Política Nacional de Redução da Morbimortalidade por Acidentes e Violência

Challenges for the implementation of the chain of custody for rape victims in the Federal District

“…The more prepared the emergency care professional is for the child, the greater the possibility of reducing the impacts of this violent experience and preventing future emotional trauma and mental illness. 16 The study revealed that 78.95% of professionals treat victims of sexual violence, but only 14.18% of them received any specific training. However, 97.74% of these professionals Challenges for the implementation of the chain of custody Arrais A, Zerbini EC, Jota FSSVBO, Almeida RRM, Costa ARC, Silva KT consider it important to receive continued training to assist victims of sexual violence.…”

“…Arrais A, Zerbini EC, Jota FSSVBO, Almeida RRM, Costa ARC, Silva KT measures, we highlight the implementation of an integrated care network for women and children in situations of sexual violence, as recommended by Law 12.845, which provides for the compulsory and comprehensive care of people in situations of sexual violence. 9 According to the guidelines of the National Policy for the Reduction of Morbidity and Mortality by Accidents and Violence of 2001, 16 people in situations of violence have the right to be welcomed, oriented, assisted and referred, when necessary, to specialized services. 15 In order to this care to occur in its entirety, it is essential that professionals know the current laws, as well as the care manuals recommended by the Ministry of Health and are properly trained.…”

“…15 In order to this care to occur in its entirety, it is essential that professionals know the current laws, as well as the care manuals recommended by the Ministry of Health and are properly trained. 16 However, the present study draws attention to the large number of professionals who work directly in the care of these victims, but are unaware of the technical norms and clinical protocols that support women victims of sexual violence in hospital emergencies, including the legislation of the Chain of Custody. 10 This aspect constitutes a challenge to be faced for the implementation of the chain of custody, since the lack of knowledge, the professionals' discomfort in the care of the victim of sexual violence, as well as the structural weaknesses of the system itself are aggravating factors that do not favor the success of this service, generating negative consequences that affect the lives of victims.…”

“…10 This aspect constitutes a challenge to be faced for the implementation of the chain of custody, since the lack of knowledge, the professionals' discomfort in the care of the victim of sexual violence, as well as the structural weaknesses of the system itself are aggravating factors that do not favor the success of this service, generating negative consequences that affect the lives of victims. 16,17 It was noted that, regarding the way to address psychopathological issues that may affect this type of patient, there is no specific training of professionals to care for the victim of sexual violence, especially when they are children. There is also a lack of awareness of the impacts of a superficial emergency reception on the future development of the case.…”

Adolescents, poverty areas, violence, and public health: an intersectional perspective

“…This organ embraces and victims or relatives and refers them to the services that will attend them. However, in the scope of health, only in 2001 the Ministry of Health enacted the National Policy for the Reduction of Morbimortality due to Accidents and Violence (5) . In 2011, the notification of violence through the System of Surveillance of Violence and Accidents (VIVA) was incorporated as universal and mandatory in all health services (6)(7) .…”