Women’s post-rape experiences with Guatemalan health services

A scoping review of how exposure to urban violence impacts youth access to sexual, reproductive and trauma health care in LMICs

“…Other studies report: limited availability of PEP or other equipment (Gatuguta et al, 2018 ); poor coordination and/or organisation of services including a lack of training among health care workers (Daru et al, 2011 ; Figueiredo et al, 2012 ; Gatuguta et al, 2018 ; Taquette et al, 2017 ). Stigma is also reported (Gatuguta et al, 2018 ) and prejudice towards adolescent sexual practices and abortion (Figueiredo et al, 2012 ; Place et al, 2019 ).…”

“…Provision of post rape care includes post-exposure prophylaxis to HIV (PEP) and/or HIV testing and counselling and sometimes emergency contraception (Akinlusi et al, 2014 ; Daru et al, 2011 ; Gatuguta et al, 2018 ; Muriuki et al, 2017 ). There is evidence that adolescents receive less care than older people (Figueiredo et al, 2012 ; Gatuguta et al, 2018 ) and, with some exceptions (Selenga & Jooste, 2015 ), generally do not receive care needed to address the full range of needs (Place et al, 2019 ).…”

“…Delayed presentation of young people to health services is also reported. Studies based on retrospective analysis of medical records suggest that delayed presentation post sexual assault is common (Akinlusi et al, 2014 ; Badejoko et al, 2014 ; Daru et al, 2011 ; Place et al, 2019 ). Young people are less likely to seek help and more likely to report later than older people (Daru et al, 2011 ; Deschamps et al, 2019 ; Navarro et al, 2012 ).…”

“…Pantelic et al ( 2020 ) To examine discrimination and retention in care among adolescents living with HIV Resource-limited district in the Eastern Cape South Africa (73% of sample identified as urban) Institutional: Discrimination from HCWs HIV adherence 1059 adolescents living with HIV and 979 in follow up interview Quant: survey at baseline and 18 months later 24. Place et al ( 2019 ) To examine pathways to care of women survivors of sexual assault 6 states (5 predominantly urban) in Guatemala Interpersonal and Institutional: Sexual assault including rape and care pathway Post-rape care 23 women who sought care following abuse (14/18 who were asked their age were <24 years) Qual: Interviews 25. Renzaho (2017) To examine factors associated with SRH including gender-based violence Urban slums in Kampala Uganda Interpersonal: Sexual coercion including rape None 663 participants aged between 13 and 24 years living in urban slums Quant: survey 26.Ritchwood et al ( 2019 ) To identify aspects of the clinic environment that either improve or inhibit adolescents living with HIV’s engagement in care Local HIV clinics in Cape Town, South Africa Institutional: Negative attitudes of HCWs HIV treatment Adolescents living with HIV 13–19 years old ( n = ), their caregivers ( n = ), and local stakeholders ( n = 20) Qual: interviews 27.…”

Nursing care provided at medical institutions to female victims immediately after a sexual assault incident: A qualitative descriptive study

“…In particular, medical institutions A and B had specific questionnaires for victims of sexual assault that were created independently by the institution, and nurses used these to obtain information from the victims. Immediately after a sexual assault incident, female victims present at OB‐GYN medical institutions with many forms of anxiety and tension (Place et al, 2019). By setting aside a private room to tend to these victims, the medical institution not only protects the victim's privacy from the physical environment, but also lessens the emotional burden on the victim; this is equivalent to offering the victim safety and reassurance.…”