Strengthening Gender-based violence (GBV) coordination in emergencies: a synthesis of practitioner-driven, globally applicable recommendations

Introduction Gender-based violence (GBV) is a global public health and human rights crisis, requiring coordinated efforts to ensure effective prevention, risk mitigation, and response particularly in emergencies. Despite policy commitments and increased recognition of the importance of addressing GBV in emergencies, funding remains insufficient, inconsistent, and poorly aligned with the changing humanitarian and global health financing landscape. Furthermore, limited evidence on GBV coordination effectiveness limits its consideration in aid prioritisation decisions. This paper synthesizes evidence on GBV coordination in humanitarian and public health emergencies and presents global recommendations to inform policy and practice. Methods Using a rigorous three-phase qualitative methodology—comprising evidence synthesis, case study analysis, and a global expert practitioner consultation—we developed a comprehensive framework and present strategic recommendations to strengthen GBV coordination in emergencies. We further explore the implications of shifting funding landscapes, including the withdrawal of U.S. government support, on the future of GBV coordination. Results Our findings identify seven strategic recommendations aimed at investing in, sustaining, and transforming GBV coordination efforts globally. Key priorities include expanding the GBV coordination workforce, including for risk mitigation, prioritizing GBV coordination within public health emergencies, and investing in information management systems and strategic research. To sustain GBV coordination, we recommend adapting funding models, diversifying financial sources, advancing national leadership and localization, and implementing context-specific coordination approaches, including at the sub-national level. Furthermore, we propose that emergencies can serve as catalysts for broader social and legal transformations that advance GBV prevention and gender equality. Conclusion Our findings provide practical, evidence-based recommendations and a global framework for policymakers, donors, and practitioners to strengthen and sustain GBV coordination in diverse emergency contexts. Sustained progress will require collective commitment to prevent, mitigate, and respond to GBV, even as global health priorities shift, funding landscapes change, and resistance to gender equality intensifies.