Abstract
Background: The authors report cases of sexual assault reported to the obstetrics and gynecology department of the Bamako’s 5th municipality medical center during a prospective study of eight months from 1st January to 31st August 31st, 2012. Results: Twenty-one cases of assault were reported out of a total of 13,482 consultations, representing a frequency of 0%, 15%. Most victims were represented by students and accounted 43% of the study population. In 76% of cases the victims knew their assailant. The type of sexual contact was genito-genital vaginal penetration in 67% of cases and the condom was used in only one case. The average time before consultation was 3 days. The preventive ARV treatment was administered in 24% of cases and emergency contraception in 43% of cases. Conclusion: Sexual assault is common in Bamako. The reality is probably underestimated because many cases are not reported. The victims are mostly children and adolescents. The risk of transmission of STIs and HIV is very high during the sexual assault. Education and awareness of the population are essential for early consultation. Training of health workers to care for victims of sexual assault is needed.
Highlights
Sexual violence affects every year millions of people worldwide
Sexual assault is common in Bamako
The risk of transmission of STIs and HIV is very high during the sexual assault
Summary
Sexual violence affects every year millions of people worldwide. In Mali, the frequency of sexual assault was 0.12% according to a study conducted by Drama B. in 2002 [4]. The consequences of these assaults on victims could result in trauma, gynecological and psychological injuries. The purpose of this study was to investigate cases of sexual assault seen in the Bamako’s 5th municipality medical center in the purpose to contribute to better management. The authors report cases of sexual assault reported to the obstetrics and gynecology department of the Bamako’s 5th municipality medical center during a prospective study of eight months from 1st January to 31st August 31st, 2012. Training of health workers to care for victims of sexual assault is needed
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