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Contents

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iv

Acknowledgements

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1

Executive summary

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2 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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hnbeidbhVcYeddgZghZa["gViZYgZXdkZgn#BdgZheZX^ÒXVaan!^i^hYdXjbZciZYi]VicZ\Vi^kZgZhedch"
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EXECUTIVE SUMMARY 3

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7

Introduction

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8 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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9

Societal perceptions of sexual


violence and its victims

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SOCIETAL PERCEPTIONS OF SEXUAL VIOLENCE AND ITS VICTIMS 11

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12

Societal responses to sexual


violence and its victims

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SOCIETAL RESPONSES TO SEXUAL VIOLENCE AND ITS VICTIMS 13

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14 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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15

Women victims’ perceptions


of sexual violence

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16 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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WOMEN VICTIMS’ PERCEPTIONS OF SEXUAL VIOLENCE 17

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18

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to sexual violence

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THE RESPONSES OF WOMEN VICTIMS TO SEXUAL VIOLENCE 19

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20 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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THE RESPONSES OF WOMEN VICTIMS TO SEXUAL VIOLENCE 21

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22 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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26 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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THE RESPONSES OF WOMEN VICTIMS TO SEXUAL VIOLENCE 27

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28 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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29

Screening interventions

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30 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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31

Acute, short- and long-term


interventions

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32 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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ACUTE, SHORT- AND LONG-TERM INTERVENTIONS 33

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34 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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35

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36 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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38 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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40 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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41

Therapeutic approaches to survivors’


mental health needs

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42 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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THERAPEUTIC APPROACHES TO SURVIVORS’ MENTAL HEALTH NEEDS 43

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44

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CRIMINAL JUSTICE SYSTEM INTERVENTIONS 45

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46

Conclusions and areas


for future research

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CONCLUSIONS AND AREAS FOR FUTURE RESEARCH 47

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49

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6WWZn6ZiVa#&..+#6aXd]da!b^heZgXZei^dc!VcYhZmjVaVhhVjai/=dlVcYl]nVgZi]Zna^c`ZY4>c/7jhh9B!BVaV"
bji]CBZYhHZm!edlZgVcYXdcÓ^Xi/:kdaji^dcVgnVcY[Zb^c^hieZgheZXi^kZh#CZlNdg`!CN!Dm[dgYJc^kZgh^in
EgZhh/&(-Ä&+&#
6X^ZgcdGZiVa#&...#G^h`[VXidgh[dggVeZ!e]nh^XVaVhhVjai!VcYedhiigVjbVi^XhigZhhY^hdgYZg^cldbZc/:mVb^"
cVi^dcd[Y^[[ZgZci^Vabjai^kVg^ViZgZaVi^dch]^eh#?djgcVad[6cm^Zin9^hdgYZgh!&(/*)&Ä*+(#
6X^ZgcdGZiVa#'%%(#6cVXjiZedhi"gVeZ^ciZgkZci^dcidegZkZcihjWhiVcXZjhZVcYVWjhZ#6YY^Xi^kZ7Z]Vk^djgh!
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6]gZch8:ZiVa#'%%%#HZmjVaVhhVjaicjghZZmVb^cZgH6C:egd\gVbh/6aiZgcVi^kZhnhiZbh[dghZgk^XZYZa^kZgn
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6akVgVYd<!HVakVYdg?!:higVYVH&..-#EgZkVaZcX^VYZk^daZcX^VYdb‚hi^XVZcaVX^jYVYYZYjgVc\d#HVajYEjWa^XV
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XVc8daaZ\Zd[DWhiZig^X^VchVcY<ncZXdad\^hih68D<eVi^ZciZYjXVi^dceVbe]aZicd#6ED-(#
6bcZhin>ciZgcVi^dcVa'%%)V#9ZbdXgVi^XGZejWa^Xd[8dc\d/BVhhgVeZÄi^bZ[dggZbZY^Zh#AdcYdc!6bcZhin
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50 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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i^dcVa?djgcVa!+/&*Ä'-#
7jgiBG!@Vio7A&.--#8de^c\higViZ\^ZhVcYgZXdkZgn[gdbgVeZ#6ccVahCZlNdg`6XVYZbnd[HX^ZcXZh!*'-/()*Ä
(*-#
8Va]djc@H!GZh^X`E6&..(#EIH9#>c/7Vgadl9=ZY#!8a^c^XVa]VcYWdd`d[ehnX]dad\^XVaY^hdgYZgh#CZlNdg`!
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8VbeWZaa?8!HdZ`Zc@A&...#;dgXZYhZmVcY^ci^bViZeVgicZgk^daZcXZ/:[[ZXihdcldbZcÉhg^h`VcYldbZcÉh
]ZVai]#K^daZcXZ6\V^chiLdbZc!*/&%&,Ä&%(*#
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52 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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REFERENCES 53

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@Vi]bVcYj!?V\VYVbWVEgZhh#
;dV:7!G^\\h9H&..(#EdhiigVjbVi^XhigZhhY^hdgYZgVcYgVeZ#>c/DaY]Vb?B!IVhbVc6ZYhGZk^Zld[ehnX]^V"
ign#LVh]^c\idc!98!6bZg^XVcEhnX]^Vig^XEgZhh/',(Ä(%(#
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VhhVjai#6bZg^XVc?djgcVad[EhnX]^Vign!&*'/&&+Ä&'%#
;dV:7!O^cWVg\G!Gdi]WVjb7D&..'#JcXdcigdaaVW^a^inVcYjcegZY^XiVW^a^in^cedhi"igVjbVi^XhigZhhY^hdgYZg/
6cVc^bVabdYZa#EhnX]dad\^XVa7jaaZi^c!&&'/'&-Ä'(-#
;dV:7!=ZVghi">`ZYV9!EZggn@@&..*#:kVajVi^dcd[VWg^Z[Xd\c^i^kZ"WZ]Vk^dgVaegd\gVb[dgi]ZegZkZci^dcd[
X]gdc^XEIH9^cgZXZciVhhVjaik^Xi^bh#?djgcVad[8dchjai^c\8a^c^XVaEhnX]dad\n!+(/.)-Ä.**#
;dV:7ZiVa#&..&#IgZVibZcid[edhiigVjbVi^XhigZhhY^hdgYZg^cgVeZk^Xi^bh/6XdbeVg^hdcWZilZZcXd\c^i^kZ"
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54 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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REFERENCES 55

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56 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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REFERENCES 57

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hZmjVa VhhVjai# >c/ :VhiZVa E ZY# 7VaVcX^c\ i]Z hXVaZh/ GVeZ! aVl gZ[dgb VcY 6jhigVa^Vc XjaijgZ# AZ^X]]VgYi!
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BV`Zg6=!@ZbbZabZ^ZgB!EZiZghdc8'%%&#8]^aYhZmjVaVWjhZ!eZZghZmjVaVWjhZ!VcYhZmjVaVhhVjai^cVYjai"
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58 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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REFERENCES 59

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EgZkZci^kZBZY^X^cZ!&./'&)Ä'&.#
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60 RAPE: HOW WOMEN, THE COMMUNITY AND THE HEALTH SECTOR RESPOND

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REFERENCES 61

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63

ANNEX 1

Resource persons and


organizations contacted

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64

ANNEX 2

Internet resources consulted

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ANNEX 2. INTERNET RESOURCES CONSULTED 65

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66

ANNEX 3

Literature databases and


search terms used

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ANNEX 4. Empirical studies reviewed
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