National Guidelines on Management of Sexual Violence in Kenya

• Examine the anus. Look for bruises, tears, or discharge. Help the boy to lie on
his back or on his side. The boy should not be placed on his knees as this may
be the position in which he was violated;
• Consider a digital rectal examination only if medically indicated, as the
invasive examination may mimic the abuse.
The comments made about the collection of medical and forensic specimens in
adults apply equally to children.
4. Investigations
4.1 Investigations for Clinical Management of the Survivor
Basic investigations to know the general condition of the survivor will include
urine specimens and blood tests as indicated below.
• Urine
• Urinalysis – microscopy
• Pregnancy test
• Blood
• HIV Test
• Haemoglobin level
• Liver Function Tests
• VDRL
4.2 Investigations Carried Out for Evidence Purposes
• Urine analysis for epithelial cells;
• High vaginal swab for evidence of spermatozoa.
The health worker should collect the specimen, preserve it for appropriate storage
and hand it over to the police for further investigations and processing in the courts.
Relevant information on the investigations for providing evidence is available in
Chapter Four.
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