- Start by treatment of life-threatening emergencies.
- Discourage the victim from bathing or showering to preserve the evidence.
- Get informed consent to proceed with examination and treatment
- Forensic examination then follows together with collection of evidence (including samples) that can be used to identify and prosecute the perpetrator
- A social support staff is then made available to provide psychological care. A long-term psychiatric care may be required.
- Victims with abrasions are immunized for tetanus (more so if 5 years have elapsed since their last immunization)
- Offer emergency contraceptives to all women victims.
- Initiate prophylactic treatment for:
_Vaginitis, gonorrhea, trichomoniasis and chlamydia
_HIV PEP regime (see the details under “HIV” in this publication)
_Immunization against hepatitis B virus (can be considered)
- If the assailant is apprehended collect the necessary specimen such as hair, blood etc.
- The rape victims need to be followed for some few months
- Constructive surgery may be required
- Tranquilizers such as diazepam may be required.