National Guidelines on Management of Sexual Violence in Kenya

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Acronyms 3TC AZT CCC Cr D4T DCT DNA EC EFV Ex Hb HCW HIV/AIDS HVS IDR LFTs NVP OB OPD PEP U+Es VCT LVCT GBV SGBV GBVRC GVRC MOH SV IDPs STIs DRH NHSSP II MDGs PRC PTSD QA QI SDP SGPT ALT Lamivudine Zidovudine Comprehensive Care Clinic Creatinine Stavudine Diagnostic Counseling and Testing Deoxyribonucleic Acid Emergency Contraception Efavirenz Examination Haemoglobin Health Care Worker Human Immuno-deficiency Virus/Acquired Immune Deficiency Syndrome High Vaginal Swab Indinavir Liver Function Tests Nevirapine Occurrence Book Out Patient Department Post Exposure Prophylaxis Urea and Electrolytes Voluntary Counseling and Testing Liverpool VCT, Care and Treatment, Kenya Gender Based Violence Sexual Gender Based Violence Gender Based Violence Recovery Center Gender Violence Recovery Center Ministry of Health Sexual Violence Internally Displaced Persons Sexually Transmitted Infections Division of Reproductive Health <strong>National</strong> Health Sector Strategic Plan Millennium Development Goals Post Rape Care Post Traumatic Stress Disorder Quality Assurance Quality Improvement Service Delivery Point Serum Glutamate Pyruvic Transaminase Alanine Aminotransferase viii
Definition of Terms (Sexual Offences Act 2006) Terms Sexual violence Genital organs Penetration Rape Defilement Indecent Act Survivor Sexual Assault Incest Designated persons Definition Any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic women’s sexuality, using coercion, threats of harm or physical force, by any person regardless of relationship to the survivor, in any setting, including but not limited to home and work 1 . Includes the whole or part of male or female genital organs and for the purposes of the act of sexual violence includes the anus. Means partial or complete insertion of the genital organs of a person or an object into the genital organs of another person. An act done which causes penetration of one persons genital organs with the genital organs of another without their consent or where the consent is obtained by force, threats or intimidation of any kind. An act which causes penetration of a child’s genital organs (child is any one below the age of 18 years). Any unlawful act which causes (i) any contact between the genital organs of a person, his or her breasts and buttocks with that of another person (ii) exposure or display of any pornographic material to any person against his or her will, but does not include an act that causes penetration. Any person who has been violated sexually and has lived through the experience. One unlawfully penetrating the organs of another person with (i) any part of the body of another person or (ii) an object manipulated by another person or that person except where it is done for professional hygienic or medical purposes, (iii) manipulating any part of one’s body or the body of another person so as to cause penetration of the genital organ into or by any part of the other person’s body. An indecent act or an act which causes penetration, done by a person to a relative such as a brother, a sister, a mother, a father, an uncle, a cousin or a grandparent. These include all doctors, nurses and clinical practitioners registered under their various laws and acts of parliament. ix
Page 1: Ministry of Public Health & Sanitat
Page 5: Table of Content Acknowledgements F
Page 8 and 9: The actual writing of the guideline
Page 12 and 13: Executive Summary Sexual violence i
Page 14 and 15: the policy framework from which spe
Page 16 and 17: Medical Management 1 Introduction M
Page 18 and 19: 3.1.1 Head to Toe Examination for A
Page 20 and 21: • Establish ground rules for the
Page 22 and 23: • Examine the anus. Look for brui
Page 24 and 25: 6. Post Exposure Prophylaxis (PEP)
Page 26 and 27: Weight Band Dose AZT Dose 3ZT 10-20
Page 28 and 29: Drugs used for STI Prophylaxis Non-
Page 31 and 32: Psycho-Social Support 1. Introducti
Page 33 and 34: 3. Counseling Different Groups Affe
Page 35 and 36: 7. Types of Counseling • Trauma c
Page 37 and 38: Adherence counseling Effective coun
Page 39 and 40: Forensic Management of Sexual Viole
Page 41 and 42: Crime scene: This is a scene- eithe
Page 43 and 44: Table 3: Possible specimens, method
Page 45: 4.2 Documentation and Reporting In
Page 48 and 49: Humanitarian Issues of Sexual Viole
Page 50 and 51: For effective short and long-term p
Page 52 and 53: Quality Assurance and Quality Impro
Page 54 and 55: 4040
Page 56 and 57: Annex 1: Consent Form Name of Facil
Page 58 and 59: Psychological Assessment (Should be
Page 60 and 61:
Does the survivor have any details
Page 62 and 63:
o r a tory s a m pl es Blood Pubic
Page 64 and 65:
PART 11-MEDICAL DETAILS - (To be co
Page 66 and 67:
This P3 Form is free of charge SECT
Page 68 and 69:
Annex 4. SV Community Awareness Inf
Page 70 and 71:
Remember: you have the right to ask
Page 72 and 73:
RAPE TRAUMA COUNSELING DATA FORM Se
Page 74 and 75:
Annex 7. Information on Mental Asse
Page 76 and 77:
Annex 8. Useful Resources General i
Page 80:
Ministry of Public Health & Sanitat
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National Guidelines on Management of Sexual Violence in Kenya

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