Kufa Kudzai, Magure Tapiwa, Shambira Gerald, Gombe Notion Tafara, Juru Tsitsi Patience, Nsubuga Peter, Borok Margaret, Iliff Virginia, Mushambi Timothy, Tshimanga Mafuta
Department of Community Medicine, University of Zimbabwe.
National AIDS Council, Zimbabwe.
Afr J Reprod Health. 2019 Dec;23(4):99-107. doi: 10.29063/ajrh2019/v23i4.12.
Sexual violence is a major public health problem due to the associated risk of acquiring sexually transmitted infections, behavioural disorders and risk of committing suicide. The Adult Rape Clinic (ARC) was established at Parirenyatwa Hospital, Harare in 2009 with the objective of providing medical and support services for survivors of sexual violence in a safe and private environment. The data collected had never been analysed since the establishment of the clinic. We described the clients' profile and the services offered at the clinic to identify gaps in service provision and areas of improvement. A retrospective record review of data was carried out from the ARC collected from February 2009 to December 2017. We analyzed 2343 affidavits that were available. Out of 2343 records analysed, (2190) 93.5% were female and 6.5 % (153) were male. The median age was 23years (Q1=21; Q3= 29) for males and 19 years (Q1= 17; Q2=25) for females. Among the clients, 2164 (92.4%) received a baseline HIV test, and 263 females and 6 males tested positive. From 2010 to 2017, six clients' seroconversion was recorded. Only 863(36.8%) clients presented within 3 days after the sexual assault. About 40% of male victims were assaulted by someone they knew and 27% were married. The study recommends further research on the determinants of late presentation after sexual assault.
性暴力是一个重大的公共卫生问题，因为它会带来感染性传播疾病、行为障碍以及自杀风险。2009年，哈拉雷的帕里伦亚瓦医院设立了成人强奸诊所（ARC），旨在为性暴力幸存者在安全私密的环境中提供医疗和支持服务。自诊所成立以来，所收集的数据从未得到分析。我们描述了诊所客户的概况以及所提供的服务，以找出服务提供方面的差距和改进领域。对2009年2月至2017年12月期间从ARC收集的数据进行了回顾性记录审查。我们分析了可得的2343份宣誓书。在分析的2343份记录中，93.5%（2190份）为女性，6.5%（153份）为男性。男性的年龄中位数为23岁（第一四分位数=21；第三四分位数=29），女性为19岁（第一四分位数=17；第二四分位数=25）。在这些客户中，2164人（92.4%）接受了艾滋病毒基线检测，263名女性和6名男性检测呈阳性。2010年至2017年期间，记录到6例客户血清转化。只有863名（36.8%）客户在性侵犯发生后3天内前来就诊。约40%的男性受害者是被他们认识的人袭击，27%已婚。该研究建议进一步研究性侵犯后延迟就诊的决定因素。
