Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Facing medical care problems of victims of sexual violence in Goma/Eastern Democratic Republic of the Congo. | Baelani and Dunser Conflict and Health 2011 5 2 http content 5 1 2 CONFLICT AND HEALTH SHORT REPORT Open Access Facing medical care problems of victims of sexual violence in Goma Eastern Democratic Republic of the Congo Inipavudu Baelani1 Martin W Dunser2 Abstract Background Since 1998 the Eastern Democratic Republic of the Congo has been torn by a military conflict. A particular atrocity of the war is widespread sexual violence. Methods In this combined retrospective analysis and prospective survey we sought to identify hospital facilities and resources available to treat victims of sexual violence in Goma the capital city of the North Kivu province. Results Of twenty-three acute care hospitals registered in the area of Goma four 17 regularly cared for victims of sexual violence. One hospital had all resources always available to appropriately care for victims of sexual violence. From Jan 2009 until Oct 2010 7 048 females sought medical care because of physical or psychological sequelae from sexual violence in the four hospitals of Goma. Only half of the hospitals had physicians specialized in gynaecology or gynaecological surgery available. Similarly anaesthetists and psychiatrists psychologists were available in two 50 and one 25 hospital respectively. Post-discharge care facilities material resources such as surgical and anaesthesiological equipment and drugs were inconsistently available in the hospitals caring for sexually abused females. At one selected hospital acyclovir and or antibiotics were administered to 1 202 sexually abused females whereas post-exposure HIV prophylaxis and surgery because of vesico-vaginal fistula was provided to only 75 and 121 9 patients respectively. Conclusions This study provides data that only few hospitals in Goma care for victims of sexual violence. In addition these hospitals suffer from a relevant shortage of human and material resources to provide adequate care for sexually abused .
