Present practices of rape care management in Thuthuzela Care Centres of the North West Province

Sepeng, Nombulelo Veronica; Makhado, Lufuno

doi:10.1080/14330237.2019.1677057

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…Sepeng et al in a study in Africa reported that most rape survivors received managed care for acute psychological health problems, injuries, pregnancy, STIs, and HIV; however, few survivors of rape received managed psychological healthcare during follow-up care sessions. They attributed the low attendance of survivors in psychological follow-up sessions to the lack of an integrated and continuous medical care system [ 33 ]. Ades et al observed that even though patients with a history of sexual assault often had essential health needs, which continued long after the traumatic incident, most of the available services to survivors of rape only focused on acute care immediately after the violence, and a few clinics managed long-term medical outcomes and consequences of rape in a specialized trauma center [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

A qualitative study on the health system-related needs in women survivors of rape

Asadi,

Noroozi,

Salimi

et al. 2024

BMC Health Serv Res

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Background Rape, as an adverse incidence, leads to irreparable complications and consequences in women. Provision of health services to women survivors of rape requires catering for their real needs and identifying current deficits as well as barriers. The present study aimed to explore health system-related needs in women survivors of rape. Methods In the present qualitative study, the participants consisted of 39 individuals, including 19 women survivors of rape and 20 individuals with work experience in providing services to women survivors of rape. The participants were selected using the purposive sampling method with a maximum variation in Isfahan, Iran. Data were collected through in-depth interviews as well as field notes and were concurrently analyzed via conventional qualitative content analysis method. Results After analyzing the interviews, the health system-related needs of women survivors of rape were classified into two main categories: 1- The need for efficient medical care services with three sub-categories, namely “receiving services with respect for privacy and confidentiality”, “non-judgmental behavior and approach”, and “the need to receive empathy and the feeling of not being alone”, and 2- The need for desirable conditions and structure to provide services with two sub-categories, namely “the need to receive comprehensive and integrated services”, and “establishing specialized centers for providing services to survivors”. Conclusions Overall, explaining and highlighting the health system-related needs of women survivors of rape could provide a suitable basis for policy-making and planning according to their real needs. Receiving continuous services in separate centers with confidentiality and empathy could reduce the worries and concerns of women survivors of rape and help improve their health.

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Section: Discussionmentioning

confidence: 99%

A qualitative study on the health system-related needs in women survivors of rape

Asadi,

Noroozi,

Salimi

et al. 2024

BMC Health Serv Res

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“…Most of the rape survivors in this study were referred to the Thutuzela Care Centre for multidisciplinary post-rape care and counselling to prevent the progression to post-traumatic stress disorder and other complications that could follow trauma associated with rape (Sepeng & Makhado 2019 ). Future research on sexual abuse should be focused on understanding the perpetrators of rape in Kimberley and why they do it.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological pattern of rape cases managed at a regional hospital in South Africa

Egenasi,

Benedict,

Adefuye

et al. 2024

Health SA Gesondheid

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Background: South Africa has one of the highest incidences of rape globally. Understanding the epidemiological pattern of rape is needed to inform the design of effective intervention programmes for rape prevention and management of alleged rape cases.Aims: To investigate important epidemiological patterns associated with rape in Kimberly, Northern Cape Province, South Africa.Setting: The Robert Mangaliso Sobukwe Hospital (RMSH) forensic unit.Methods: A descriptive, retrospective cross-sectional clinical audit of rape cases.Results: The majority (93.3%) of the alleged rape victims were women, with a mean age (SD) of 21.6 years (11.3); the male population made up 6.7% of the cases, with a mean age (SD) of 10.5 years (6.9). The highest incidence of alleged rape in the male population was seen in the age group ≤ 16 years (81.8%) and for women 17–30 years (50.3%). Most of the incidents occurred at the perpetrators’ homes (42.7%); on the days Fridays (14.6%), Saturdays (29.9%) and Sundays (23.2%); at night up to midnight 20:00–23:59 (32.9%) (p = 0.01) and involved threats of violence (55.5%). The majority (56.0%) of the perpetrators were known to the victims.Conclusion: Important information about the victims and circumstances in which rape occurs as reported herein can be used to inform the design of effective intervention programmes for sexual crime prevention and management in Kimberly, South Africa.Contribution: This study helped to advance knowledge and understanding of the epidemiological pattern associated with rape in Kimberley, Northern Cape Province of South Africa.

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“…Nevertheless, data suggest that very few children have access to or are referred to specialized services to mitigate the possible detrimental impacts of abuse [11,20]. Furthermore, one study reported that adult rape survivors who reported rape in Thuthuzela Care Centres were not given follow-up care to screen and manage PTSD post-rape experiences [10].…”

Section: Mental Health Care Status Of Rape Survivors Diagnosed With P...mentioning

confidence: 99%

“…However, the mental health care needs of rape survivors are not met in these services. Often they are not even referred to specialized services [10,11]. In addition, many people who have PTSD are hesitant to seek treatment in specialized mental health care settings [12].…”

Section: Introductionmentioning

confidence: 99%

Perspective Chapter: Integrating Follow-up Care Management for Assessment and Management of Rape Survivors Diagnosed with PTSD and Depression in Primary Health Care Settings

Sepeng¹,

Makhado²,

Sehularo³

2022

Health and Educational Success - Recent Perspectives [Working Title]

Self Cite

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Rape is very high in South Africa. It predisposes rape survivors to many health care problems, including the risk of contracting human immunodeficiency virus, sexually transmitted infections, falling pregnant, and long mental health effects. PTSD and depression are regarded as the most common mental health effects diagnosed among rape survivors, and they require long term mental health care management. In the current era, follow-up care management for rape survivors is mostly done at Thuthuzela Care Centres. However, rape survivors do not often go for follow-up care, because these centres are mostly far from them. Thus, this problem can be addressed by integrating the management of these long-term disorders within the primary health care settings in South Africa, because most people have access to their nearby clinics. This chapter aims to describe ways of integrating follow-up care management for continuous assessment and management of rape survivors diagnosed with PTSD and depression through task-shifting these duties to nurses working within the primary health care settings in South Africa. The chapter focuses on the mental health care status of rape survivors diagnosed with PTSD and depression. Training of nurses is essential to manage rape survivors diagnosed with PTSD and depression in primary health care.

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Present practices of rape care management in Thuthuzela Care Centres of the North West Province

Cited by 5 publications

References 17 publications

A qualitative study on the health system-related needs in women survivors of rape

A qualitative study on the health system-related needs in women survivors of rape

Epidemiological pattern of rape cases managed at a regional hospital in South Africa

Perspective Chapter: Integrating Follow-up Care Management for Assessment and Management of Rape Survivors Diagnosed with PTSD and Depression in Primary Health Care Settings

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