"Improving access and delivery of comprehensive postexposure prophylaxis (PEP) for Sexual Assault" Top2Btm MSM Symposium Presentation

Published: May 23, 2011

Slide I

Objectives
1. Increase access to and quality of PEP for sexual assault for adults and children
2. Increase access to PEP for MARPS (MSM, Migrants, Incarcerated Populations)
3. Systems Strengthening to the DOH and SAPS
4. Strengthen systems for collecting data to monitor delivery of PEP, adherence and
outcomes
5. Increase awareness and access to PEP for those at risk of occupational exposure

Slide II
Strategy 1: Conducting of Baseline assessment

Assessed 84 Health facilities
• Key findings of the health facility assessment
• Only 29% of the facilities had HCW trained on sexual assault care and PEP service provision
• Policies and guidelines were not universally available
• All sites had PEP medication supplies and HIV testing commodities

Slide III
Results from Client level data
• Of the 1390 records reviewed
• Only 43 (3%) were from males survivors
• The age range of male survivors was 18 months -70yrs
• 60% of the survivors were children below 14 yrs
• 25/43 survivors were tested for HIV
• 21 (84%) were HIV negative
• Only 22% of eligible clients receive correct PEP (3 drug regimen)
• Only 20% received STI treatment
• Data recording tools with comprehensive indicators for sexual assault – generally unavailable
• Client flow generally not clear difficult to assess where delays occurred
• Referral systems not captured

Full text of article available at link below –

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