This report shares findings from the first phase of Empowered Aid in Lebanon around risks of sexual exploitation and abuse in relation to food, WASH, shelter, and cash assistance, throughout the distribution process. It is based on rigorous, longitudinal qualitative research with women and girls living in an urban refugee context in Tripoli, Lebanon. The report also summarizes findings related to other types of distribution-related gender-based violence. It provides targeted, action-oriented recommendations to make aid distributions safer for women and girls, grounded in their own voices.