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Program for Primary Prevention of Sexual Violence in India
The Program for Primary Prevention of Sexual Violence (PPPSV) is a collaborative initiative of various institutions and professionals, funded and initiated by Bayer India that aims to prevent sexual violence against women and children in India.

Using evidence based treatment­-strategies, years of clinical experience and a strong understanding of varying cultural contexts, Indian and German experts have started a dialogue and combined efforts, to protect women and children from experiencing sexual violence and it’s after effects.

The unique goal of the PPPSV is to develop and implement strategies for primary prevention of sexual violence in India by shifting the lens to focus on individuals at risk of committing sexual offenses instead of potential victims.

PPPSV works through two separate initiatives: Don’t Offend India and [http://www.notosexualviolence.org. NO App.]

The Inception
The Program for Primary Prevention of Sexual Violence (PPPSV) was started in India in 2015 as a joint initiative of the KEM Hospital Research Centre, Pune; Bayer India; the Prevention Project Dunkelfeld at Charité University Clinic Berlin, Germany, as well as a panel of experts from India.

It currently operates in Pune and Mumbai.

Arm 1: Don’t Offend India - Prevention through treatment
Don’t Offend India: Prevention through treatment, is a program initiated under PPPSV to prevent child sexual abuse in India. Don’t Offend India’s work focuses on providing psychotherapeutic treatment for individuals with a sexual preference for children (also known as individuals with pedophilia) and / or for early adolescents (known as hebephilia) in India.

Under PPPSV we believe that the only way to fight an epidemic like child sexual abuse is by focusing on prevention. While it is crucial to spread awareness about CSA and teach children how to stay safe, we believe it is not enough. As a society we also need to focus on preventing individuals at risk of committing child sexual abuse from offending in the first place.

By providing therapeutic support for adults and adolescents with a sexual preference for children (pedophiles) and/or early adolescents (hebephiles) Don’t Offend India aims to detect risk early and prevent individuals at risk of committing child sexual abuse from ever offending.

Background
Child sexual abuse is a harsh reality in India. According to the Ministry of Women and Child Development study on ‘Child abuse in India’ in 2007, 53.22% children faced one or more forms of sexual abuse. Child sexual abuse can have serious life-long impact on the physical, psychological, social and sexual health of victims. Efforts to prevent and mitigate the impact of child sexual abuse are therefore required.

Research has shown that child sexual abuse offenders may fall into one of two categories – those who are sexually attracted to children and those who use children as surrogates. Don't Offend India was started with a motivation to provide psychotherapeutic treatment to the first group i.e. individuals who have a sexual preference for children and/or early adolescents - also called people with pedophilia / hebephilia. The aim is to support people with pedophilia and/or hebephilia to lead a satisfying, offense-free life and to ultimately prevent child sexual abuse and the use of child sexual abuse images (often referred to as “child pornography”).

The program offers help to self-identified, self-motivated individuals with pedophilia and/or hebephilia who have not acted out on their fantasies or preferences.

The program works on the basic understanding that no person with pedophilia and/or hebephilia has chosen their sexual preference and an offence-free life with pedophilia/hebephilia is possible. The belief is that no one is guilty for their desires, but everyone is responsible for their behavior.

Locations
Currently the team can be reached through a free and anonymous helpline number at 1800 - 123 - 8905 for information and appointments. Free and confidential treatment is available at the KEM Hospital Research Centre in Pune and with individual therapists in Mumbai.

For individuals who cannot reach out for face-to-face help, there is an anonymous and free of cost online service available: troubled-desire.com offers self-assessment as well as self-management modules.

Treatment
On-site treatment for people with a sexual attraction towards children and/or early adolescents who have not sexually abused a child is offered. It is available in Pune at KEM Hospital Research Centre, and in Mumbai with individual therapists. Here, people are assessed for their sexual preference using research-based psychological tools. Experts have a detailed dialogue with the individual to understand their problems and to plan the treatment. The treatment is strictly confidential and free of cost.

The goal of the treatment is to learn how to deal effectively with one's sexual preference. An important aspect addressed during the treatment is establishing control over one's behavior in such a way that sexual offences against children are prevented. Some components of the therapy are:

●      having an appropriate perception and evaluation of their sexual desires and needs

●      developing the ability to identify and cope with risky situations

●      improving interpersonal relationships

The treatment takes place in individual sessions. It follows a structured therapy plan, taking into account the unique needs of the individual. It integrates sexological and psychological approaches as well as the option of medication, when necessary and wished for by the participant. In addition, the individual can decide to involve the partner, friends or family members.

Arm 2: ‘NO’ Mobile application: Prevention through deterrence.
‘[http://www.notosexualviolence.org. NO’ App] is developed under PPPSV to prevent sexual violence against adults through the use of deterrence. ‘NO’ App is a unique application with its focus on creating a community of individuals standing up against sexual violence. It aims to prevent sexual violence by increasing social control (through the 'NO App' community) and the chances of facing legal consequences when committing a sexual offense. This is done by creating warning system in risky situations so that individuals at risk of committing sexual offenses are deterred from committing these offenses.

Background
Sexual violence is a universal problem in the world whether it be a developed nation or a developing nation, atrocities and cruelties against women are common everywhere. India’s National Crime Records Bureau reported 338,954 crimes against women – including 38,947 rapes – in 2016, the most recent government data available. The actual number of cases of sexual violence is estimated to be twice as high. This data which is widely circulated in the media, brings into question the fulfillment of basic human rights for women. The incidence of sexual violence also directly affects the freedom of all women in society. Further, there is strong evidence for serious effects on the health of victims, such as psychosomatic, psychological disorders as well as impairing future relationships and social status. It is time to make a change, it is time to say ’NO’ to sexual violence.

 'NO' is collaborative effort of KEM Hospital Research Centre Pune, Bayer India and Charité Berlin as a part of (PPPSV) Program for Primary Prevention of Sexual Violence. KEM Hospital Research Centre, Pune has launched ‘NO KEMHRC’ - a mobile application in July 2019 to prevent sexual violence against women by increasing social control (NO App Community).

How it works
 'NO' enables an individual facing sexual harassment to activate a distress call. The distress call sends the location to the user’s preselected contacts, other 'NO' users in the vicinity as well, the 24*7 Assistant call Centre to reach a person in distress, this will be supported by Pune police. In this way, the alerted users and the police are able to reach and support the person in distress.