In its 2000 World Refugee Survey, the U.S. Committee for Refugees estimates that as of December 31, 1999, there were over 14 million refugees and asylum seekers worldwide and at least 21 million internally displaced people. (1) The vast majority – as high as 75 percent – are women and young children. (2, 3, 4) In addition to experiencing the same hardships and security concerns as adult male refugees, women and children have special protection needs because of their gender and age. In particular, they need protection from sexual violence and exploitation, as well as physical violence and discrimination. (2, 3, 4, 5, 6, 7) Sexual violence can encompass anything ranging from rape and other sexual physical assaults or attempts to offers of food, protection, documents or other assistance in exchange for sexual favors. (2, 3, 4, 6, 8) This article focuses on protecting women and children in refugee camps from all forms of sexual violence committed by male offenders. Here, the term “refugee” includes refugees, internally displaced people, asylum seekers, and returnees. Similarly, a “refugee camp” refers to a temporary living arrangement where refugees, internally displaced people, asylum seekers, and returnees may reside, but does not include detention facilities. By focusing on women and children, the authors do not suggest that men are not targets of sexual violence or that women cannot be offenders. (4, 8, 9) However, according to the United Nations High Commissioner for Refugees (UNHCR) 1995 guidelines, Sexual Violence against Refugees: Guidelines on Prevention and Response (Guidelines on Sexual Violence), the majority of reported cases of sexual violence involve female targets and male perpetrators. (6) Likewise, by limiting the environment of concern to refugee camps, we do not imply that sexual violence against refugees does not take place elsewhere. It is widely accepted, for example, that sexual violence occurs during flight from and return to the country of origin, as well as in the country of asylum. (2, 5, 6) Refugee camps, however, offer an environment where some practical and commonsense measures based on injury-control models can be implemented fairly easily to reduce the risk of sexual violence for these vulnerable groups. Accordingly, although the assessment and planning tool introduced here is in pilot form and does not address all aspects of sexual or physical violence, exploitation, and discrimination among refugees, it is one step in what must be a coordinated effort to resolve this multi-faceted international problem.