National Guidelines on Management of Sexual Violence in Kenya

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Does the survivor have any details on the assailant? Is the assailant known, is there any relation? Did the survivor leave any marks on the assailant? Yes No General Examination Describe in detail the physical status Physical injuries (sign in the body map) DOuter genitalia Vagina/hymen Anus Other significant orifices Physical examination [indicates sites and nature of injuries, bruises and marks outside the genitalia] Please use the sketches below to indicate injuries, inflamations, marks on various body parts of the survivor 46
Other Comments from the examination Diagnosis/impression Immediate Management PEP 1 doses EC given Stitching /surgical toilet done STI treatment given No Yes No Yes No Yes No Yes No. of tablets which EC Comment Comment Any other treatment / Medication given /management? Referrals to Police Station VCT/DTC Laboratory OPD/CCC/HIV clinic Trauma counselor? Other (specify) Name of Examining Medical/clinical/Nursing Officer Signature of Examining Medical/clinical/Nursing Officer Date La Sample Type Test Please tick as is applicable Comments bor a t <strong>National</strong> governme nt Lab Health Facility Lab o r y S amp l es L a Genital - Anal - Skin - Oral swabs Specify High vaginal swab Urine Sperm DNA Culture and sensitivity Sperm Pregnancy Test Microscopy Drugs and alcohol Other 47
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 10 and 11: Acronyms 3TC AZT CCC Cr D4T DCT DNA
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 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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