Kilonzo N, Taegtmeyer M, Molyneux C, Kibaru J, Kimonji V, Theobald S
Liverpool VCT, Treatment and Care, Nairobi, Kenya.
AIDS Care. 2008 Feb;20(2):188-90. doi: 10.1080/09540120701473849.
In Kenya many people who have been affected by sexual violence turn to the health sector for clinical treatment and preventive therapies. This interface provides a vital opportunity to impact on the dual epidemics of HIV and sexual violence. Despite this, the uptake of post-rape care services in health facilities is low and health care providers felt ill-prepared to deal with the consequences of sexual violence. A qualitative study was conducted to better understand the reasons for the low uptake of services and to establish perceptions of sexual violence in Kenya. Thirty-four key informants were interviewed and sixteen focus group discussions with women and men were held in three districts in Kenya. Blurred boundaries between forced and consensual sex emerged. Important implications for the delivery of HIV post exposure prophylaxis (PEP) after sexual violence include the need for gender-aware patient-centred training for health providers and for HIV PEP interventions to strengthen on-going HIV-prevention counselling efforts. Further research needs to determine the feasibility of on-going risk reduction measures in the context of PEP delivery.
在肯尼亚，许多遭受性暴力的人会前往卫生部门寻求临床治疗和预防性治疗。这种对接为应对艾滋病毒和性暴力这双重流行病提供了一个至关重要的契机。尽管如此，医疗机构中强奸后护理服务的利用率较低，而且医疗服务提供者觉得没有充分准备好应对性暴力的后果。开展了一项定性研究，以更好地理解服务利用率低的原因，并了解肯尼亚对性暴力的认知情况。研究人员采访了34名关键信息提供者，并在肯尼亚的三个地区与女性和男性进行了16次焦点小组讨论。强迫性行为和双方自愿性行为之间的界限变得模糊不清。性暴力后提供艾滋病毒暴露后预防（PEP）所产生的重要影响包括，需要为医疗服务提供者提供注重性别的以患者为中心的培训，以及需要通过艾滋病毒PEP干预措施来加强正在进行的艾滋病毒预防咨询工作。进一步的研究需要确定在提供PEP的背景下持续采取降低风险措施的可行性。
