Analysis of cases of rape as seen at the Jos University Teaching Hospital, Jos, North Central Nigeria

Daru, Patrick H.; Osagie, EO; Pam, IC; Mutihir, JT; Silas, Olugbenga A.; Cc, Ekwempu

doi:10.4103/1119-3077.79240

Cited by 37 publications

(74 citation statements)

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“…The burden of SA obtained from the present study is comparable to the findings of some previous studies in Nigeria 7,8,9. Also, as in some other Nigerian studies; there was no male SA survivor in the present study.…”

Section: Discussionsupporting

confidence: 90%

Sexual assault in Ile-Ife, Nigeria

et al. 2014

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Background:Sexual assault (SA) is a shattering malevolence against women. This study determined the burden, periodicity, presentation and management of SA in Ile-Ife, Nigeria.Materials and Methods:Retrospective analysis of the hospital records of 76 SA survivors managed over a 5-year period (2007-2011) in Obafemi Awolowo University Teaching Hospitals complex (OAUTHC), Ile-Ife.Results:Sexual assault accounted for 0.69% of all female and 5.2% of all gynaecological emergencies in OAUTHC, Ile-Ife. The survivors’ ages ranged from 4 to 50 years (mean = 17.7 ± 8.8years) and adolescents made up for 48%. The peak prevalence of SA was in February and December and among adults and under-16-year-old survivors, respectively. Daytime and weekday SA were significantly more common among the under-16-year-old survivors (P = 0.008). Majority of the survivors (62%) knew their assailant(s). Neighbours were the commonest perpetrators identified (28.2%) and the assailants’ house was the commonest location (39.4%). Weapons were involved in 29.6% of cases and various injuries were identified in 28.2% of the survivors. Hospital presentation was within 24 hours in majority (76.1%) of the survivors, but rape kit examinations were not performed as the kits were not available. Although appropriate medical management was routinely commenced, only 12.7% of survivors returned for follow-up.Conclusions:Seasonal and diurnal patterns exist in the prevalence of SA in Ile-Ife and most survivors that reported in the hospital presented early. Rape kit examinations were, however, not executed, due to non-availability. Personnel training, protocol development, provision of rape kits and free treatment of SA survivors are, therefore, recommended. Public enlightenment on preventive strategies based on the observed periodicity and age patterns is also suggested.

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Section: Discussionsupporting

confidence: 90%

Sexual assault in Ile-Ife, Nigeria

et al. 2014

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“…This is comparable with other surveys [9, 19, 21], where a disproportionate number of sexual assaults occurred among children and adolescents.…”

Section: Discussionsupporting

confidence: 89%

“…The incidence of sexual assault of 0.76% is low compared to similar studies in Nigeria where incidences of 2.1%, 5.6%, 7.7% and 13.8% were reported in Calabar, Jos, Benin and Maiduguri respectively [9, 14, 18, 19]. This low figure is probably due to the very large denominator of 39,770 new gynaecological consultations during the study period.…”

Section: Discussioncontrasting

confidence: 57%

“…This is documented in studies elsewhere where the perpetrators of the sexual assaults were blood relations, neighbours, acquaintances, authority figure and stranger [9, 19, 21, 22]. Neighbours were assailants in 54.9% of cases which explains why 54.6% of rape occurred in neighbours’ homes where the possibility of being caught in the act is quite slim.…”

Section: Discussionmentioning

confidence: 88%

“…In Africa, 5–15% of the females report a forced or coerced sexual experience [9]. In South Africa, prevalence of rape, from community based reports show a figure of 2070 per 100,000 per year [10].…”

Section: Introductionmentioning

confidence: 99%

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Sexual assault in Lagos, Nigeria: a five year retrospective review

et al. 2014

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BackgroundCases of sexual assault are increasingly reported. However, Nigerian researchers have not given adequate attention to this subject despite its attendant social, physical and psychological consequences.This study assessed survivors’ characteristics, circumstances of assault and treatment offered with a view to reducing the incidence as well as improving evaluation and management.MethodsA retrospective review of survivors’ case records at Lagos State University Teaching Hospital, Ikeja, between January 2008 and December 2012. Data was analysed using the Epi-info 3.5 statistical software of the Centre for Disease Control and Prevention, Atlanta U S A.ResultsOf the 39,770 new gynaecological cases during this period, 304 were alleged sexual assault giving an incidence of 0.76% among hospital gynaecological consultations. Only 287 case notes had sufficient information for statistical analysis. Of these, 83.6% were below 19 years, 73.1% knew their assailants (majority were neighbours), most assaults (54.6%) occurred in the neighbours’ homes and over 60% of victims presented after 24 hours of assault.Although 77.3% were assaulted at daytime, teenagers were likely to be raped during the day and non-teenagers at night (P < 0.001). Threat and physical violence were mostly used to overcome victims. Seventy three point six percent had Human Immunodeficiency Virus (HIV) screening with one positive at onset. Post Exposure Prophylaxis for HIV was given in 29.4% of those eligible and emergency contraception in 22.4% of post-menarcheal victims (n = 125).There were neither referrals for psychotherapy nor forensic specimen collected. No record of post-assault conception or HIV infection was found during follow-up.ConclusionsAdolescents remain the most vulnerable requiring life skills training for protection. Survivors delay in presenting for care. Therefore, public enlightenment on the benefits of early interventions and comprehensive care of survivors with the use of standardized protocols are recommended.

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