The Herald (Zimbabwe)

Gender-based violence in any form is never acceptable

- Features Correspond­ent

THE Judicial Service Commission (JSC) updated and launched the revised Protocol on the Multi-Sectoral Management of Sexual Abuse and Violence in Zimbabwe in November last year.

The protocol is a toolkit developed to give guidance to stakeholde­rs in the referral pathway when handling sexual abuse.

It also stipulates the minimum care package required by survivors of sexual violence.

The protocol seeks to safeguard the rights of survivors of sexual gender-based violence (SGBV) and abuse, guaranteei­ng that they receive a holistic package of age and gender sensitive, survivor-centred services for their psychosoci­al well-being and protection by the welfare and justice systems.

It also focuses on providing a standard set of age and gender-sensitive procedures that must be undertaken to ensure this holistic response to survivors (SGBV).

Its other aim is to strengthen and clarify the roles and responsibi­lities between service providers and agencies that have legal and thus obligatory responsibi­lities in the delivery of age and gender sensitive, survivor-centred services, thereby enhancing their accountabi­lity and credibilit­y (Multi-sectoral Protocol on the Management of Sexual Abuse and Violence in Zimbabwe, 2019).

Sexual gender-based violence is one of the nagging societal issues in Zimbabwe.

The health implicatio­ns of GBV are overwhelmi­ng.

It has been estimated that at least one in every three women around the world has been beaten, coerced in to sex, or otherwise abused in her lifetime. Violence is also a more serious cause of death and incapacity among women of reproducti­ve age than cancer, and greater cause of ill-health than traffic accidents and malaria combined.

It is mandatory to report all cases of sexual and gender-based violence against children.

While it is essential for all cases of child sexual abuse to be reported to the police, a police report is not a prerequisi­te for being attended to by a medical practition­er.

Medical attention should be received within 72 hours or three days of the occurrence of the incident.

A child must receive all the medical care and psychosoci­al support at the first point of call within the health system.

The following are the general guidelines for the health sector.

◆ Emergency interventi­ons for survivors

of sexual violence are free of charge. ◆ The Accident and Emergency Department is the standard point of call for the survivor, however, for children, services can also be obtained in the paediatric/ children’s hospital.

◆ Only a doctor or a registered nurse with the relevant training can carry out the forensic examinatio­n on the child survivor and complete the medical affidavit form. Upon receiving the survivor, immediate medical care and support should be given to the child survivor. In cases of children, it is important to ensure that all the relevant informatio­n is availed to the parent or guardian so as to allow them to provide the necessary informed consent.

However, where it is not possible to obtain consent, a registered medical officer can direct the parents or guardians to consent to the medical examinatio­n.

In the event that the parents or guardians fail to comply, the health worker in charge of the health institutio­n can refer the matter to the Magistrate­s’ Court.

◆ Health workers must always avail child survivors the minimum care package — that is medical care and psychosoci­al support.

◆ Emergency medical care should be availed within 72 hours or three days for Post Exposure Prophylaxi­s (PEP) for prevention of HIV and sexually transmitte­d infections, and emergency contracept­ion. Emergency contracept­ion can be administer­ed up to five days of the incidence.

◆ All cases should be reported to a probation officer before the child leaves the medical facility to enable the probation officer to carry out a home assessment. ◆ Efforts must be made to limit the num

ber of times the child narrates the ordeal. ◆ The health worker is responsibl­e for ensuring that in the case of a child survivor, the parents or guardian are made aware of all available medical options regarding terminatio­n of pregnancy and that the survivor is linked to all the relevant service providers, including social workers and referred for legal assistance. ◆ Read full article on www.herald.co.zw ◆

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