Sexual violence committed by someone other than an intimate partner is the subject here, from outright rape to the quieter coercion known as "Banm Prèv," directed at children and adults alike. The authors tie its reach in Haiti to recurring disasters, imperial habits of racism and colorism, severe poverty, and gender inequality, and to conditions on the ground: gang violence, weapons that are easy to obtain, and law enforcement that does not function.

Injury from these assaults runs long and wide, touching victims' bodies, minds, social lives, and spiritual lives, while services for them remain thin. The chapter presents the problem as one of public health and human rights together, warranting urgent attention rather than silence.

After surveying the forms this violence takes and who is likely to suffer it, the authors propose syndemics as a framework for understanding the pattern and for designing both prevention and repair.