National Guidelines on Management of Sexual Violence in Kenya

Medical Management
1 Introduction 2
2 Obtaining Consent 2
3 History Taking and Examination 3
3.1 History Taking for Adults 3
3.1.1 Head to Toe Examination for Adults 4
3.1.2 The Genito-Anal Examination 4
3.2 History Taking and Examination for Children 5
3.2.1 History Taking for Children 6
3.2.2 Head to Toe Examination for Children 7
3.2.3 The Genito-Anal Examination for Girls 7
3.2.4 The Genito-Anal Examination for Boys 7
4 Investigations 8
4.1 Investigations for the Clinical Management of the Survivor 8
4.2 Investigations Carried out for Evidence Purposes 8
5 Management of Physical Injuries 9
6 Post Exposure Prophylaxis (PEP) 10
6.1 Timing of PEP for HIV Syrup Based Regimen for Children 10
6.2 Blood Monitoring for PEP 10
6.3 Recommended PEP Regimens for Adults 11
6.4 Recommended PEP Regimens for Children 11
6.4.1 Syrup Based regimen for children 11
6.4.2 Tablet based regimen for children 12
6.5 Side Effects of PEP 12
7 Pregnancy Prevention 12
8 Prophylaxis of Sexually Transmitted Infections 13
9 Hepatitis B Prevention 14
10 Medical Management of Adult Male Survivors of Sexual
Violence
14
11 Medical Management of Perpetrators of Sexual Violence 15
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