Sex site adults kenya
All three districts experienced significant challenges in implementing the new services, many of which related to the lack of coordination between vertical and horizontal systems.For example, Thika and Rachuonyo district hospitals were unable to prescribe empirical STI treatment from existing stocks until new systems for reporting were developed that did not directly link drug supply to screening results.By the end of 2007 a total of 784 survivors of sexual violence had been seen in the three sites, with 43% of them young people (predominantly girls) aged less than 15.Of these 84% arrived in time to be eligible for PEP.A 3-day training course aimed at all types of frontline clinicians involved in post-rape care included skills for clinical evaluation, risk assessment and legal documentation.The other longer course targeted practicing HIV counsellors from the facilities and focused on skills and observed practice for trauma counselling, HIV testing after rape, PEP adherence and legal information.
Furthermore, survivors were required to pay for drugs and services in public institutions.
Where HIV-test counselling existed, it was delivered in the context of voluntary counselling and testing (VCT).
Formal counselling for sexual trauma, where it existed, did not give consideration to HIV testing.
If survivors of sexual violence are to access the range of basic services they require, existing links between vertical and horizontal programmes involved in post-rape care require strengthening (Table 1).
Facilities lacked protocols and confidential spaces for treatment.