One Stop Crisis Centre (OSCC) — Malaysia's Hospital-Based Model for GBV Survivors

The One Stop Crisis Centre (OSCC) model began as a pilot at Hospital Kuala Lumpur in 1994, championed by emergency-department clinicians and women's NGOs who found that survivors of rape, domestic violence and child abuse were being shunted between separate medical, police and welfare offices. A 1996 Ministry of Health circular made OSCCs mandatory in state hospitals, with district hospitals following in 1997; by then roughly 90% of Malaysian government hospitals operated an OSCC inside their emergency departments.
Hospital-level case registers show sustained caseloads: Hospital Kuala Lumpur's OSCC recorded 1,099 rape cases, 1,851 intimate-partner-violence cases and 160 child-abuse cases in 2005, rising to 1,454 rape, 2,159 IPV and 214 child-abuse cases in 2006.
An independent academic policy analysis of the scale-up found real limits alongside the achievement: once the founding coalition between women's groups and health professionals weakened, many OSCCs were "physically there but then... not staffed," for lack of dedicated funding, and services drifted toward a narrower medical focus with less attention to survivors' non-medical needs. The model remains Malaysia's standard hospital response to gender-based violence and has been studied as a reference case for other countries introducing one-stop models.

Read the full analysis: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-18034-7