Gender-based violence (GBV) remains a critical issue for women in Eswatini, particularly in Mahwalala Township. This study examined the psycho-social impacts on local women through a mixed-methods approach involving 383 respondents. Results showed 91.4% of participants experienced GBV, with physical abuse most prevalent at 60.1%. Psychological consequences included anxiety (38.1%) and depression (43.3%). Systemic barriers like patriarchal norms and economic dependency exacerbated survivors' vulnerability. The research reveals deep psychological trauma and systemic challenges. Despite survivors' resilience, cultural norms and inadequate institutional support perpetuate abuse cycles. Recommendations include prioritizing women's economic empowerment, strengthening community support systems, and promoting gender-sensitive education to challenge harmful social structures and improve institutional responses to GBV.