Many countries in Sub-Saharan Africa experience limited post rape care services – thanks to policy gaps and tensions between HIV and reproductive health staff at service delivery points. Most health facilities also lack protocols and confidential spaces for treatment. Beyond a requirement that examinations be undertaken by a doctor, there were no reporting requirements and an absence of monitoring and evaluation of services.
A 2003 survey also revealed that survivors in Kenya were required to pay for drugs and services in public institutions. Where HIV test and counseling existed, it was delivered in the context of voluntary counseling and testing (VCT). Formal counseling for sexual trauma, where it existed, did not give consideration to HIV testing.
What we do
LVCT Health’s Post Rape Care (PRC) program offers technical assistance to the Kenya government and other key stakeholders for PRC service delivery and policy reform in response to sexual gender based violence. Through LVCT Health’s technical support a rapid policy response for post-rape care services has been witnessed.
The organization played a key role in the development of training curriculums for health care providers on management of sexual violence; health sector standard operating procedure; post rape care data collection tools; the sexual offences act; and the national post rape care kit for collecting medical and forensic evidence.
Focus on health systems strengthening has led to post rape care services in 130 public health facilities across the country being scaled up, four GBV recovery centres at Kenyatta National Hospital, Rift Valley Provincial General Hospital Nakuru, Nyeri Provincial General Hospital and Jaramogi Oginga Odinga Teaching and Referral Hospital Kisumu established; over 1000 health care providers in public health facilities trained on management of GBV survivors; and health information management and logistics systems enhanced in various health institutions in the country.
Over 700 police officers have also been trained on GBV prevention and response; and collaboration established with over 200 multi- sectoral stakeholders to improve referral linkages for GBV Survivors.