Post rape care services to minors in Kenya: Are the services healing or hurting survivors?

Child sexual abuse is a global problem and a growing concern in Sub-Sahara Africa. It constitutes a profound violation of human rights. To address this problem Kenya has established the Sexual Offences Act. In addition, Kenya... [ view full abstract ]

Child sexual abuse is a global problem and a growing concern in Sub-Sahara Africa. It constitutes a profound violation of human rights. To address this problem Kenya has established the Sexual Offences Act. In addition, Kenya has developed national guidelines on management of sexual violence to grant minors access to healthcare. However, little is known about the experiences of sexually abused minors as they interact with the health and legal system. Accordingly, the case study uses a triangulation of methods in the follow up of two adolescent girls. Health records were reviewed, interactions between the girls and service providers were observed, in-depth interviews were conducted with the girls and informal discussions were held with guardians and services providers. Findings indicated that the minors’ rights to quality health care and protection were being violated. Protocols on post rape care delivery were unavailable. Furthermore, the health facility was ill equipped and poorly stocked. Health providers showed little regard for informed assent, confidentiality and privacy while offering post rape care. Similarly in the justice system, processing was met with delays and unresponsive law enforcement. Health providers and police officers are in grave need of training in sexual and gender based violence, its consequences, comprehensive post rape care and sexual and reproductive health rights to ensure protection of minors' rights. Health administrators should ensure that facilities are equipped with skilled health providers, medical supplies and equipment. Additionally, policies on the protection and care of sexually abused minors in Kenya require amendment.