Violence damages women’s health in many ways, both immediate and long-term, both obvious and hidden. Such violence can include physical, sexual and psychological violence. The violence may be committed by an intimate partner or, in the case of sexual violence, by any perpetrator. The manual focuses on violence against women by men, intimate partner violence and sexual assault, as it remains hidden and often unrecognized by the health system. This manual primarily addresses public sector health services, but it is also relevant for health services in the private sector, including services provided by nongovernmental organizations (NGOs). The intended users are health managers at all levels of the health system who have the responsibility for designing, planning or managing health services for women, including those who have been subjected to violence. The purpose of this manual is to strengthen and enable health systems to provide confidential, effective and women-centred services to survivors of violence.