A hospital administrator in Papua New Guinea's Jiwaka Province says the country's health system is failing to record the prevalence of domestic violence cases in the country.
Scott Dooley looks after the Kudjip Nazarene Hospital where he says domestic violence makes up the majority of injuries treated.
He says the scale of the problem is just not being represented by the health system.
"Violence against women and acts of domestic violence is actually, kind of comes into this general category of, other accidents and injuries, which could be a gardening accident or could be, you know a man stabbing his wife, so I don't really believe that anyone has good data."
Scott Dooley says cases of unspeakable violence against women are often dealt with at the hospital and there is a need for deep social and cultural change to end the violence.