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National Guidelines on Management of Sexual Violence in Kenya

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Annex 4. SV Community Awareness Info Pack<br />

Annex 4. SV Community Awareness Info Pack<br />

What is rape?<br />

Rape is sex (sexual <strong>in</strong>tercourse) that is obta<strong>in</strong>ed by use <strong>of</strong><br />

force, coerci<strong>on</strong>, <strong>in</strong>timidati<strong>on</strong> <strong>of</strong> any k<strong>in</strong>d or threats. It<br />

<strong>in</strong>cludes penetrati<strong>on</strong> <strong>in</strong> the vag<strong>in</strong>a, the anus or any other<br />

body orifice. Rape happens to pers<strong>on</strong>s when they do not<br />

give c<strong>on</strong>sent to have sex<br />

Rape happens to women and girls as well as men<br />

and boys<br />

In <strong>Kenya</strong>, sex with children below 18 years is called<br />

defilement and is a crim<strong>in</strong>al <strong>of</strong>fence<br />

Rape is <strong>of</strong>ten d<strong>on</strong>e by people we know and may at times<br />

be close to us.<br />

Rape is about violence and the abuse <strong>of</strong> power by a<br />

pers<strong>on</strong>. It is not about love.<br />

What should l do if l am raped?<br />

Get to a safe place and go the nearest health<br />

facility with<strong>in</strong> 72 hours.<br />

Note: The nati<strong>on</strong>al, Prov<strong>in</strong>cial and District<br />

Hospitals provide Post Rape Care Services.<br />

At the hospital you will get:<br />

1. medical evaluati<strong>on</strong> and attenti<strong>on</strong> for your<br />

<strong>in</strong>juries<br />

2. counsel<strong>in</strong>g support for yourself and your family<br />

3. treatments to prevent <strong>in</strong>fecti<strong>on</strong> with HIV,<br />

pregnancy and other sexually transmitted<br />

<strong>in</strong>fecti<strong>on</strong>s<br />

4. referral for other services you may require<br />

What should l NOT do if l am raped?<br />

Do not wash yourself no matter how much you want to<br />

before you visit a hospital and are exam<strong>in</strong>ed by a<br />

medical <strong>of</strong>ficer<br />

Do not destroy or wash your cloth<strong>in</strong>g. Wrap them <strong>in</strong> a<br />

newspaper or brown paper bag<br />

Do not put them <strong>in</strong> a plastic bag. This may destroy the<br />

evidence<br />

Take them to the hospital with you and let the doctor<br />

exam<strong>in</strong>e them.<br />

After rape you may experience feel<strong>in</strong>gs <strong>of</strong> shame,<br />

guilt and blame.<br />

Remember: It is the pers<strong>on</strong> that raped you who is<br />

wr<strong>on</strong>g. What has happened is NOT your fault<br />

uncomfortable, embarrass<strong>in</strong>g and sometimes pa<strong>in</strong>ful,<br />

but it is necessary<br />

• The doctor will ask questi<strong>on</strong>s about the rape<br />

experience. You will need to answer all questi<strong>on</strong>s<br />

asked frankly<br />

• The medical <strong>of</strong>ficer will record this <strong>in</strong>formati<strong>on</strong><br />

<strong>in</strong> detail <strong>in</strong> a book (that you may be required to<br />

buy) or <strong>in</strong> a form already available at the<br />

hospital. The medical <strong>of</strong>ficer will need to sign<br />

this<br />

• if possible take a family member or a friend with<br />

you to support you<br />

Remember: keep the medical notes and any<br />

documents that the doctor writes <strong>in</strong> a safe place. You<br />

may require them at a later date.<br />

What treatment do l need if l have been raped?<br />

Treatment <strong>of</strong> your physical <strong>in</strong>juries (if there are any) is<br />

most important<br />

Drugs that could reduce chances <strong>of</strong> <strong>in</strong>fecti<strong>on</strong> with HIV<br />

after rape are available<br />

<br />

<br />

<br />

These anti-retroviral (ARV) drugs are<br />

referred to as PEP (Post Exposure<br />

Prophylaxis)<br />

PEP must be started so<strong>on</strong>est possible after<br />

rape and certa<strong>in</strong>ly with 72 hours<br />

PEP is taken for a period <strong>of</strong> 28 days<br />

PEP is prescribed and managed by a<br />

qualified medical <strong>of</strong>ficer<br />

PEP will benefit you ONLY if you were<br />

HIV negative before be<strong>in</strong>g raped<br />

Tak<strong>in</strong>g PEP when you are HIV positive is<br />

not useful and <strong>in</strong>creases your body<br />

resistance to any future ARV treatment<br />

A HIV test is therefore necessary to<br />

determ<strong>in</strong>e whether or not you can take PEP<br />

Drugs to prevent pregnancy (emergency c<strong>on</strong>tracepti<strong>on</strong>).<br />

These drugs are also available <strong>in</strong> pharmacies.<br />

The most comm<strong>on</strong>ly used drug is called<br />

post<strong>in</strong>or 2.<br />

If this is not affordable or available, ask<br />

your pharmacist to give you a comb<strong>in</strong>ati<strong>on</strong><br />

for emergency c<strong>on</strong>tracepti<strong>on</strong> from normal<br />

oral c<strong>on</strong>traceptive pills<br />

What happens at the hospital?<br />

Drugs to reduce the possibility <strong>of</strong> <strong>in</strong>fecti<strong>on</strong> with sexually<br />

• A medical <strong>of</strong>ficer will exam<strong>in</strong>e your whole body for transmitted diseases (STIs)<br />

marks, bruises and wounds. The exam<strong>in</strong>ati<strong>on</strong> may be<br />

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