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Government-funded programmes and services for vulnerable - Unicef

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<strong>Government</strong>-<strong>funded</strong> <strong>programmes</strong> <strong>and</strong> <strong>services</strong> <strong>for</strong> <strong>vulnerable</strong> children in SA<br />

➔<br />

PEP<br />

treatment <strong>for</strong><br />

children who<br />

have been<br />

sexually<br />

assaulted<br />

Children who have<br />

been sexually assaulted<br />

may access PEP after<br />

the assault. xxxiii The<br />

treatment is free.<br />

PEP is available if the<br />

child has been sexually<br />

assaulted <strong>and</strong> tests HIV<br />

negative. If the child is<br />

not emotionally ready to<br />

be tested <strong>and</strong> counselled<br />

when reporting the<br />

assault, or if the test<br />

results are not available,<br />

the child should be<br />

started on PEP with a<br />

three-day starter pack<br />

while waiting to be<br />

tested or <strong>for</strong> the results<br />

to become available. If<br />

the results come back<br />

positive, the child should<br />

be counselled <strong>and</strong><br />

referred to appropriate<br />

<strong>services</strong> <strong>for</strong> management<br />

<strong>and</strong> support. If the<br />

results come back<br />

negative, a full course of<br />

PEP treatment should be<br />

provided. xxxv<br />

Targeted beneficiaries<br />

Children (<strong>and</strong> adults)<br />

who have been sexually<br />

assaulted will qualify <strong>for</strong><br />

PEP if:<br />

<br />

to the SAPS or to a<br />

state health facility<br />

within 72 hours of the<br />

assault; <strong>and</strong><br />

<br />

HIV at the time they<br />

present at the health<br />

facility. xxxiv<br />

Hospitals <strong>and</strong> certain<br />

primary health clinics<br />

A combination of AZT<br />

<strong>and</strong> Lamivudine is<br />

administered when the<br />

child presents at the<br />

health facility.<br />

The child must thereafter<br />

return at one-, two- <strong>and</strong><br />

three-weekly intervals<br />

<strong>for</strong> further medication.<br />

The child must return at<br />

three- <strong>and</strong> six-monthly<br />

intervals <strong>for</strong> further HIV<br />

testing.<br />

➔<br />

120

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