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National Guidelines on Management of Sexual Violence in Kenya

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the policy framework from which specific guidel<strong>in</strong>es have been developed. <strong>Kenya</strong><br />

has nati<strong>on</strong>al guidel<strong>in</strong>es for the medical management <strong>of</strong> rape and sexual violence 4 , a<br />

tra<strong>in</strong>er’s manual <strong>on</strong> cl<strong>in</strong>ical care for survivors <strong>of</strong> sexual violence (2007), and a tra<strong>in</strong>er’s<br />

manual for rape trauma counselors developed <strong>in</strong> November 2006. However, over<br />

the years, there have been new developments <strong>in</strong> forensic issues and <strong>in</strong> the medicolegal<br />

envir<strong>on</strong>ment that have necessitated the review <strong>of</strong> these guidel<strong>in</strong>es. The recent<br />

experience <strong>of</strong> the massive sexual assaults dur<strong>in</strong>g the 2007/2008 post electi<strong>on</strong> violence<br />

has also further augmented the need to have appropriate guidel<strong>in</strong>es that can <strong>in</strong>form<br />

the service providers <strong>in</strong> such circumstances. The gaps that have c<strong>on</strong>t<strong>in</strong>ued to exist<br />

<strong>in</strong> the legal frameworks as well as the service provisi<strong>on</strong> guidel<strong>in</strong>es that govern the<br />

operati<strong>on</strong>s <strong>of</strong> the various <strong>in</strong>stituti<strong>on</strong>s have also brought to the fore the need to review<br />

the guidel<strong>in</strong>e. These <strong>in</strong>clude the unclear dist<strong>in</strong>cti<strong>on</strong> between the medical and the<br />

legal aspects <strong>of</strong> sexual violence as well as the largely ignored need for psycho-social<br />

support. Myths surround<strong>in</strong>g rape have also c<strong>on</strong>t<strong>in</strong>ued to hamper access to care by<br />

survivors <strong>of</strong> sexual violence. (Some <strong>of</strong> the more popularly held misc<strong>on</strong>cepti<strong>on</strong>s about<br />

rape are summarized <strong>in</strong> the <strong>in</strong>formati<strong>on</strong> for survivors <strong>in</strong> Annex 4). Prevail<strong>in</strong>g myths<br />

affect the way <strong>in</strong> which the society resp<strong>on</strong>ds to rape and rape survivors. When these<br />

myths go unchallenged, sometimes, rape is justified, and even c<strong>on</strong>d<strong>on</strong>ed<br />

It is aga<strong>in</strong>st this background that the M<strong>in</strong>istry <strong>of</strong> Public Health and Sanitati<strong>on</strong> and<br />

the M<strong>in</strong>istry <strong>of</strong> Medical Services collaborated with other stakeholders to develop<br />

comprehensive guidel<strong>in</strong>es that can adequately resp<strong>on</strong>d to the complex and <strong>of</strong>ten<br />

diverse needs <strong>of</strong> sexual violence survivors and bridge the gaps that exist <strong>in</strong> legal<br />

frameworks and service provisi<strong>on</strong> guidel<strong>in</strong>es that are <strong>in</strong> place.<br />

The <str<strong>on</strong>g>Guidel<strong>in</strong>es</str<strong>on</strong>g> seek to address the medical, psycho-social, legal and humanitarian<br />

aspects <strong>of</strong> sexual violence. The ma<strong>in</strong> goal is to ensure that the needs <strong>of</strong> survivors are<br />

addressed as much as possible.<br />

4 <str<strong>on</strong>g>Nati<strong>on</strong>al</str<strong>on</strong>g> <str<strong>on</strong>g>Guidel<strong>in</strong>es</str<strong>on</strong>g> for Medical <strong>Management</strong> <strong>of</strong> Rape and <strong>Sexual</strong> <strong>Violence</strong> (2004)<br />

xii

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