A/HRC/31/47 and assaults suffered by others appear designed to send a broader message that women should not be vocal in the public sphere. 35. OHCHR staff spoke with a number of women who reported that they had been subjected to sexual violence but did not wish to provide detailed accounts or have their stories shared publicly for fear of retaliation, perceived stigma, family pressure or trauma. OHCHR documented the case of one woman who was abducted in Tripoli by an armed group affiliated with Libya Dawn, drugged and raped repeatedly over a period of six months. She also provided information according to which six girls as young as 11 years of age had been subjected to sexual violence by members of the same group. 36. Many women reported greater challenges to their fundamental rights, such as freedom of movement or the right to work, following the armed conflict of 2011. Some drew attention to religious decrees issued by the Mufti of Libya questioning the equality of men and women as evidence of the entrenchment of a rigid ideology that, when implemented, is harmful to women’s rights. Women in Tripoli and Benghazi experienced difficulties in exercising such rights as freedom of movement owing to the requirement that they be accompanied by “male guardians”. Six women reported difficulties in obtaining basic civil services in Tripoli, such as identification documents, and 12 women described restrictions placed upon their ability to work. 37. In areas controlled by groups pledging allegiance to ISIL, some women reported having been confined to their home owing to the fear of being exposed to harassment, abduction and servitude. Older girls and women were not allowed to leave their house without being fully covered up, including covering their face (niqab). Some women reported that they were no longer able to work or to be seen without a male guardian for fear of reprisals by groups pledging allegiance to ISIL or Ansar al-Sharia. 38. OHCHR also interviewed six women whose access to justice was curtailed out of their fear of retaliation by armed groups controlling relevant facilities and territories, particularly when reporting crimes committed by the groups. F. Economic, social and cultural rights 39. Enjoyment of economic, social and cultural rights further declined in Libya in 2014 and 2015. Most of the causes related to the conflict, although the situation appears to have been compounded by the economic situation and specific budgetary and planning decisions made by the Government. Women, internally displaced persons, children and migrants were particularly affected. Fighting in and around urban areas has led to the destruction of homes and triggered large-scale displacement; according to UNHCR, the number of internally displaced persons increased sharply from 80,000 in May 2014 to 435,000 in May 2015. 40. According to the Office for the Coordination of Humanitarian Affairs, as at September 2015, 1.9 million people in Libya required essential humanitarian aid in order to meet basic health-care needs. The security situation, including attacks against or with an impact on health facilities, health-care and humanitarian workers, and the departure of foreign medical personnel owing to the violence have been the dominant causes of disruption to health care. Access to health care has also apparently been compromised by the Government’s limited investment in infrastructure and programme delivery budget cuts. Structural and administrative deficiencies regarding emergency preparedness and coordination also had an impact on the response. 41. Access to education has been significantly curtailed, particularly in the east; for example, the Office for the Coordination of Humanitarian Affairs estimated in September 9