n Acta Criminologica: Southern African Journal of Criminology - Provision of health care and social services for child rape survivors : factors predicting the extent of service provision

Volume 23, Issue 3
  • ISSN : 1012-8093



The present study examined the extent of health and social service provision in a consecutive sample of 200 child rape survivors who presented for medico-legal assessment at a state hospital located in the North Durban area of KwaZulu-Natal,South Africa. For purposes of the study, a child was regarded as having received "full service provision" if they benefited from all three of the following: (a) provision of at least one counselling or social work consultation within six months of initial hospital presentation; (b) provision of a full course of HIV post-exposure prophylaxis medication within a month of initial presentation; and (c) the case being referred for prosecution within two years of initial presentation. "Partial service provision" was defined as the child benefiting from only one or two of the forms of service provision specified above; and "no service provision" was defined as the child not benefiting from any of the specified forms of service provision. The analysis revealed that 28% of survivors received "no service provision", with a lack of service provision being significantly more likely in cases where the child presented outside of normal working hours and where the abuse had been reported at the KwaMashu police station. These findings are considered in terms of their implications for effective service delivery for child rape survivors.

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