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close this bookClinical Management of Survivors of Rape - A Guide to the Development of Protocols for Use in Refugee and Internally Displaced Person Situations (United Nations High Commissioner for Refugees (UNHCR) / Alto Comisionado de Naciones Unidas para los Refugiados (ACNUR) - WHO - OMS, 2001, 46 p.)
View the document(introduction...)
View the documentPreface
View the documentAcknowledgements
View the documentAbbreviations and acronyms used in this guide
View the documentIntroduction
View the documentSTEP 1 - Making preparations to offer medical care to rape survivors
View the documentSTEP 2 - Preparing the survivor for the examination
View the documentSTEP 3 - Taking the history
View the documentSTEP 4 - Collecting forensic evidence
View the documentSTEP 5 - Performing the physical and genital examination
View the documentSTEP 6 - Prescribing treatments
View the documentSTEP 7 - Counselling the survivor
View the documentSTEP 8 - Follow-up care of the survivor
View the documentAnnex 1 · Information needed to develop a local protocol
View the documentAnnex 2 · Sample consent form
View the documentAnnex 3 · Sample history and examination form
View the documentAnnex 4 · Pictograms
View the documentAnnex 5 · Protocols for treatment of STIs
View the documentAnnex 6 · Protocols for post-exposure prophylaxis of HIV infection
View the documentAnnex 7 · Protocols for emergency contraception
View the documentAnnex 8 · Minimum care for rape survivors in low-resource settings
View the documentAnnex 9 · Additional resource materials

Annex 1 · Information needed to develop a local protocol

Checklist developed for refugee camps in the United Republic of Tanzania

Certain information is needed before a local protocol can be developed. The following table shows the information collected in the United Republic of Tanzania and where this information was found.

Information needed

Where the information was found

Medical laws and legal procedures

Abortion laws

Ministry of Health

Emergency contraception regulations

Ministry of Health

Foster placement and adoption laws and procedures

Ministry of Community Development, Women Affairs and Children

Crime reporting requirements and obligations, for adult or child survivors

Ministry of Justice

Police and other forms required

Ministry of Home Affairs

Forensic evidence

Which medical practitioner can give medical evidence in court (e.g. doctor, nurse, etc)

Ministry of Justice

Training for medical staff in forensic examination (of adult or child survivors)

Ministry of Health

Evidence allowed/used in court for adult and child rape cases that can be collected by medical staff

Ministry of Justice

Forensic evidence tests possible in country (e.g. DNA, acid phosphatase)

Forensic laboratory in capital

How to collect, store and send evidence samples

Forensic laboratory in capital; laboratory at regional level

Existing "rape kits" or protocols for evidence collection

Referral hospital at regional level or in capital

Medical protocols

National STI protocol

Ministry of Health

Vaccination availability and schedules

Ministry of Health

Location of voluntary HIV counselling and testing services

National AIDS Control Program, Ministry of Health

Confirmatory HIV testing strategy and laboratory services

UNHCR, National AIDS Control Program, Ministry of Health, Regional Medical Officer

Possibilities/protocols/referral of post-exposure prophylaxis of HIV infection

National AIDS Control Program, Ministry of Health

Clinical referral possibilities (e.g. psychiatry, surgery, paediatrics, gynaecology/obstetrics)

Referral hospital at regional level