Meeting Survivors Where They Are: GBV Service Fit and Mismatch in Rural Communities

Gender-based violence (GBV) poses ongoing challenges in rural communities, where structural and cultural barriers often hinder effective support. This qualitative study analyzed six listening sessions and two survivor panels with over 50 participants in a Midwestern state. Using trauma-informed care and cultural humility frameworks, we conducted reflexive thematic analysis to explore service alignment with local values and survivor needs. Two themes emerged: service fits, marked by adaptive, trust-based practices; and service mismatches, involving rigid systems and cultural isolation. Findings highlight the need for survivor-led, flexible, and culturally grounded responses to enhance rural GBV service delivery and promote long-term well-being.