The Clinical management of rape in Yaoundé-Cameroon: a descriptive study
Background: Sexual assault is a global health and legal challenge. Nowadays it does not only affect women and girls, but also men and boys of all ages. Management of rape cases is dependent on the lesions and the trauma sustained by the survivors. In Cameroon, a protocol has been developed by the state to improve on the care of sexual assault survivors. There is therefore need to evaluate the clinical management of rape in Yaoundé.
Materials and Methods: This was a prospective descriptive study carried out over a period of 8 months among participants of all age groups visiting the 3 referral hospitals in Yaoundé. A questionnaire was used to collect data of participants from medical records and the data collected was entered and analyzed using SPSS version 23.0.
Results: During the study period, 127 cases of rape were recorded The socio-demographic profile of survivors were mainly females (99.2%), with a mean age of 13 ± 10 years with the 10 to 15 age range been the most represented (25.2%). Vaginal penetration was common in most cases (78%). Survivors consulted at the hospital within 72 hours (54%) for rape (89%) and vaginal lesions (42.5%) were observed on clinical assessment. HIV serology and Hepatitis B were requested in 90.5% and 80.3% of cases respectively. Antibiotic was prescribed for 44.9% of survivors. Prevention of HIV infection by prescribing anti-retroviral was effective in 54% of cases. After the clinical examination, 33.9% of the victims had received emergency contraception. Psychological care was provided to majority of the victims (85%).
Conclusion: Sexual assault remains a prominent fact of our society mainly affecting children. Preventing them involves raising public awareness. The clinical management of survivors of rape needs to be improved on following the standard protocol provided by the government.
Sexual assault, Rape, Survivors, Management
1. World Health Organization. Clinical management of rape survivors: developing protocols for use with refugees and internally displaced persons. [Internet]. Geneva: World Health Organization; 2004 [cited 2019 Nov 13]. Available from: http://www.who.int/reproductivehealth/publications/emergencies/924159263X/en/index.html
2. WHO | Sexual violence [Internet]. WHO. [cited 2019 Jan 30]. Available from: http://www.who.int/entity/reproductivehealth/topics/violence/sexual_violence/en/index.html
3. Hayati EN, Högberg U, Hakimi M, Ellsberg MC, Emmelin M. Behind the silence of harmony: risk factors for physical and sexual violence among women in rural Indonesia. BMC Womens Health. 2011 Nov 23;11(1):52.
4. Rape Statistics By Country 2019 [Internet]. [cited 2019 Nov 15]. Available from: http://worldpopulationreview.com/countries/rape-statistics-by-country/
5. Menick DM. [Sexual abuse at schools in Cameroon: results of a survey-action program in Yaounde]. Med Trop Rev Corps Sante Colon. 2002;62(1):58–62.
6. Foumane P, Dohbit JS, Monebenimp F, Natolga B, Meka ENU, Mboudou ET. Clinical Study of Rape against Females at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, Cameroun. Adv Sex Med. 2014 Apr 4;4(2):11–6.
7. Théra JP, Soumah M, Traoré T, Touré M, Traoré M, Sow ML. [Epidemiological, clinical and judicial aspects of sexual assault in Bamako (Mali)]. Sante Publique Vandoeuvre--Nancy Fr. 2014 Feb;26(1):123–9.
8. WHO | Understanding and addressing violence against women [Internet]. WHO. [cited 2019 Nov 13]. Available from: https://www.who.int/reproductivehealth/topics/violence/vaw_series/en/
9. Campbell R, Dworkin E, Cabral G. An Ecological Model of the Impact of Sexual Assault On Women’s Mental Health. Trauma Violence Abuse. 2009 Jul;10(3):225–46.
10. Jewkes R, Levin J, Mbananga N, Bradshaw D. Rape of girls in South Africa. The Lancet. 2002 Jan 26;359(9303):319–20.
11. Traore Y, Mounkoro N, Teguete I, Djire MY, Diallo A, Bagayogo M, et al. [Clinical and medico - legal aspects of sexual aggressions at Gabriel Toure teaching hospital]. Mali Med. 2010;25(3):27–30.
12. Adama-Hondégla AB, Aboubakari A-S, Fiagnon K, N’kamga-Tchocote AR, Akpadza K. [Epidemiological and clinical aspects of the management of sexual aggression among female victims in Lomé]. Afr J Reprod Health. 2013 Mar;17(1):67–72.
13. Gaensslen RE, Lee HC. Sexual Assault Evidence: National Assessment and Guidebook: (528882006-001) [Internet]. American Psychological Association; 2001 [cited 2019 Dec 17]. Available from: http://doi.apa.org/get-pe-doi.cfm?doi=10.1037/e528882006-001
14. M. Diallo M, Babacar B, Abdoul AD, Aminata N, Cyr EG, Codou S, et al. Epidemiological, Clinical Aspects and Treatment of Victims of Sexual Abuse in the Gynecology and Obstetrics department of Pikine National Hospital in 183 cases. Open J Obstet Gynecol. 2020;10:558–70.
15. Nembe Tendi LG. Epidemiological, clinical and therapeutic aspects of sexual assault among children and adolescents at the Yaounde Central Hospital. Thesis for the obtention of a Clinical Specialisation diploma in Gynecology/Obstetrics; 2019.
16. Mbaye M, Gueye M, Ndiaye-Gueye null, Mame D, Dieng O, Niang MM, et al. [Sexual abuse in Ziguinchor, Senegal: epidemiology and management]. Tunis Med. 2013 Sep;91(8–9):499–504.
17. Adinew YM, Hagos MA. Sexual violence against female university students in Ethiopia.
18. Faye Dieme ME, Traore AL, Gueye SMK, Moreira PM. Sexual abuse: epidemiological, clinical aspects and management at Gynaecological and Obstetrical Department of Dakar University Hospital. J Gynecol Obstet Biol Reprod (Paris). 2008 Jul;37(4):358–64. BMC Int Health Hum Rights. 2017;17(19).
19. Dupong AG. Epidemiological, Clinical, Psycho-social and therapeutic aspects of sexual assault at the Yaounde Gyneco-Obstetric Pediatric Hospital. Thesis for the obtention of a Medecinae Doctorae degree; 2019.
20. Ct C, Mm N, Ak S, Eh F, Jc M. [Epidemioclinical and legal aspects and cost management of sexual abuse among minors in Dakar, Senegal]. J Gynecol Obstet Biol Reprod (Paris). 2015 Feb 25;44(9):825–31.
21. Facuri C de O, Fernandes AMDS, Oliveira KD, Andrade TDS, Azevedo RCS de. [Sexual violence: a descriptive study of rape victims and care in a university referral center in São Paulo State, Brazil]. Cad Saude Publica. 2013 May;29(5):889–98.
22. Menick DM, Ngoh F. Seroprevalence of HIV infection in sexually abused children in Cameroon. Med Trop Rev Corps Sante Colon. 2003;63(2):155–8.
23. Salmona M. Impact of sexual violence on victim’s health: Traumatic memory at work. Psychotherapies. 2017;207–18.