Content_paragraphs:  Between July and October, 248 victims of conflict-related sexual violence, 
  
  including 152 women, 94 girls and 2 men, were documented by the Mission. This 
  
  represented a decrease of almost 33 per cent compared with the previous four months, 
  
  which can be attributed in part to increased difficulties in documenting such cases in 
  
  many of the conflict-affected provinces, especially North Kivu and South Kivu, as 
  
  well as Kasai, Kasai Central, Maniema and Tanganyika. In some areas of North Kivu, 
  
  survivors were, for example, prevented, including by perpetrators, from gaining 
  
  access to medical care, which, in turn, hampered the reporting process. Additional 
  
  monitoring missions and investigations are planned in areas affected by conflict -
  
  related sexual violence to ensure adequate documentation and survivor-centred 
  
  support. Ongoing efforts to demobilize armed groups, such as in Ituri where fewer 
  
  cases of conflict-related sexual violence have been reported, may also have 
  
  contributed to the decrease in documented cases. Overall, armed groups were 
  
  responsible for 55 per cent of conflict-related sexual violence-related incidents, with 
  
  North Kivu representing the most-affected province. Nyatura and Mai-Mai were the 
  
  main perpetrators among armed groups. Cases of conflict-related sexual violence 
  
  have also been attributed to NDC-R factions and Mai-Mai Malaika in Maniema. 
  
  Among State actors, FARDC accounted for 30 per cent and the Congolese National 
  
  Police for 12 per cent of conflict-related sexual violence.  
  
   
  
   
  
   X. Exit strategy