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Table Of Contents

1.1Sexual violence: a global problem
1.2Why are these guidelines needed?
1.3Aims of the guidelines
1.4Using the guidelines
1.5Reviewing the guidelines
2Sexual violence: prevalence, dynamics and consequences
2.1Definition of sexual violence
2.2Types of sexual violence
2.4Dynamics of sexual violence
2.4.1Rape myths
2.4.2Risk factors
2.5Health consequences
2.5.1Physical consequences
2.5.2Psychological consequences
3.1.4Service providers
3.1.5Ethical issues
3.1.6Local policies and laws
3.1.7Relationship with investigators
3.1.8Interaction with other services
3.2 Facilities
3.2.1The location
3.3Establishing a service for victims of sexual abuse
3.3.1Initial considerations
3.3.2Evaluation and monitoring
4Assessment and examination of adult victims of sexual violence
4.2The initial assessment
4.2.1Assessing the priorities
4.2.2How health workers should conduct themselves
4.2.3Obtaining consent
4.3Taking a history
4.3.1General medical history
4.3.2Gynaecological history
4.3.3The assault itself
4.4The physical examination
4.4.1General principles
4.4.2The “top-to-toe” physical examination
4.4.3The genito-anal examination
4.5Recording and classifying injuries
4.5.1Injury description
4.5.2Classification of wounds
4.5.3Genito-anal injuries related to penetration
4.5.4Injury patterns and their interpretation
4.6Diagnostic tests, specimen collection and forensic issues
5Forensic specimens
5.1The purpose of forensic specimens
5.2Forensic specimen collection techniques
6Treatment and follow-up care
6.1Physical injuries
6.2Pregnancy prevention and management
6.2.1Emergency contraception
6.2.2Pregnancy testing and management
6.3Sexually transmitted infections
6.3.1STI testing
6.3.2Prophylactic treatment for STIs
6.5Hepatitis B
6.6Patient information
6.7Follow-up care
6.7.1Medical review
6.7.2Counselling and social support
7Child sexual abuse
7.1Definition of child sexual abuse
7.2Dynamics of child sexual abuse
7.2.1Risk factors for victimization
7.2.2Dynamics of disclosure
7.3Physical and behavioural indicators of child sexual abuse
7.3.1Sexualized behaviours
7.3.2 Genito-anal findings
7.5.3Interviewing the child
7.5.4Taking a history
7.5.5The physical examination
7.6Collecting medical and forensic specimens
7.7.1Children and STIs
7.7.2HIV and post-exposure prophylaxis
7.7.3Pregnancy testing and management
7.8Follow-up care
7.8.1Diagnostic conclusions
7.8.2Reporting abuse
7.8.3Follow-up treatment
7.8.4Counselling and social support
8Documentation and reporting
8.1.1How and what should be documented?
8.1.2Storage and access to records
8.1.3Epidemiological surveys
8.3Providing written evidence and court attendance
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Who Sex Assault

Who Sex Assault

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Published by Jansen Lee

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Published by: Jansen Lee on Jul 03, 2011
Copyright:Attribution Non-commercial


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