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2013 ; 3
(2
): 109-12
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Characteristics, medical management and outcomes of survivors of sexual
gender-based violence, Nairobi, Kenya
#MMPMID26393011
Buard V
; Van den Bergh R
; Tayler-Smith K
; Godia P
; Sobry A
; Kosgei RJ
; Szumilin E
; Harries AD
; Pujades-Rodriguez M
Public Health Action
2013[Jun]; 3
(2
): 109-12
PMID26393011
show ga
SETTING: Médecins Sans Frontières Clinic for sexual gender-based violence (SGBV),
Nairobi, Kenya. OBJECTIVES: Among survivors of SGBV in 2011, to describe
demographic characteristics and episodes of sexual violence, medical management,
pregnancy and human immunodeficiency virus (HIV) related outcomes. DESIGN:
Retrospective review of clinical records and SGBV register. RESULTS: Survivors
attending the clinic increased from seven in 2007 to 866 in 2011. Of the 866
survivors included, 92% were female, 34% were children and 54% knew the
aggressor; 73% of the assaults occurred inside a home and most commonly in the
evening or at night. Post-exposure prophylaxis for HIV was given to 536 (94%),
prophylaxis for sexually transmitted infections to 731 (96%) and emergency
contraception to 358 (83%) eligible patients. Hepatitis B and tetanus toxoid
vaccinations were given to 774 survivors, but respectively only 46% and 14%
received a second injection. Eight (4.5%) of 174 women who underwent urine
pregnancy testing were positive at 1 month. Of 851 survivors HIV-tested at
baseline, 96 (11%) were HIV-positive. None of the 220 (29%) HIV-negative
individuals who returned for repeat HIV testing after 3 months was positive.
CONCLUSION: Acceptable, good quality SGBV medical care can be provided in large
cities of sub-Saharan Africa, although further work is needed to improve
follow-up interventions.