Table 1. MSF protocol on health services offered at Lesvos MSF clinic to survivors of sexual violence, 2017–18.

Medical Management of Sexual Violence
Interval §	Services recommended*
≤72hours	Post exposure prophylaxis (PEP) for HIV**
	Emergency contraception***
	STI prophylaxis or treatment †
	Tetanus vaccine
	Hepatitis B vaccine
	Mental health care
>72–120 hours	Emergency contraception
	STI prophylaxis or treatment
	Tetanus vaccine
	Hepatitis B vaccine
	Mental health care
>120 hours—6 months	STI prophylaxis or treatment
	Tetanus vaccine
	Hepatitis B vaccine
	Mental health care

*All the services were provided after patient's consent and according to their health status and the type of sexual violence. Care of physical injuries and referral for termination of pregnancy (in case of a positive pregnancy test) was also offered. Additionally, medical certification was offered to all patients.

** In contrast with other contexts, in Greece MSF facilitates the access to PEP rather than administering it directly, due to the Greek legislation. PEP was generally offered only following penetration by the penis vaginally, anally or orally and only if presenting within 72 hours.

***Emergency contraception was offered in case of vaginal penetration, to every female ≥8 years old and/or after development of secondary characteristics of gender. Contraceptive methods offered were either pills or an Intrauterine Device.

§ Standardized time intervals as used in the MSF SV database

† Sexually Transmitted Infections