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A 2006 baseline survey conducted by CARE Kenya indicated that sexual and gender-based violence (SGBV) is widespread throughout Kenya’s North Eastern Province. Other findings revealed that high levels of stigma and gender imbalances are associated with sexual violence and female genital mutilation (FGM) and that a coordinated approach to responding to the service needs of survivors is missing. As noted in this report, there is limited awareness of the legal mechanisms available to survivors. The Population Council’s study in Wajir District ascertained the need for and possible components of an integrated and comprehensive services model that could meet the needs of SGBV survivors in the province. Unmarried girls between the ages of 9 and 15 years appear to be the most vulnerable. Intimate partner violence (IPV), especially male to female spousal physical abuse, is also widespread. Male to female physical abuse often precedes sexual abuse within marriage. Female to male spousal physical abuse was also reported. The practice of FGM, which can make sexual intercourse painful, was suggested by women and youth as a possible reason for high levels of marital rape.