title: Challenges experienced by service providers in the delivery of medico-legal services to survivors of sexual violence in Kenya.
abstract: While much discussion has been devoted to defining the standards of care required when offering services to survivors of sexual violence, much less attention has been given to procedures for evidence collection to allow the successful prosecution of perpetrators. In Kenya there are no comprehensive guidelines that outline the roles of the survivor, the community, health care workers, and the police with regard to the handling of forensic evidence, a deficit that contributes to delays in prosecuting, or even a failure to prosecute sex offenders. This study examines some of the obstacles in Kenya to the adequate handling of forensic evidence in sexual violence cases. It was based on in-depth interviews with respondents drawn from health facilities, police stations, civil society organizations and with the Government Chemist in three Kenyan provinces. The study's objective was to examine the existing policy requirements regarding the maintenance of an evidence chain by the health and criminal justice systems, and how effectively they are being implemented. The findings indicate that the quality of the evidence obtained by the health care workers was often deficient, depending on the time elapsed before the rape survivor reports to the health facility; the equipment available at the health facility; the age of the survivor; and the level of knowledge of the service provider regarding the types of evidence to be collected from survivors of sexual violence.
authors.affiliation: Liverpool VCT, Care and Treatment, P.O. Box 19835-00202, KNH, Nairobi, Kenya. c_ajema@liverpoolvct.org
authors.forename: C
authors.initials: C
authors.lastname: Ajema
authors.forename: W
authors.initials: W
authors.lastname: Mukoma
authors.forename: N
authors.initials: N
authors.lastname: Kilonzo
authors.forename: B
authors.initials: B
authors.lastname: Bwire
authors.forename: K
authors.initials: K
authors.lastname: Otwombe
mesh_terms: D002983:Clinical Competence; D019548:Crime Victims; D005554:Forensic Medicine / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D007407:Interviews as Topic; D007630:Kenya; D010808:Physical Examination; D010820:Physicians / Q000600:supply & distribution; D016495:Police; D012742:Sex Offenses