National Guidelines on Management of Sexual Violence in Kenya

Drugs used for STI Prophylaxis
Non-pregnant adults male or Norfloxacin 800 mg Stat
female
Doxycycline 100mg BD one week
Pregnant woman Spectinomycin 2g Stat
Amoxycillin + 3g Stat
Probenicid 1g Stat
Erxthromycin 500mg QDS one week
Children Amoxycillin 15mg/kg TDS one week
Erythromycin 10mg/kg QDS one week
9. Hepatitis B Prevention
The generally available Hepatitis B Vaccines do not provide any protection from
infection if given after an exposure (e.g.: sexual assault), but they do provide
protection from future exposures. It is much less costly to vaccinate all survivors of
rape/sexual violence, rather than to test everyone for Hepatitis B antibodies to see
who might benefit. Ideally, if Hepatitis B Vaccines is available, it should be considered
for survivors of sexual violence according to the revised schedule in the table below.
Dosing Schedule Administration Schedule Duration of Immunity
Conferred
1 st Hep B dose At first contact Nil
2 nd Hep B dose 1 month after 1 st Hep B dose 1-3 years
3 rd Hep B dose 5 months after 2 nd Hep B dose 10 years
10. Medical Management of Adult Male Survivors of
Sexual Violence
Men most commonly experience sexual violence in the form of:
• Receptive anal intercourse;
• Forced masturbation of the perpetrator;
• Receptive oral sex;
• Forced masturbation of the victim.
Male survivors of sexual violence should be triaged in the same manner as female victims.
The same procedures for obtaining consent, taking a history, conducting the physical
examination (although the genital examination will be different) and ordering
diagnostic laboratory tests should be followed, that is:
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