reproductive health services for adolescents - Pathfinder International

Module 16/Unit 11
Specific Objective #4: Develop a strategy for responding to
survivors of sexual abuse
CONTENT
Knowledge/Attitudes/Skills
WHAT CAN THE PROVIDER
REALISTICALLY DO IN CASES OF
SEXUAL ABUSE
They can:
• Recognize that sexual violence exists.
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Provide information on sexual
abuse/assault in the waiting room.
Display posters with messages
that sexual violence is not
acceptable and that it is not an
adolescent’s fault if it happens.
• Conduct a full history and physical
exam.
• Ensure treatment of any medical
problems.
• Screen and treat STIs or refer client
for screening and treatment.
• In the case of rape, offer emergency
contraception if it has been less than
72 hours since the assault occurred.
• In the case of rape, offer a pregnancy
test or refer.
• Offer referral for abortion if
appropriate and possible.
• Gather simple forensic evidence.
• Counsel. Provide understanding and
compassion.
• Refer the adolescent to legal or social
services that deal with sexual abuse.
Training/Learning Methods
(Time Required)
BRAINSTORMING AND GROUP
WORK (1 HOUR, 30 MIN.)
The trainer should:
• Break Px into 4 groups.
• Read the following scenario:
K_ comes in to your clinic because
she thinks she might have a STI.
After talking with her, you discover
that her older cousin has been forcing
her to have sex.
• Ask each group to brainstorm what
steps they would take to make sure
the client was safe and received
assistance. This should include other
services to which they can be
referred.
• Allow 10-15 minutes for
brainstorming.
• Reconvene the large group.
• Ask each group to share their
conclusions.
• Using the content on the left-hand
side of the page, fill in any missing
information or correct any
misunderstandings.
Ask Px, what could currently be done
in your workplace if such a situation
occurred What has been
successful What hasn't
• Ask Px to divide into small groups
made up of colleagues from their own
facility or area if possible.
Pathfinder International
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Adolescent Curriculum