied across stud- least conservative (Alcon et al., 2018), rather
ies. Only two studies (Cavalin et al., 2015; Orn- than point estimates. This acknowledges that
stein, 2017) included the cost to society of the costing studies cannot capture the exact costs
loss of life from gender-based violence. In the of violence and provides transparency about the
case of Cavalin et al. (2015), this cost included degree of uncertainty around point estimates.
the loss of life of perpetrators who take their Specifically, the study by Cavalin et al. (2015)
own life, in addition to the loss of life of victims used high and low estimates of prevalence rates
(including children). of intimate partner violence, the percentage of
people who use emergency services as a result
of intimate partner violence, the percentage of
3.4. Strengths and limitations divorces attributable to intimate partner vio-
of the selected studies lence and the percentage of children who are
beneficiaries of child welfare. Similarly, Néréa et
As shown in the previous section, recent studies al. (2018) used a low scenario for costs based
estimating the cost of gender-based violence on police-recorded data (incidence) and a high
considered a range of costs for different agents scenario for costs based on a survey of victims
(individuals, society/economy). Studies mea- (prevalence). Furthermore, Alcon et al. (2019)
sured costs to the economy that are directly provided a range of potential costs by calcu-
attributable to gender-based violence, such as lating different estimates for the same type of
the costs of housing aid and specialised ser- costs from different data sources. For lost out-
vices for victims of gender-based violence, as put costs, healthcare costs and legal costs, the
well as costs to the healthcare and legal sectors; study used two different cost estimates from
extensive survey and administrative data are Zhang et al. (2012) and the first edition (2005)
of the Home Office report. Separate estimates of costs to the victim and the economy cannot
were also calculated based on the agents con- be fully measured. For example, disentangling
sidered: victims of sexual or physical violence the extent to which poor mental health can be
resulting in injury; women victims of sexual or attributed to gender-based violence rather than
physical violence; women victims of any type of other factors is difficult (EIGE, 2014). Further-
violence; and all victims of any type of physical more, the types of agents for whom costs are
or sexual violence. A range of potential costs measured depend on the visible costs to the
gives greater credibility to the estimates. economy or the individual. In other words, costs
for legal, housing, child welfare or specialised
An additional strength observed in the services may not include costs to individual vic-
selected studies is that they considered the tims who bear costs privately and do not seek
longer-term impact of violence on victims assistance.
after the incidence of the violence. In addition
to short-term physical impacts of gender-based Moreover, the robustness of the estimated
violence, victims may suffer long-term physical costs depends on data availability and quality.
and emotional impacts. The study by Néréa et As shown in Section 2.2, costing studies require
al. (2018) focused on estimating the costs of extensive administrative data on the costs and
supporting women who leave violent relation- use of services. When these data are not avail-
ships. Hence, the study calculated the costs able, alternative estimation techniques are used
of funding specialised services such as infor- instead, but they yield less robust estimates.
mation, health and social services, emergency Because of the limited administrative data
accommodation and judicial services including available, Néréa et al. (2018) estimated the pro-
the costs of increasing the public budgets for portions of victims who will use psychological
women’s NGOs that specialise in supporting trauma care, victims eligible for legal aid and
survivors who wish to exit relationships. Fur- victims who will need housing support through
thermore, the study by Ornstein (2017), which communication with relevant associations. To
is the only study that followed an econometric estimate the proportion of divorces attributable
approach, measured the longer-term/future to intimate partner violence, Cavalin et al. (2015)
costs of violence in terms of loss of life and lost relied on communication with lawyers. Similarly,
earnings for victims in the period after the vio- Cavalin et al. (2015) obtained estimates of the
lent incident. percentage of children who are beneficiaries
of child welfare as a result of intimate partner
However, there are several methodologi- violence based on an assessment of seven dif-
cal limitations to estimating the costs of ferent studies. Furthermore, in accordance with
gender-based violence. First, as shown by EIGE’s 2014 methodology, the present UK case
the comparison of methodologies above, the study relies on estimates from previous litera-
impact of gender-based violence on different ture on the proportion of police time spent on
agents cannot be fully measured. For the cal- intimate partner violence cases, the proportion
culation of lost economic output, for example, of divorces attributable to intimate partner vio-
only two studies (Alcon et al., 2019; EPRS, 2021) lence and the rate of co-occurrence between
separately considered the economic impact of child abuse and domestic violence. Hence,
gender-based violence on employers and the the calculated cost estimates depend on the
economy. Similarly, for healthcare costs, only assumptions and data sources used.
one study (Cavalin et al., 2015) considered costs
incurred by victims for services that are not pro-
vided by public healthcare. For civil legal costs, 3.5. R
eflections and lessons
Cavalin et al. (2015) and the present case study learned
are the only studies to calculate the costs of
divorce attributable to intimate partner violence This section presents the reflections and les-
that are borne by the victim. Second, the impact sons learned from the in-depth assessment of
of gender-based violence across different types the seven studies selected. It first considers the
main components of costing studies at Member that it does not require authors to carry out their
State level. It then considers studies conducted own calculations, which require national survey
at EU level to reflect on the methodology used or administrative data. For example, studies that
in the present study and studies identified in used their own calculations for unit costs relied
the literature review. on survey or administrative data on average sal-
aries, amount of time taken off work, the cost of
each type of healthcare activity, insurance costs,
3.5.1. Estimating the costs of gender-based prison costs, legal aid costs and more (see Sec-
violence at Member State level tion 3.2 for detailed overview of data sources).
However, a key drawback of using unit costs
The majority of the selected studies followed based on existing research is that they may not
either a bottom-up or a top-down approach to account for cost differences between the country
calculate the costs of violence related to lost of focus in the existing research and the Member
economic output, healthcare and legal services State for which the costs were calculated. Finally,
and other monetisable and non-monetisable in the absence of survey or administrative data
impacts. Both the top-down and the bottom-up providing information on the proportion of the
approaches account for different types of costs that can be attributed to gender-based vio-
costs generated for different actors, which can lence, the bottom-up approach may also rely on
include individuals (victims, relatives, employers, estimates based on existing research or inter-
perpetrators) or the economy / society. Figure 1 views and questionnaires designed for a par
summarises the main components of the two ticular study (step 4).
methodologies used in the selected studies.
For the top-down approach, key compo-
The first step in both approaches is to make nents are data on total government expend
a decision about the types of costs to measure iture or budget allocations for the public
and the agents bearing the costs. As shown sector (step 2) and estimates of the propor-
in Section 3.3, studies often use a combination tion of these costs that can be attributed to
of costs to the individual and costs to society gender-based violence (step 3). Some exam-
to estimate the total costs of gender-based vio- ples of the type of data used in the selected
lence. studies include the total costs of legal services
to the public sector in Spain (Alcon et al., 2019),
For the bottom-up approach, key components local authority expenditure on housing services
are data on unit costs (step 2) and the preva- in the United Kingdom (Oliver et al., 2019) and
lence or incidence of gender-based violence in total budgets for child welfare, ministerial action
a Member State (step 3). The latter component plans for fighting violence against women and
was essential for estimating most types of costs in specialist services for victims of gender-based
the selected studies as it estimates the extent of violence in France (Cavalin et al., 2015). Simi-
gender-based violence in a country. The selected larly, the present study also used the following
country-level studies relied on national crime types of data: local authority expenditure on
surveys on domestic abuse (Oliver et al., 2019), the police, data on the costs of moving home
violence against women surveys that provide as a result of divorce, local authority expend
information on the relationship to the perpetra- iture on homelessness services and budgets
tor (Alcon et al., 2019; Cavalin et al., 2015; Néréa et provided to specialist services to support vic-
al., 2018) or police records of crimes committed tims of gender-based violence in the United
by a partner or ex-partner (Néréa et al., 2018). In Kingdom. In some cases, the costs incurred
terms of unit costs, some of the studies reviewed because of gender-based violence can be
used estimates obtained from existing research directly identified, such as costs to specialist
by Heeks at al. (2018), a European Commission services or budgets allocated to actions plans
(2018) report, Gustavsson et al. (2011), MacLean that are specifically aimed at supporting victims
(1998) and Zhang et al. (2012). The advantage of of gender-based violence. In other cases, add
using existing research to estimate unit costs is itional data are needed to calculate the pro-
Step 4: Collection of data on multipliers (in some Step 1: Decision on the types of costs to
cases): for example, proportion of victims who visit a measure and the actors bearing the costs:
hospital because of gender-based violence, proportion lost economic output, healthcare costs, legal
of divorces attributable to intimate partner violence costs, other monetisable and non-monetisable costs
portion of total costs that are attributable to 3.5.2. Estimating the costs of gender-based
gender-based violence. For example, Alcon et al. violence at European level
(2019) used data from official Spanish registers
to determine the percentage of court cases that The two studies identified that estimated costs
were related to gender-based violence. Similarly, at European level (EPRS, 2021; Walby et al., 2020)
Oliver et al. (2019) used local authority data on followed bottom-up methodologies. Importantly,
the provision of accommodation because of Walby et al. (2020) did not estimate separate
‘domestic abuse’ to determine gender-based costs for each Member State. In contrast, the
violence costs related to housing services. How- EPRS (2021) study estimated separate costs for
ever, in the absence of costs that can be directly the Member States and summed these costs to
attributed to gender-based violence or adminis- obtain the EU-level estimate.
trative data that can be used to calculate costs
incurred as a result of gender-based violence, An essential component of both EU-level stud-
estimates are needed from existing research ies was the availability of comparable preva-
or interviews and questionnaires designed for lence data either for the EU as a whole or for
a particular study. each of the Member States. The study by Walby
et al. (2020) estimated the costs of trafficking in relied on the assumption that the differences in
human beings using EU-level prevalence data on costs in the United Kingdom and across Member
the number of victims of trafficking registered in States were due to the size of the populations
2016 from a European Commission report (2018). alone. As a result, some important differences
Moreover, in light of the limited comparable between Member States are not reflected in the
prevalence data on gender-based cyberviolence, EU-level estimates for 2019.
the study by EPRS (2021) used ‘credible proxies’
and multiple sources of prevalence data in Mem- y The extrapolation does not consider the
ber States to provide a reliable range for preva potential differences in survey-based preva
lence. Specifically, estimates of gender-based lence rates across Member States, which
cyberviolence were obtained from the 2012 and means that the cost estimates do not cap-
2019 European Union Agency for Fundamental ture if some Member States have a higher or
Rights surveys, information collected from single lower prevalence/incidence of gender-based
and multi-country studies, and regression-based violence than others.
predictions of the prevalence of cyberviolence
in 2019 (24). To estimate the different unit costs, y Reporting rates of gender-based and intim
Walby et al. (2020) relied on Eurostat data, sur- ate partner violence may vary significantly
veys of EU agencies and national rapporteurs between countries depending on awareness
conducted specifically as part of the study, Euro- of the issue and institutional and cultural bar-
pean Commission publications and websites and riers to reporting. The extrapolation does not
a review of existing literature. Moreover, the quantify these potential differences in report-
EPRS (2021) study used unit cost estimates from ing rates.
Eurostat, the OECD, existing literature and Euro-
pean Commission publications (see ‘References’ y The extrapolation does not capture some
for a detailed overview of the data sources). important differences between countries
based on the types, availability and use of ser-
EIGE’s 2014 study and the present update are vices. Public service systems and government
the only comprehensive studies that have esti- expenditure vary across EU Member States
mated the costs of gender-based and intimate depending on factors such as (existing bar
partner violence in each EU-27 Member State riers to) utilisation of services and legal duties
and at EU level. The ideal way to measure these to provide financial assistance.
costs would be to use comparable data on the
prevalence of gender-based violence and admin- y The extrapolation does not consider potential
istrative data on the cost and use of services as differences between countries in the costs of
a result of gender-based violence (for unit costs), services utilised by victims of gender-based
harmonised at EU level for each Member State. If violence.
calculations use data that are not harmonised at
EU level, the differences between Member States To compare studies carried out in EU Member
would (partly) be due to differences in data sys- States, comparable data are needed on the preva-
tems rather than differences in real costs (EIGE, lence of gender-based violence in the EU. More-
2014). In the absence of recent comparable preva- over, the country-level studies assessed as part of
lence data and administrative data, the present the literature review required extensive national
study (in accordance with the 2014 method administrative and survey data to measure and
ology) measured costs at EU level by extrapo- allocate costs to gender-based violence. Hence,
lating costs calculated in the UK case study to a harmonised approach towards improved
each of the Member States. The extrapolation administrative data collection is needed.
(24) The correlation between cyberharassment/cyberstalking and social media use in 2012 was used to estimate the prevalence of
cyberviolence in 2019.
(25) https://rm.coe.int/16800d383a
(26) https://rm.coe.int/16800d383a
(27) The confidence interval around a particular value gives an estimated range around the measured value that is likely to include the
true (population) value of the parameter (https://yhec.co.uk/glossary/confidence-interval/).
ario for the reported number of incidents y Cost of services. Alcon et al. (2019) used unit
using police data on the number of incidents costs obtained from two different sources
and prevalence data on the number of women (Dubourg et al. (2005) and Zhang et al. (2012))
victims of intimate partner violence. to provide different estimates of total costs.
Moreover, studies that rely on a review of
y Multiple sources of data. EPRS (2021) used multiple sources of literature to estimate total
multiple sources of prevalence data to pro- costs (e.g. the present study for the costs of
vide a range of estimates. moving house) can use the highest and low-
est values identified in the literature to quan-
tify the variation.
4. Conduct a sensitivity analysis to test
assumptions y Intensity of service use (i.e. proportion of
victims who use services or proportion of
In addition to the collection of prevalence or inci- total costs that can be attributed to gen-
dence data, the accounting approach requires der-based violence). Studies that rely on
a decision to be made about the agents for whom existing literature to estimate service costs
costs are measured (individual, society/economy) incurred as a result of gender-based vio-
and the types of costs to include, which is driven lence can use the highest and lowest values
by data availability. Because of data limitations, identified in the literature to quantify the
several studies relied on existing research or variation.
communication with relevant agents to estimate
the cost of a service and the intensity of service
use, that is, the proportion of victims who use 5. Follow up on existing cost estimates to
a service or the proportion of total costs that can study the policy implications of gender-
be attributed to gender-based violence. More- based violence
over, choices related to the use of prevalence
data compared with incidence data, the agents By conducting research that follows up on cost
and types of costs to be included and the data estimates of gender-based violence in a country,
sources to use can lead to differing costs. There- the future policy implications of gender-based
fore, it is recommended that a sensitivity ana violence can be considered.
lysis is carried out to assess the robustness of
the methodology, that is, to quantify how uncer- y Assessing the gap between service use and
tainties regarding different inputs can impact the budget allocated to gender-based vio-
final cost estimates (28). For example, the follow- lence. Néréa et al. (2018) compared calcula-
ing types of inputs can be varied to assess differ- tions on the overall government budget pro-
ent assumptions made when using bottom-up or vided to address the needs of women victims
top-down methodology. of violence with the estimated cost of sup-
porting exit routes for women who are vic-
y Incidence or prevalence data. See recom- tims of intimate partner violence. The study
mendation 3. found that the existing budget in France is
six times lower than the funds needed.
y Agents for whom costs are measured and
the types of costs included. See recommen- y Developing a macroeconomic model for
dation 2. Alcon et al. (2019) calculated three measuring total output gains or losses to
estimates for the different types of costs by the economy. An Italian study (Ciaschini
varying the group of victims included. and Chelli, 2020) used existing cost esti-
(28) According to the European Commission’s Better Regulation Guidelines, a sensitivity analysis is conducted to understand how the
uncertainty in the output of a mathematical model or system can be attributed to the different sources of uncertainty in the model
inputs (https://ec.europa.eu/info/sites/default/files/better-regulation-guidelines.pdf).
mates of violence against women and girls y Monitoring the evolution of service provi-
in the country from 2013 to implement sion and extent of gender-based violence
a macroeconomic input–output approach. to inform future costing studies. The French
The authors added an industry sector to 2018 yellow paper (République Française,
that framework that provides care services 2020) monitors the evolution of services (e.g.
to victims of violence against women and hotline services to help victims of violence)
girls. This model was then also used to and the evolution of violence using indicators
determine the total output gains or losses (number of incidents of violence reported to
that emerge from the reallocation of public the police), showing current data as well as
expenditure from the reduction of violence forecasts. Such indicators can then be used
against women. This approach is quite ver- for future planning purposes, for example
satile as different scenarios can easily be to determine where service demand corre-
estimated, including the total elimination of sponds to service provision or to concentrate
violence. services in the most exposed police sectors.
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