Difference between revisions of "Treating survivors of rape and sexual assault"

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[[Sexual assault]] and [[rape]] can have long-lasting emotional, physical, and social effects on survivors, and are a violation of a person's human rights.  Health care workers are often a first point of contact for survivors of sexual assault and rape, and it is the responsibility of the health care worker to provide emotional support and first aid, as well as collection of evidence for the prosecution of perpetrators.
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[[Sexual assault]], which can be of many forms, including[[rape]] can have long-lasting emotional, physical, and social effects on survivors.  It is a violation of a person's human rights.  Health care workers are often a first point of contact for survivors of sexual assault and rape, and it is the responsibility of the health care worker to provide both emotional support and first aid, as well as collect evidence for the prosecution of perpetrators.  
  
 
==Initial Examination==
 
==Initial Examination==
  
===Manuals===
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===Setting===
* [http://www.cehat.org/go/uploads/Publications/R83Manual.pdf CEHAT Manual for Medical Examination of Sexual Assault]
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The setting for the initial examination of a rape survivor should be a quiet, private place with sufficient lighting and a comfortable bed. The examination itself should be carried out in a non-threatening manner. Any medical doctor can conduct the examination. A female doctor is preferable, but if one is not available, a male doctor should conduct the examination with presence of a female chaperone.  If the rape survivor is a minor, a parent, guardian or other trusted person should be in the room during the examination.  The examination should be conducted without delay, because evidence is lost with time.  The law currently states that a sexual assault survivor does not require an FIR from police to receive a rape examination, and any medical institution which the survivor approaches (whether public or private) is required to perform treatment as well as documentation <ref> http://www.indiankanoon.org/doc/1214266/ </ref>
* [http://www.who.int/violence_injury_prevention/publications/violence/med_leg_guidelines/en/index.html WHO Guidelines for Medico-legal Care for Victims of Sexual Violence]
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===Consent===
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Informed consent for the rape examination, evidence collection, police briefing, and treatment is mandatory. The consent must be signed by the survivor if above 12 years of age, and by the parent or guardian if younger.  The survivor has the right to refuse any part of the examination or evidence collection, however if they do so should be informed of the importance of data collection for future prosecution.  If the survivor continues to refuse evidence collection, they should still be given full medical treatment according to standards of care.
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===Police requisition===
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Once the case is booked at a particular police station or court, the investigating officer (minimum rank sub-Inspector of police) will forward a requisition for medical examination of the survivor of sexual assault.  However, as stated above, if the rape survivor enters a hospital before going to a police station, she must be examined and evidence collected regardless of whether she has a requisition or not. 
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===Documentation===
 +
 
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===Evidence Collection===
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 +
===Examination=== 
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See also, Rape trauma syndrome
 +
 
 
[[Image:Treating_rape_flowchart.png]]
 
[[Image:Treating_rape_flowchart.png]]
  
 
''Source: CEHAT Manual for Medical Examination of Sexual Assault pg 8''
 
''Source: CEHAT Manual for Medical Examination of Sexual Assault pg 8''
 
  
  
 
==Resources for survivors of rape, sexual assault and domestic violence==
 
==Resources for survivors of rape, sexual assault and domestic violence==
 
'''National Police Helpline - 181'''
 
  
 
'''Delhi'''
 
'''Delhi'''
* Police Helpline Number - 011-2337-0557
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* Police Helpline Numbers - '''181 , 011-2337-0557'''
 
* [http://online.wsj.com/public/resources/documents/delhicrisiscenters.pdf Contact details of designated Crises Information Centers]
 
* [http://online.wsj.com/public/resources/documents/delhicrisiscenters.pdf Contact details of designated Crises Information Centers]
 
* NGOs
 
* NGOs
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'''Bangalore'''
 
'''Bangalore'''
* Police Helpline Number - 1091
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* Police Helpline Number - '''1091'''
 
* NGOs
 
* NGOs
 
** [http://vimochana.in/ Vimochana]
 
** [http://vimochana.in/ Vimochana]
 
** [http://www.mahiladakshatasamiti.org/ Mahila Dakshata Samiti]
 
** [http://www.mahiladakshatasamiti.org/ Mahila Dakshata Samiti]
 
  
 
==External links==
 
==External links==
* [http://blogs.wsj.com/indiarealtime/2013/01/10/how-to-report-a-rape-in-india/ How To Report A Rape In India - Wall Street Journal India, 10 January 2013]
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* [http://www.cehat.org/go/uploads/Publications/R83Manual.pdf CEHAT Manual for Medical Examination of Sexual Assault]
* [http://www.firstpost.com/india/doctors-to-cops-heres-the-horror-of-rape-examination-in-india-577953.html Doctors to cops: the horror of rape examination in India - First Post 4 January 2013]
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* [http://www.hrw.org/node/92724 Dignity On Trial] - Report by [http://www.hrw.org Human Rights Watch] critiquing current practices of forensic examination of rape victims in India.
 
* [http://www.hrw.org/node/92724 Dignity On Trial] - Report by [http://www.hrw.org Human Rights Watch] critiquing current practices of forensic examination of rape victims in India.
 
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* [http://www.who.int/violence_injury_prevention/publications/violence/med_leg_guidelines/en/index.html WHO Guidelines for Medico-legal Care for Victims of Sexual Violence]
  
 
==Notes==
 
==Notes==

Revision as of 18:39, 20 January 2013

Sexual assault, which can be of many forms, includingrape can have long-lasting emotional, physical, and social effects on survivors. It is a violation of a person's human rights. Health care workers are often a first point of contact for survivors of sexual assault and rape, and it is the responsibility of the health care worker to provide both emotional support and first aid, as well as collect evidence for the prosecution of perpetrators.

Contents

Initial Examination

Setting

The setting for the initial examination of a rape survivor should be a quiet, private place with sufficient lighting and a comfortable bed. The examination itself should be carried out in a non-threatening manner. Any medical doctor can conduct the examination. A female doctor is preferable, but if one is not available, a male doctor should conduct the examination with presence of a female chaperone. If the rape survivor is a minor, a parent, guardian or other trusted person should be in the room during the examination. The examination should be conducted without delay, because evidence is lost with time. The law currently states that a sexual assault survivor does not require an FIR from police to receive a rape examination, and any medical institution which the survivor approaches (whether public or private) is required to perform treatment as well as documentation [1]

Consent

Informed consent for the rape examination, evidence collection, police briefing, and treatment is mandatory. The consent must be signed by the survivor if above 12 years of age, and by the parent or guardian if younger. The survivor has the right to refuse any part of the examination or evidence collection, however if they do so should be informed of the importance of data collection for future prosecution. If the survivor continues to refuse evidence collection, they should still be given full medical treatment according to standards of care.

Police requisition

Once the case is booked at a particular police station or court, the investigating officer (minimum rank sub-Inspector of police) will forward a requisition for medical examination of the survivor of sexual assault. However, as stated above, if the rape survivor enters a hospital before going to a police station, she must be examined and evidence collected regardless of whether she has a requisition or not.

Documentation

Evidence Collection

Examination

See also, Rape trauma syndrome

Treating rape flowchart.png

Source: CEHAT Manual for Medical Examination of Sexual Assault pg 8


Resources for survivors of rape, sexual assault and domestic violence

Delhi


Mumbai

Bangalore

External links

Notes

  1. http://www.indiankanoon.org/doc/1214266/

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