1.0 0.8 0.6 0.4 0.2 0.

Repblica de Moambique Ministrio da Sade

MOZAMBICANS AND AMERICANS IN PARTNERSHIP TO FIGHT HIV/AIDS

Sexual Violence in Mozambique: The First Profile at Mozambiques Largest Hospital

by: Ana Baptista1; Sidonia Fiosse2; Leonel Nhambi1; Sergio Ndimande1; Maria Polana1; Stacie Stender1; Humberto Muquingue1; Dbora Bossemeyer1 and Della Correia3 1 Jhpiego, 2Ministry of Health/Mozambique, 3CDC/Mozambique

Background
n Sexual violence (SV) against women and children has
social consequences and health-related implications for the victims (VSV).

Results
n Between June 2005 and October 2011, 2,406 VSV (2% of
all GER visits) sought services at MCH. Frequency of VSV at MCH 20052011
569 450

n Clients often initially seek care in emergency rooms or

primary care settings where providers are not always competent in service provision for VSV.

Objectives
In Mozambique, no systematic data exist regarding the extent and severity of SV.
151

380 329 263 264

2005

2006

2007

2008

2009

2010

2011

Source: Data from notification forms of sexual violence, 2005-2011 MCH.

Results
n Despite PEP services becoming available in 2007, only
31% of victims arrived at MCH within 72 hours of the episode of sexual violence. Time of Attendance of VSV at PEP Services at MCH
Within 72 hours 31%

n Of 2,046 cases of SV seen at MCH, only 4 (0.2%) were

male rape survivors, of which the oldest was 12 years old, and youngest was 2 years old.

n The entry point for VSV is the GER, which contributes to

femininization of services and makes them less friendly for male victims of SV.

n Since 2010, more health facilities in Maputo City started

to offer services to VSV, reducing the demand at MCH.
Over 72 hours 69%

Conclusions
n This first profile of VSV at a referral facility depicts a
tremendous burden of SV, particularly for girls under the age of 14.

n SV service provision at one tertiary institution is

An analysis of data from the national referral health facility, Maputo Central Hospital (MCH), provides a snapshot of this unspoken epidemic. insufficient to reach the most vulnerable. It is likely that many VSV never seek services.

n Decentralized, comprehensive SV services, including n Over half of the victims were under 14 years of age
(58.6%) and 51% were students. Percentage of Victims, by Age
30% 25% 20% 15% 10% 5% 0%
9% 19% 27% 21%

rapid access to PEP, are essential, basic rights of VSV, and it is critical that the health system have the capacity to serve them.

n There is an urgent need for interventions to stem sexual

violence in Mozambique.

14 years

10% 6% 6% 1%

04

59

1014

1519

2024

2529

3049

>=50

n Women and girls were referred for SV care from other

Methods
n The Gynecology Emergency Room (GER) staff began
collecting data in 2005.

facilities (35%), police (33%), home (22%) and community services (5%).

n The perpetrator was reported to be a relative in 296 of the

cases (12.3%). Referral of Victims to Post-Exposure Prophylaxis (PEP) Services at GER 35%
33%

n Post-exposure prophylaxis for VSV became available in

2007, as more information about SV became available.

n In 2010, integrated VSV care was implemented and

documented.

n Data were collected using Cs-Pro and results were

produced using SPSS V.18.

n Frequencies were determined by chi-square analysis of

data collected from June 2005 to October 2011.

22%

5%

5%

This presentation has been supported by the Presidents Emergency Plan for AIDS Relief (PEPFAR) through the Department of Health and Human Services, Centers for Disease Control and Prevention, Division of Global HIV/AIDS under the terms of Strengthening Safe Hospitals and Clinics in HIV/AIDS Prevention Activities in Mozambique, Grant No. 5U2GPS001542. Its contents are solely the responsibility of the organizing committee and do not necessarily represent the official views of CDC or PEPFAR.

Community Services

Home

Police

Other Facilities

Intra-Hospital Referral