{"title":"性侵犯受害者-幸存者的暴露后预防:指导方针和最佳做法。","authors":"Mergan Naidoo, Ramprakash Kaswa, Indiran Govender","doi":"10.4102/safp.v67i1.6073","DOIUrl":null,"url":null,"abstract":"<p><p>This study addresses the importance of post-exposure prophylaxis (PEP) in the context of sexual assault. Post-exposure prophylaxis serves as a critical intervention to reduce the risk of human immunodeficiency virus (HIV) transmission and unintended pregnancies for victim-survivors. Immediate access to PEP, emergency contraception and comprehensive medical assessments is essential for effective care. The study outlines the steps healthcare providers must take, including timely administration of prophylaxis, monitoring for side effects and offering psychosocial support to victim-survivors. It emphasises the need for follow-up visits to ensure ongoing care and the importance of implementing risk-reduction strategies until final infection outcomes are confirmed. Additionally, the role of standardised documentation, such as the J88 form, is highlighted for collecting evidence in cases of sexual violence, ensuring that healthcare practitioners understand their responsibilities in promoting justice. The study underscores the social obligation of healthcare professionals to combat gender-based violence, advocating for reporting mechanisms for child victims and appropriate referral pathways for positive test results. By prioritising the health and wellbeing of victim-survivors, the healthcare community can significantly contribute to their recovery and empowerment, ultimately fostering a supportive environment that addresses both medical and emotional needs following sexual assault.</p>","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":"67 1","pages":"e1-e5"},"PeriodicalIF":1.4000,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224145/pdf/","citationCount":"0","resultStr":"{\"title\":\"Post-exposure prophylaxis for sexual assault victim-survivors: Guidelines and best practices.\",\"authors\":\"Mergan Naidoo, Ramprakash Kaswa, Indiran Govender\",\"doi\":\"10.4102/safp.v67i1.6073\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This study addresses the importance of post-exposure prophylaxis (PEP) in the context of sexual assault. Post-exposure prophylaxis serves as a critical intervention to reduce the risk of human immunodeficiency virus (HIV) transmission and unintended pregnancies for victim-survivors. Immediate access to PEP, emergency contraception and comprehensive medical assessments is essential for effective care. The study outlines the steps healthcare providers must take, including timely administration of prophylaxis, monitoring for side effects and offering psychosocial support to victim-survivors. It emphasises the need for follow-up visits to ensure ongoing care and the importance of implementing risk-reduction strategies until final infection outcomes are confirmed. Additionally, the role of standardised documentation, such as the J88 form, is highlighted for collecting evidence in cases of sexual violence, ensuring that healthcare practitioners understand their responsibilities in promoting justice. The study underscores the social obligation of healthcare professionals to combat gender-based violence, advocating for reporting mechanisms for child victims and appropriate referral pathways for positive test results. By prioritising the health and wellbeing of victim-survivors, the healthcare community can significantly contribute to their recovery and empowerment, ultimately fostering a supportive environment that addresses both medical and emotional needs following sexual assault.</p>\",\"PeriodicalId\":22040,\"journal\":{\"name\":\"South African Family Practice\",\"volume\":\"67 1\",\"pages\":\"e1-e5\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-06-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224145/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"South African Family Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4102/safp.v67i1.6073\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"South African Family Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/safp.v67i1.6073","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Post-exposure prophylaxis for sexual assault victim-survivors: Guidelines and best practices.
This study addresses the importance of post-exposure prophylaxis (PEP) in the context of sexual assault. Post-exposure prophylaxis serves as a critical intervention to reduce the risk of human immunodeficiency virus (HIV) transmission and unintended pregnancies for victim-survivors. Immediate access to PEP, emergency contraception and comprehensive medical assessments is essential for effective care. The study outlines the steps healthcare providers must take, including timely administration of prophylaxis, monitoring for side effects and offering psychosocial support to victim-survivors. It emphasises the need for follow-up visits to ensure ongoing care and the importance of implementing risk-reduction strategies until final infection outcomes are confirmed. Additionally, the role of standardised documentation, such as the J88 form, is highlighted for collecting evidence in cases of sexual violence, ensuring that healthcare practitioners understand their responsibilities in promoting justice. The study underscores the social obligation of healthcare professionals to combat gender-based violence, advocating for reporting mechanisms for child victims and appropriate referral pathways for positive test results. By prioritising the health and wellbeing of victim-survivors, the healthcare community can significantly contribute to their recovery and empowerment, ultimately fostering a supportive environment that addresses both medical and emotional needs following sexual assault.
期刊介绍:
South African Family Practice (SAFP) is a peer-reviewed scientific journal, which strives to provide primary care physicians and researchers with a broad range of scholarly work in the disciplines of Family Medicine, Primary Health Care, Rural Medicine, District Health and other related fields. SAFP publishes original research, clinical reviews, and pertinent commentary that advance the knowledge base of these disciplines. The content of SAFP is designed to reflect and support further development of the broad basis of these disciplines through original research and critical review of evidence in important clinical areas; as well as to provide practitioners with continuing professional development material.