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DEATH

CPWG.-A-Matter-of-Life-and-Death

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CHILD PROTECTION<br />

ISSUE<br />

IMPACT ON CHILD<br />

AND DETAILS OF CHILD<br />

PROTECTION<br />

PROGRAMME<br />

INTERVENTION<br />

TIME FRAME<br />

FOR ACTION<br />

RECOMMENDED<br />

DURATION OF<br />

INTERVENTIONS<br />

Sexual violence: Includes<br />

rape by known family or<br />

community members,<br />

rape by strangers, rape<br />

during armed conflict,<br />

demanding sex in return<br />

for favours, sexual abuse<br />

of children with disabilities,<br />

exploitation of<br />

children in prostitution,<br />

and trafficking for the<br />

purpose of sexual<br />

exploitation<br />

Pregnancy<br />

Sexually transmitted<br />

disease / infection<br />

Physical injury – including<br />

internal injuries, fistulas<br />

and external injuries<br />

incurred during attack<br />

Case management:<br />

Identification and referral<br />

for medical treatment<br />

Case management:<br />

Identification and referral<br />

for medical treatment<br />

Case management:<br />

Identification and referral<br />

for medical treatment<br />

120 hours to prevent<br />

unwanted pregnancy<br />

72 hours to access care<br />

to prevent the potential<br />

transmission of HIV<br />

Within 6-12 hours 231<br />

Punctual one-off<br />

treatment<br />

Punctual one-off<br />

treatment, with possible<br />

limited number of<br />

follow-up visits, depending<br />

on medical assessment<br />

Punctual one-off<br />

treatment, with possible<br />

limited number of<br />

follow-up visits, depending<br />

on medical assessment<br />

Mental health problems<br />

such as post-traumatic<br />

stress disorder, anxiety<br />

and depression.<br />

Case management and<br />

psychosocial support:<br />

Referral to available<br />

psychosocial support<br />

services<br />

Within 24 hours 232 Continuous – at least 3-6<br />

months<br />

Socioeconomic outcomes Case management /<br />

Economic Strengthening /<br />

Mainstreaming: for referral<br />

to support services,<br />

options include: non-formal<br />

education, livelihoods<br />

activities, education<br />

teams, or cash transfer<br />

programmes<br />

Within 1 month Continuous – at least 6<br />

months<br />

Historical cases of sexual<br />

violence identified too late<br />

for medical treatment<br />

Depending on<br />

circumstances, case<br />

management coupled<br />

with psychosocial support<br />

Within 3 days of identifying<br />

the case<br />

Lack of safety – ongoing<br />

exposure to perpetrator of<br />

sexual violence<br />

Alternative care<br />

(for children who are at<br />

risk of ongoing violence in<br />

current living situation)<br />

Within 24 hours<br />

Short-term solution whilst<br />

community-based care<br />

option is identified<br />

48 A MATTER OF LIFE AND <strong>DEATH</strong>: CHILD PROTECTION IN EMERGENCIES

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