@article{ref1,
title="Piloting post-exposure prophylaxis in Kenya raises specific concerns for the management of childhood rape",
journal="Transactions of the Royal Society of Tropical Medicine and Hygiene",
year="2006",
author="Speight, C. G. and Klufio, A. and Kilonzo, S. N. and Mbugua, C. and Kuria, E. and Bunn, J. E. and Taegtmeyer, Miriam",
volume="100",
number="1",
pages="14-18",
abstract="Thika District, Kenya, is the site of an operational research study on the provision of comprehensive post-rape care, including the free provision of HIV post-exposure prophylaxis (PEP). It is a typical rural Kenyan district in terms of resources and patient throughput. The high rate of children attending for post-rape services was unexpected and had significant programming implications. An age-disaggregated analysis of existing quantitative data from the first 8 months of service provision was conducted. Ninety-four case records were reviewed, of whom 48 (51%) were in the age range 1.5-17 years inclusive. All three cases of male rape were in children. Children were more likely to know their assailant than adults and were more likely to be HIV-negative at baseline. The majority (86%) of children presented in time for PEP, with adherence and completion rates similar to adults but lower rates of 6-week follow-up. The use of weight bands to determine drug dosages greatly simplified the appropriate and early administration of paediatric PEP. The high rates of childhood rape and demand for post-rape services were an enormous challenge for service providers and policy-makers.<p /> <p>Language: en</p>",
language="en",
issn="0035-9203",
doi="10.1016/j.trstmh.2005.06.026",
url="http://dx.doi.org/10.1016/j.trstmh.2005.06.026"
}