This manual has been developed by SIHA Network to respond to the growing needs within the Horn of Africa to establish shelters for women and girls whose lives and well-being are at risk. The manual is also inspired by the experiences of women and girl domestic workers and migrant domestic workers and women who have been victimized due to their poor employment conditions and further victimized by the societal and cultural stigma leading to them becoming traumatized and struggling with poor mental health and stigma. Additionally, this manual will serve women survivors of sexual violence and women whose existence is threatened by social norms and religious fundamentalism.