Review on Child Sexual Assault; influence of age on management strategies highlighted based on a case history

2^nd Prof. HVJ Fernando Oration - Gender based violence and the forensic medical practitioner

“…This reiterates the importance of offering ECP to prevent possible teenage pregnancies. [27] According to Kawsar et al (2004), prevalence of STI among the survivours of sexual assault is about 26%. [35] Workowski et al (2002) stated that the routine prophylactic therapy is often recommended because follow up with these patients can be difficult.…”

“…Vidanapathirana and Amararatne (2015) stressed that though the prophylaxis treatment of STI is not given to victims of sexual assault in Sri Lanka, it should be prescribed at least when there is evidence of penetration. [27] Another opportunity of improvement in the management is the psychosocial rehabilitation of the survivours of GBV. According to Campbell et al (2007), deliberate self-harm in survivours of sexual assaults is about 26%.…”

“…[35] Therefore, according to Vidanapathirana and Amararatne (2015), psychological symptoms or signs are not necessary to refer to the mental health expert. [27] It is mandatory to adhere to the basic guiding ethical principles such as safety, confidentiality, respect, non-discrimination, responsibility, compassion, being non-judgmental, and survivours right to decide. When providing medico-legal services to the survivours of GBV, the facility should have room with a door that could be closed and locked to discuss issues with the survivor in confidence and safety.…”

“…[26] However, according to Vidanapathirana and Amararatne (2015), "virginity testing" is an example for cultural practice that indirectly contributes to VAW and it can lead to a lack of trust between the couple and emotional instability in woman. [27] There is no conflict with the society discouraging premarital sexual intercourse but using this crude practice is a violation of human dignity and leads to DV. Further, people tend to use "Hymenoplasty" and or changing of the place of residence as attempts of overcoming such negative social practices.…”

“…Further, people tend to use "Hymenoplasty" and or changing of the place of residence as attempts of overcoming such negative social practices. [27] According to UN Declaration (1993), acts of GBV include physical, psychological GBV including emotional abuse, sexual GBV including coercion, social GBV including controlling behavior and economical GBV. [22]GBV are usually combined such as physical violence always with emotional trauma and sexual violence usually with physical violence.…”