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National Guidelines on Management of Sexual Violence in Kenya

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_________________________________________________________________________________<br />

2. Approximate age <strong>of</strong> <strong>in</strong>juries (hours, days, weeks)<br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

3. Probable type <strong>of</strong> weap<strong>on</strong>(s) caus<strong>in</strong>g <strong>in</strong>jury<br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

4. Treatment, if any, received prior to exam<strong>in</strong>ati<strong>on</strong><br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

5. What were the immediate cl<strong>in</strong>ical results <strong>of</strong> the <strong>in</strong>jury susta<strong>in</strong>ed and the assessed degree, i.e.’<br />

harm’’, or’ grievous harm’’.*<br />

DEFINITIONS:-<br />

‘’Harm’’ Means any bodily hurt, disease or disorder whether permanent or temporary.<br />

‘’Maim’ means the destructi<strong>on</strong> or permanent disabl<strong>in</strong>g <strong>of</strong> any external or organ, member or sense<br />

‘’Grievous Harm’’ Means any harm which amounts to maim, or endangers life, or seriously or permanently <strong>in</strong>jures health, or which is likely<br />

so to <strong>in</strong>jure health, or which extends to permanent disfigurement, or to any permanent, or serious <strong>in</strong>jury to external or organ.<br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

Name & Signature <strong>of</strong> Medical Officer/Practiti<strong>on</strong>er_____________________________________<br />

Date______________________________________<br />

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