The Refentse model for post-rape care: Strengthening sexual assault care and HIV post-exposure prophylaxis in a district hospital in rural South Africa

@inproceedings{Kim2009TheRM,
  title={The Refentse model for post-rape care: Strengthening sexual assault care and HIV post-exposure prophylaxis in a district hospital in rural South Africa},
  author={Julia C. Kim and Ian Askew and Lufuno Muvhango and Ntabozuko Dwane and Tanya Abramsky and Stephen Jan and Ennica Ntlemo and J. Chege and Charlotte H. Watts},
  year={2009}
}
The Population Council conducts research worldwide to improve policies, programs, and products in three areas: HIV and AIDS; poverty, gender, and youth; and reproductive health. This study was made possible by the generous support of the American people through the United States Agency for International Development (USAID) under the terms of Cooperative Agreement Number HRN-A-00-98-00012-00 and Subagreement numbers A104.25A and S107019A. The contents are the responsibility of the Population… Expand
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It is argued that given the scientific evidence for PEP, and the nature of the dual epidemics of HIV and sexual violence in South Africa, the public health and social justice rationale for implementing PEP equals and indeed exceeds that put forward in industrialised countries. Expand
Piloting post-exposure prophylaxis in Kenya raises specific concerns for the management of childhood rape.
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Thika District, Kenya, is the site of an operational research study on the provision of comprehensive post-rape care, including the free provision of HIV post-exposure prophylaxis (PEP), with high rates of childhood rape and demand for post- rape services. Expand
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Compared with other published studies the completion rate of HIV-PEP in the study was high and the uptake and adverse events of HAART in this scenario were similar to previously published studies. Expand
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HIV nPEP was offered to less than half of sexual assault patients, and few completed treatment, and further studies are needed to evaluate and improve appropriateness of HIV nPep administration and follow-up. Expand
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The rape statistic for the country is currently elusive but levels of non-consensual and coerced sex are clearly very high, and international comparison needs to be approached with caution. Expand
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Factors such as the availability of prophylactic treatment for HIV infection and having a sensitive healthcare provider who could provide counselling are more important in women's decisions to seek care after rape than the travel time necessary to access those services. Expand
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In a resource-poor setting with a high HIV prevalence, HIV PEP following CSA is acceptable, safe, and feasible and should be incorporated in to national guidelines in countries with ahigh community prevalence of HIV infection. Expand
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