Table 3. Treatment characteristics of sexual violence survivors presenting for care in Masisi (conflict zone) and Niangara (post-conflict zone), Democratic Republic of Congo, 2012.
Masisi | Niangara | ||||
N | % | N | % | p-value* | |
Follow-up** | <0.0001 | ||||
First return visit | 239/491 | 49% | 109/180 | 61% | |
Second return visit | 137/491 | 28% | 68/178 | 38% | |
Third return visit | 51/462 | 11% | 35/155 | 23% | |
Fourth return visit | 15/354 | 4% | 13/109 | 12% | |
HIV testing at first contact | <0.0001*** | ||||
Turned down | 7 | 1% | 5 | 3% | |
Test not available | 292 | 60% | 44 | 25% | |
Status already known | 1 | 0.2% | 2 | 1% | |
Postponed to a later date | 9 | 2% | 106 | 59% | |
Consented to testing | 181 | 37% | 21 | 12% | |
Not documented | 1 | 0.2% | 2 | 1% | |
HIV testing at any visit | 211 | 43% | 38 | 21% | 0.7*** |
Positive | 4 | 2% | 1 | 3% | |
Negative | 207 | 98% | 37 | 97% | |
PEP Prophylaxis | |||||
Eligible (all survivors of rape presenting within 72 h) | 288 | 59% | 51 | 29% | <0.0001 |
Started (out of eligible) | 284 | 99% | 51 | 100% | 0.4 |
Completed (out of started) | 56 | 20% | 20 | 39% | 0.002 |
STI Prophylaxis | |||||
Eligible (all survivors of rape) | 483 | 98% | 172 | 96% | 0.03 |
Started (out of eligible) | 480 | 99% | 164 | 95% | 0.0004 |
Emergency Contraception | |||||
Eligible (all female survivors of rape age 12–45 presenting within 5 days) | 274 | 56% | 53 | 29% | <0.0001 |
Started (out of eligible) | 250 | 91% | 46 | 87% | 0.3 |
Pregnancy test | |||||
Eligible (all female patients age 12–45) | 424 | 86% | 148 | 82% | 0.2 |
Test done (out of eligible) | 408 | 96% | 130 | 88% | 0.0002 |
Test positive (out of done) | 18 | 4% | 19 | 15% | 0.0001 |
Abortion requested (out of pregnant) | 2/18 | 17% | 12 | 63% | 0.01 |
Abortion done (out of requested) | 0 | 0 | 9 | 75% | 0.05 |
Tetanus vaccination | |||||
TT1 | 334 | 68% | 138 | 77% | 0.03 |
TT2 (out of TT1) | 59 | 18% | 36 | 26% | 0.04 |
Hepatatis B vaccination | |||||
HepB1 | 266 | 54% | 142 | 79% | <0.0001 |
HepB2 (out of HepB1) | 161 | 61% | 83 | 59% | 0.7 |
*Chi-square test for proportions; **Follow-up completion was assessed at 7 days (visit 1), 28 days (visit 2), 3 months (visit 3), and 6 months (visit 4); denominators are the number of patients who were eligible for these follow-up visits; ***Chi-square test with Yates’ correction.
PEP: Post-Exposure Prophylaxis; STI: Sexually Transmitted Infection.