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jdG HdG
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jGh LdG e
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content 6/13/07 10:06 AM Page 8
jdG HdG'' dG dG e e dc
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20 Avenue Appia, 1211 Geneva 27, Switzerland
:bQ Jg41 22 791 3264 ;+
:bQ ca41 22 791 4857 ;+
:hdEG jdG [email protected]
LJ hCG SH PEG Y G W LJ
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:bQ ca) YCG QcG GdG Y jRdGh
41227914806:hdEG jdG GY ;
VY jWh ,G Gg eG dG
edG feCG CGQ Y kbWEG J ,a IOQGdG OGG
hCG ,H C fdG VdG CH dG dG
CH hCG ,e CG d hCG ,e hCG ,je hCG ,bEG
Y WG G Jh .eJ hCG gOhM j
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f CG e V CG hO IQG OGG jRJ j dP
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UNHCR - Technical Support Section
C.P. 2500, 1202 Geneva, Switzerland
Fax: +41-22-739 7366
E-mail: [email protected]
Web site: http://www.unhcr.ch
WHO - Department of Reproductive Health
and Research
World Health Organization
20 Avenue Appia
1211 Geneva 27, Switzerland
Fax: +41 22 791 4189/4171
Email: [email protected]
Web site:
http://www.who.int/reproductive-
health/index.htm
UNFPA - Humanitarian Response Unit
11, Chemin des Anmones
1219 Chtelaine
Geneva, Switzerland
Fax: +41 22 917 8016
Web site:
http://www.unfpa.org/emergencies/
content 6/13/07 10:06 AM Page 7
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a b ZG V - 2 MG9
dG Heh dG HGdG jhJ - 3 MG11
dGh YdG dOCG L - 4 MG13
SdG AYCG ah dG dG AGLEG - 5 MG17
dG Uh - 6 MG21
d dG IYG eN J - 7 MG27
dG dG dM He - 8 MG31
ZG jV e WCG jYQ32
aVEG LGe - 1 aG37
fi LY cJhH Vd eRdG eG - 2 aG39
OQGG dG ceCG ZG jV EG J j dG jYd fOCG G - 3 aG40
aGG IQS P - 4 aG42
dG dGh dG HGdG jhJ IQS P - 5 aG44
VdG SdG - 6 aG48
YdGh dG dOCG L - 7 aG52
dG GOdG - 8 aG55
aeh kL dG VGeCG e jbdG cJhH - 9 aG59
RjCG Shd VdG H bdG cJhH - 10 aG61
FQdG G G UN cJhH - 11 aG66
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content 6/13/07 10:06 AM Page 6
content 6/13/07 10:06 AM Page 5
dP ,dG Y FdG dGh G dG EG
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dG gh .eRCG H dG MGG e Me
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kcfG j q G SCG e c e
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content 6/13/07 10:06 AM Page 4
content 6/13/07 10:06 AM Page 3
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JgDe qcJ jdG e dG jYdG eN
CG dG hDdG e e GfcCG AGS) dH d
HdG e CG jjdG dhDG e CG AWCG e
e VdG cJhH Vh dPh (VGh
QGdG M ZG jd jdG HdG
IYGe eh ,jhOCGh GGh OQGG aGd kJ
ddG GSG c .WdG GAGLEGh SdG
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AGLEG H dG d T a JCjh .kWCG
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b IYG J CG dh f IYe CG hCG HUEG
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hCG N hCG qY hCG CG hCG hR hCG Y hCG AbUCG hCG WT
ZG j bh .ISCG OGaCG e NBG Oa CG
eY hCG QdG OjE G ICGG gJ eY
hCG TGa Y J eY hCG VMG EG gJ
Y Zd VJ bh .gAbUCG QhJ eY
b e cCG hCG ,KK hCG T hCG MGh T jCG
Ie ZG j bh .Af hCG U hCG LQ
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e CGh dGh AdG e g jdG ADg
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Vj dG AGjEG Y JG dGh jG
HUEG bJh HJh G qbJ dP ,d
gCG eh .gHJh kL dG VGeCH
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.dgEH IFdG ZG
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JqYh eGch f iQoj kLY ZG
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jYdG J j d fOCG qM aJ ,dG
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j dG jdG HWh UN Vh
kY jdG WMEGh ,H UG dG eG
GbEG b aGe Y Gh d j
feCe jjS H aJh W NJ CG Y
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:gV dG Y dG M -J CG j
UdH G SQGh SdGh fGdG
CG Y ZG jV V dG EG eG EG
H CG bY GQY dP cCG AGS ,c SSCG
eh .YLG hCG edG UCG CG dG CG G
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- FdG Ad eG J aJ aQ d j
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:G jJ G -J Y Fd j
V CG GSQ hCG jdG Ghj CG eG
dP .gVQ hH Y hCG a C d Y
dG jYdG Y G CH GQGdG CG
VLEGh dSG G e ec) dGh
GQGb g EG (dH J jQdG fGdG fc GPEG
g h .gPJG dG d T
eG dG J CG SSCG e dG
jdh qH Y QGdG PJG e d FG
jdG UTCG QNGh jJ G kjCG
Y hCG a Y hCG eG J Y faGS
eG e Yh .iNCG eG Y G
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:eG G -Y CG V d j
eCG eh .kT FJ jH eG
VJ H keM ICGG fc GPEG ,OdG Gg
bj CG dG eG e Y Ea Zd
ffdG MdG e eeCG MG GQG e
jh .(dGh dH MGh VLEG e)
dG GG Y dG H GQG c VY
gQGb PJG e dG J M qG H jj
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:UG G -d hdG J j
GVJ jdG ZG jV UN GMG
kAH dG aGj dG dG fL EGh .AGjEd
e qH jdG dhCG d Rj ,W Y
CG dG jYdG eN aJ LCG e gQM
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:jdG G -dG eG c J CG j
qW dG dG dH G eGh
Rj h .ISCG OGaC M H dG j CGh dG
G eG Y aEG dG ed
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Y cj jdG dhC dG H
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S b e hCG WdG b e G JQH
IG SG eG J j fEa iNCG
.( 4 aG fG) dG Y e
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Gj CG ,iNCG YdG edG e hdH
jH dPh G G QWEG QhH
TCG e dP EG eh ZG eRdG NdG
jMh jHh ,gOYG EG IYdGh G dG
ZG IQH GYG Y CG c .jdG M
OJ dG fGdG J Yh U c
M J RGMEG hO dG fCT e ZG
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OGSG dG jYdG eN edG Y
c Zd Vj jdG dhCG LMG d
hDdG Y hDd jh .aCGH e edG j
jYdG eN ee j CG Y Uj CG dG
EG eh Vh W jYeh AWCG e) dG
Yh FG IYG d RdG jQdG Y (dP
jh .jQhdG GOGeEGh GH gjhJ j CG
S Y ,fEG e eG ee jQJ kjCG
dG aGG OLh d j GPEG fCG Z ,jdhCG
aGG g J hO j CG j dP Ea
.ZG jd jYdG e
IYGe e ,eG e eN CG AfEG id ,qoH h
GAGLEG Vh eh fOCG IOQGdG jdGh FG
.OdG Gg jQe
G d j dG e?cGQOEG
:j Y Y Gfj CG G OGaC j
;ZG jd MG eG -
;dG jYd ZG jV j GP -
?eG g LJ jCG -
aGe EG qLdG d j ZG jV qCG -
Gj CG hO d VJ Qa dG jYdG
;He Ghj hCG eLCG
CH K Y Gfj CG d ZG jV qCG -
j feS dG aG edG
j h eCG jh gqS jh eGc
;UN
YGG gh ,eG a aGJ dG YGG -
.SCG QGe Yh YdG QGe Y J CG j
SdGh fGdG g e?G dG jQdG
,jYdG eN J Y FdG H e g e -
OQCG GPEa ?HG eG f aJ Y hDG
dG ZG L qj CG Y iG dG
CG J b dG fGb Ea dG EG d VJ
eN J gDe hCG e hCG Ne W j
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dG dOCH j a ffdG G g e -
?YdGh
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HJ H G WdG fGdG g e -
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h VLEGh ,FQdG G G e
(RjCG Sha) dG YG RdG ShH ihdG
?e jbdGh
?MG GQdGh OQGG g e
GQNG AGLE MG jG feEG g e -
QNGh ,CG O hdG eG ) YdG dG
hCG ,((G OLh d) G RJdG
Sha hCG kL dG VGeCG) VGeCG OLh
?IaG OTQEG h dG eN g e ?(RjCG
gh Zd LdG Hd cJhH g g -
?Lh YdG dOCG Kd ''UN Ge'' g
j a ,WdG iG Y ,cJhH g g -
bd cJhH hCG kL dG VGeCG H
efH hCG HUEd VdG J dG MG e
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ae EG ZG jV dMEG feEG g e -
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?(ddG/AdG
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J e ,HEG dG eN aj LQG
hCG jOdG ddG eN hCG eGG jYQ hCG ISCG
jYdG eN J ,kL dG VGeCG HJ
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.OdG Gg jdG HW Y AHEH dGh
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:jYdG eN aJ j
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fGG M ee Y cJhdG
L Mh ,bNCGh YLG dGh dG
GQG Mh ,H MGh YdGh dG dOCG
;dG YdG/OTQEGh dG MG
hHh dG QGSCG c hHh eT f Y -
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dGh eG ee bGeh SM IYGe e -
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aG NGO j MGh e ZG jV
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26
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7Sexual and gender-based violence against refugees, returnees and internally displaced persons: guidelines for prevention and response.
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9From Guidelines for the management of sexually transmitted infections, revised version. Geneva, World Health Organization, 2003(WHO/RHR/01.10).
(10)American Academy of Pediatrics Committee on Child Abuse and Neglect Guidelines for the evaluation of sexual abuse of children:subject review. Pediatrics, 1999,103:186-91
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dG G bh .(GZ e 500-250 :keY
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jhOCG J M YS EG YS J CG Y
Og e J j dP AKCG h .de FG
.a dG jd
dG
RjCG Shah kL dG VGeCH j a
dG dGhB LMG f WCd RGdGh
jh .YG NG e dGh jbdG
j a WCH UG dG cJhH dG
.dG LdGh dG H
VGeCG e WCG jbH ,Y H ,Uj h
dG CG Z .e JhQ Hc ,kL dG
OQGG G WG ,j CG j FbdG
dG VGeCH HUEG e a JJ dGh
9 aG fG) dG cJhH e kGAL ,kL
.(LdG Y eCG Y Wd
a H UG Yd H 10 aG Ojh
jGS e jbd VdG H bdG FSH j
.WCG RjCG Sha
HG
f g ,OdG Gg ,kW WCG He GAGLEG EG
ihdG eGO GPEGh .ddG Y J dG GAGLEG
hCG jZ L OLh MG J CG a G
.Ie IQH L cf dG VqJ
35
jdG HdG
ZG jd
rape 6/13/07 10:04 AM Page 36
rape 6/13/07 10:04 AM Page 35
eY ee
Sexual and gender-based violence against refugees, returnees and internally displaced persons: guidelines
for prevention and response. Geneva, UNHCR, 2003 (http://www.unhcr.ch/ or
http://www.rhrc.org/resources/gbv/).
Guidelines for medico-legal care for victims of sexual violence. Geneva, WHO, 2003
(http://www.who.int/violence_injury_prevention/publications/violence/med_leg_guidelines/en/).
Sexual assault nurse examiner (SANE) development and operation guide. Washington, DC, United States
Department of Justice, Office of Justice Programs, Office for Victims of Crime, 1999 (www.sane-sart.com ).
Reproductive health in refugee situations: an inter-agency field manual. Geneva, UNHCR, 1999
(http://www.who.int/reproductive-health/publications or
http://www.rhrc.org/fieldtools or http://www.unhcr.ch/).
Basta! A newsletter from IPPF/WHR on integrating gender-based violence into sexual and reproductive
health published in New-York, from 2000 to 2002, International Planned Parenthood Federation,
(http://www.ippfwhr.org/publications/publication_detail_e.asp?PubID=10 ).
dG dG M ee
Mental health of refugees. Geneva, WHO, 1996 (http://whqlibdoc.who.int/hq/1996/a49374.pdf).
Mental health in emergencies: psychological and social aspects of health of populations exposed to extreme
stressors. Geneva, WHO, 2003.
(http://www.who.int/mental_health/prevention/mnhemergencies/en/).
kL dG VGeCG M ee
Guidelines for the management of sexually transmitted diseases, revised version. Geneva, WHO, 2003
(WHO/RHR/01.10) (http://www.who.int/reproductive-health/publications).
FQdG d G e FSh M ee
Emergency contraceptive pills: medical and service delivery guidelines, second edition. Washington DC,
International Consortium for Emergency Contraception, 2004
(http://www.cecinfo.org).
Selected practice recommendations for contraceptive use, second edition. Geneva, WHO, 2004
37
aVEG LGe :1 aG
rape 6/13/07 10:04 AM Page 34
(http://www.who.int/reproductive-health/family_planning/index.html).aVEG LGe :1 aG
HUEH j a VdG H bdG FSh M eeRjCG ShH
PHS report summarises current scientific knowledge on the use of post-exposure antiretroviral therapy for non-
occupational exposures. Atlanta, GA, Centers for Disease Control and Prevention, 1998
(http://www.cdc.gov/hiv/pubs/facts/petfact.htm).
Updated U.S. Public Health Service guidelines for the management of occupational exposures to HBV, HCV,
and HIV and recommendations for post exposure prophylaxis. Morbidity and mortality weekly report, 2001,
50(RR-11), Appendix C, 45-52
(http://www.cdc.gov/hiv/treatment.htm#prophylaxis).
HIV post-exposure prophylaxis following non-occupational exposure including sexual assault, updated July
2004. New York, State Department of Health AIDS Institute
(http://hivguidelines.org/public_html/center/clinical-guidelines/pep_guidelines/pep_guidelines.htm).
VLEG Ge jdG SdG M e ee
Abortion policies: a global review. New York, UN Department of Economic and Social Affairs, Population
Division, 2002
(http://www.un.org/esa/population/publications/abortion).
Safe abortion: technical and policy guidance for health systems. Geneva, WHO, 2003
(http://www.who.int/reproductive-health/publications/safe_abortion/safe_abortion.html).
jG M ee
IASC Task Force. Activities of the Inter-Agency Standing Committee Task Force on Protection from Sexual
Exploitation and Abuse. June 2004
( http://ochaonline.un.org/webpage.asp?Page=1139 ).
G M ee
1984 ,IG CG ,Qjf ,dG M bJG
(http://www.unhchr.ch/html/menu2/6/crc/treaties/crc.htm)
1974 ,IG CG ,Qjf ,ICGG V dG TCG L Y AdG bJG
(http://www.un.org/womenwatch/daw/cedaw/cedaw.htm)
38
rape 6/13/07 10:04 AM Page 33
LdG Ge H fSd Vh jJ Fb
IG fGJ jQL
dG eG fOCG OQGdG hG jh .G dG cJhH Vh b eG H Y G e H
.e L dG QOGh IG fGJ jQL L
39
Vd eRdG eG :2 aG
fi LY cJhH
eRdG eGffdG GAGLEGh dG fGdG
VLEG fGb
FQdG G G j a G jG
dGh jYdH j a G GAGLEGh fGdG
Vj dG FGG Y dG LGhh hT
WCG hCG ddG jdG d
GQSG e gZh WdG FGhO GQSG
YdGh dG dOCGdG dOCG J dG dG SQG g e
(dP EG eh VG ,dG) G EG YdGh
dG dG AGLEG H dG edG jQJ
(WCGh ddG jdG) YdG
G eCG G Y eG dG dOCG
,WCGh ddG d Vj dG ZG M
dG edG b e CG dGh
QNG e) dG e G YdGh dG GQNG
(G RJdG QNGh CG O hdG eG
dOCG Y SQEGh jJh L c
hCG ,''ZG KOM ee'' Y
YdGh dG dOCG H UG cJhdG
dG cJhdGiG Y kL dG VGeCG Y cJhH
WdG
dG eGHh MdG aGJ
YdG QNGh SG eN be
RjCG Sha
jG eGh RjCG Sha QNG cJ JGSG
G aGG EG dMEG/cJhH/feEG
j a VdG H bdG FSh Y d
RjCG ShH
dG GOY e) G aGG EG dMEG feEG
(ddG W/AdG Wh WCG Wh MGGh dG
eG QOe
dG IQGRh
dG IQGRh
dGh ICGG hDTh G G jJ IQGRh
dG IQGRh
NGdG IQGRh
dG IQGRh
dG IQGRh
dG IQGRh
UdG YdG dG G
WG ie Y fl ,UdG YdG dG G
ie Y jdG dEG oJ dG LG G
UdG hCG WG
dG IQGRh
dG IQGRh
dG IQGRh ,RjCG a WdG efdG
a WdG efdG ,LdG hDT Ve
bEG dG hDG ,dG IQGRh ,RjCG
dG IQGRh ,RjCG a WdG efdG
bEG iG Y LG G
rape 6/13/07 10:04 AM Page 32
rape 6/13/07 10:04 AM Page 31
eRdG GOGeEH jJ Fb
cJhdG -1e
eG e H Qj W cJhH
edG -2haGe
(YdG QGe Y) gDe (fi) U eY OLh
d jh dG aGj T hCG dG AKCG YdG U eY OLh
aGG/KCG -3IaGe
H Ih H dEG UdG h AVdG Y IH ,UG J) Yb
(VM hCG
d dhW
(WCG YdG G e j b) HK SdG J CG jh IAVEG
GG J RL GSG feEG
GOGeEG -4IaGe
:J CG h YdGh dG dOCCG ''ZG ee''
G d Qe -
iNCG HG Y VSd He -
...dEG bdGh edG GWCG Sd qQe jT -
edG jbdG GOGeEG
bCdG YdG M TfG Ge
hG W GhOCGh bdG (ee Y) e W GhOCG
bfi ,HEG
dG AKCG dG d IAe hCG TT ,IQRh
U VM
jhOCG -5IaGe
G cJhdG M kL dG VGeCG d
(G MQ FSh) dGd hCG/h FQdG d G e M
(ke ,eSQdG) CG d jhOCG
(hG W) Ve Qqfl
hG d jM GOe
jQGOEG GOGeEG -6IaGe
VJ SQ e W bH
dG Y aGG GQSG
(jdG H OhJ) Zd ddG jYdG M eYEG jQGc
eCG jdG FKdG fGN
41
j dG jYd fOCG G :3 aG
ceCG ZG jV EG J
OQGG dG
rape 6/13/07 10:04 AM Page 30
dOCG e fOCG G L
YdGh dG
dG EG Jh eGSGh dOCG L j
.(4 MG fG) dG aG EG
Y Ff H e T MG j -
H dG jGhQ YJ CG dG dG
.HK dM dP ,d VJ dG KOG
fdG jdG e kGj kGAL dG bdG Jh
MoCG GPEG (dG aG) dc J h
.G EG dG
eCG GPEG) bG dG e H MG j -
OGH kjCG MGh ,(jH He dG AYEG
CG dGh L hCG HH G jdG
.jGhQ YJ
hCG Se U ed aGJ dM -
WQ MU j CG GG a e d
Y kdO j qe OLd kj G
.jEG hM
dG dG e fOCG G
.dG aG EG dG dG AGLEG j
kec j CGh dG W dG j CG jh
.5 MG e g c dH eh
dG e fOCG G
f h dG e hH dG eN J j
:(6 MG fG) dG dG Y jdG
dMEGh dG hQ OJ dG YG Y -
;dG aGG EG INCG
bJ FSh AYEG hCG kL dG VGeCG Y -
;gV
;FQdG d G e FSh aJ -
;hG Y -
;dG IYGh OTQEG eN J -
eNh YLG YdG eN EG dG dMEG -
.YLG dG OTQEG42
rape 6/13/07 10:04 AM Page 29
e SSCG fL g e a AGLEG Y aGG EG
Y j e kGch .YdG dG SQG fGL
hCG geCG AdhCG hCG) dG C IG aGG SG
edG FG c Y ee J (Y UdG
d dH GQGdG aCG PJG Y gYJ dG
.GdH bdG dP
CG dG J CG e cCdG gCG eh
fGL e fL CG Y aGe Y hCG aGe
eN EG dM GKDj GeCG g dG
.dGh jYdG
eG j CG dG jYdG eN e Yh
Y UdG hCG geCG h hCG dG Y j H
:J fCG e cCdG j M a
.dG HGdG jhJ Y J e -
.MW AGQh edG dGh S dG SCG f -
.dG dG Y j e -
VG a Y j e -
VG e a dP dG dG CG -
eGc jh UG j QWEG S
.jG
VG ,dG AKCG ,e S dG CG -
.dhW Y
S dG jYdG eN J Y FdG CG -
ah dG AGLEG Y j CG EG Ge
.VG e
e j dG eh SdG AYCG a CG -
Ig j Vh J CG dG
AV H VGh Ige SdG FYCG
.Se
G j (eCG d GPEG) dG L CG -
e dG e OGe Lh SGe GSH Jah
dGh dGh G GRGaEGh fdG Th dG
H Md kMG g CG c .dGh
b YdGh dG ddG Ff H CGh dG
SCG T j Yh H dG HEG Qj
.QGdG Gg AGQh edG
a C G aJ CG dG eEH CG -
.a ZJ
J fCG J IQSG Y bdG e S fCG -
aGh dG GAGLEG EG Jh eRdG eG c
.Y
J CG Qb GPEG ,fCH kY jG CG Yh
g h ,G eCG ffbh Fb GAGLEH
edG H O qhR dG eG Ea ,a dG
dG EG S ,dG Y AKCG dG
ffdG GAGLEG eGS ,aG ,G
.G V
43
aGG IQS P :4 aGaGG IQSG ASG M Me
rape 6/13/07 10:04 AM Page 28
aGG IQS P
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - dG aG SG
:dG edG EG qLe Me
ASG M Me) 42 dG e g c ,OdG Gg SG eG H dG jhJ H
jh ,(Y UdG hCG geCG h hCG) dG ee Y IQSG AL e c IhJ j ,(aGG IQSG
Yh .e d G aJ CG hCG FdG IOQGdG NdG c AGLEG J CG feEH CG d J CG kjCG
.eHEH Y j CG hCG IQSG Y bj CG gdG e J CG
(dG SG cj) - - - - - - - - - - - - - - - - - - - - - - - - - - - - fOCG (bG) bG fCG fEG
:(SG fG * eY VJ) ddG NdG AGLEH YCG QcG dG ad SCG
f
W a AGLEG
VG a AGLEG
dOCG LaXCG ebh dGh dGh ,G FGS e Y L e
QdG NCGh dG Yh
G hCG/h WdG EG H J dG dG eGh dOCG dMEG
eN H J dCe jCG Yh dG Gg Ff Y J eG gh
HG Me jYdG
.a ZQCG a C G aQCG CG YSG fCG aCG fEGh
:bdG - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
:jQdG - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
:gdG - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
44
rape 6/13/07 10:04 AM Page 27
dG HGdG jhJ IQS P :5 aG
dG dGh4 e 1 U IQSG P
S:OdG bdG
G dG M e dM - dGh dG HGdG jhJ IQSG
eY ee -1
SGFdG SG
GdG
G(S/T/j) OG jQJdG
dG YS/jQJQH
qUdG hCG eCG h SGh ,SQG SG cP ALda H j eCG c GPEG
AGYG KOM Uh -2
AGYG jQJAGYG YS
(dG d Y) AGYG KOM Uh
dG dGf(dEG ,dG T ,Y ,V) dG
dG VGh dG f cP
d N dG
OdG GSG
(SCG) dG GSG
dG hCG GQG KCJ
jEGf(cCe) IcCe Z jEG Y Uh
,dG ,G dG )
(eG dBG f
dG
UEG
(AdG Gg cP ALdG) NBG AT
f(cCe) IcCe Z ,G ,dG ) VG
(NBG Ve ,dG
G bmGh d G GSG
Yh ,dP d j dG hCG IG g g fc GPEG Y e QSG ALda (W) kW dG c GPEGG c GPEG Yh G ge Yh ,GAGYG g bSG dG IG W Yh ,Y bh AGYG hCG jQJGPEG Yh G hCG G e jf d M GPEG Y dG CJ CG kjCG Yh .Y kGN Gj OLh Yh ,RJ eY CH J fc GPEG Yh ,J CG Y dG e c GPEG hCG ,G Y CH J fc
.iNCG VGYCG hCG eY CG hCG , hM Y eY jCG
45
rape 6/13/07 10:04 AM Page 26
46
VG jQdG -3
EG dG Y g AGYG H
eG G e Sh
f
jdG IOdG/ddG dG jQJ
(G O G GQNG AGLE Y NCG Y a) dG VH G bdG jQJ
dG e J dG dG G
dG f ,SdG FYC jd dG Vd e
SG e
dM dG NCJ dG dG
dG
RGdG
dG dGB
e dG
RjCH HUEG dMaheahe Z
e Z dGQJ Me
dG SCG N dG VH L bY NBGAGYG S
(dG/dG/dG) jQdGdG SG
(dG/dG/dG) jT IQhO NBG jQJ
G eY
jddG HGdG
kFM AGYG Y dG fc g
SCG e eM HSCG
GMQ ShdG
d Hb ShbGdGiNCG Sh
?AdG? g
?dG?HK qZ g
?RqdG?keM NCG hCG SG g
?fSCG Z?U Wa hCG kVM eSG g
ff
f
rape 6/13/07 10:04 AM Page 25
dG dG -4
(IgX fH hCG Y bYEG ,dG ,dG) dG e
(iNCG dM ,cG ,hJ ,b ,AH ,Ahg) dG dG
RdGdG(f ,H ,dG b e Me) ZdG MG
dG f edG VdG eIQGG LQO
dG Y QKBG
Y dP SQh dP EG eh QKBGh GGh edGh hG bdG VH j e c Uh Lj
Gg iNCG ATCG ch QKBG g c Th dh GWCGh f H kjCG Lojh .aG VdG G
.QKBG J EG jODG SCG d dhfi VG hO UdG Y QbG Loj .OdG
LdGh SCGdGdGh fCG
fPCGh dGbdG
QdGdG
dGdEG
jdG adGdG adG
dG eh SdG AYCG a -5
qdG/dGIQdG AZh dG adG
dG/GMdG YjdG GSH Gh G a
(CG M ,G Y VG ,QdG f cdG ,dG Y ASG) jG Vh
SdG AYCG ddG e d
47
rape 6/13/07 10:04 AM Page 24
48
jG jdG Ua -6
dG e VGh dG fG EG dSQEG/a dGdG
YG dOCG -7
dG e VGh dGjJ ... EG SQoCGjQdG/...b e L
UG dG -8
dGfMGh dG f
kL dG VGeCG Y/bJ
FQdG d G e FSh
hG Y
RGdG V bd Sh
dG dG V dB
RjCG Shd VdG H bd Sh
d iNCG Sh
-9aGe EG dMEG ,dG IYGh OTQEGHG ,J
edG dG dG
dH dH eb fCG hCG WdG EG iH dG J dG f
dEG hCJ eBG e df aGj CG T df
:eG dG IYG
iNCG J aGe EG dMEG
eRdG HG
ddG IQjdG jQJ
:GSG/dH b dG dG edG SG
:XdG dG:bdG:jQdG
rape 6/13/07 10:04 AM Page 23
VdG SdG :6 aG
49
dGdG
rape 6/13/07 10:04 AM Page 22
50
dGdG
rape 6/13/07 10:04 AM Page 21
51
dGdG
rape 6/13/07 10:04 AM Page 20
52
dGdG
rape 6/13/07 10:04 AM Page 19
Y GG IQb Ea 13 dG cP c
Gg jh .kGc kaNG J YdGh dG dOCG
dG YdGh dG dOCG GfCG fl aG
Gg YJG j dG GAGLEG Vjh L
dG edG j h j CG jh .OdG
CG dP .Gh WdG OQGGh cJhdH
J dG FdGh ZH UG fGdG
.bGGh GdG NH J dG dOCH
eGSG dG dOCG L Y QbG jh
.gZ hO
G a
dPh e OJ CG b dG K a Y -
c CG Yh .IQfEd jb Sh GSH
HJCG) dGh Gh HG Y Lj jZ L
e WG .(Y jdG dGh dGh dG GQhCGh
b Y bGh gh He e OJ CG dG
J h .G eh HG e j e Qh
dG J CG khCG Y .ke iJ CG e
J CG hCG SCG dG K dG e YCG
CG Y K .H L d IQRh G dG
SG GPEG a G hCG bG HH
.HK Y jd iNCG He J CG
hG c eEG Qb bdH J CG Y -
.(4 MG fG) HUEGh
e Y CG Y (G O) G GQNG AGLE -
d QKBG a j CG dG VGG c
QKBG hCG ( qY hCG qb hCG G dG VGG)
e b Se SGH dPh G Y G
.kaL G c GPEG e N H qH j
dG L H dG fY T -
.Y jdG
Y NCJ CG a dG a G b GPEG -
hCG G Y kH b S dG j h
(G O)G eM d jfl d AGLE
b Se J CG Yh .G RJdGh
dG dG dGh SCG Hh SCG H aL
.IOdG ,g j G EG M
AGLE dG hCG/h dG e Y NCJ CG Y -
dM ) dP j eCG c GPEG edG QNG
.(ke ,dG jJ GPEG e
dGh dGh dG a
dGh dH j dG G J CG Y
Lh e A e b Se GSH dGh
EG dHh .(G O) G GQNG AGLEG LCG e Y
.dGh dG e kc J CG kFGO Y WCG
Gh G a
Y jEG dhfi hCG jEG a dG Vd kJ
.dG hCG/h G J CG
OY de Ae GSH G QG dJ Y -
J b iNCG qdG FGdG C) dG AH hCG
.(YdG dOCG H j a e Ff
e LP NCJ CG ,b Se GSH ,Y -
Y kH d G dG j dG FdG
jT Y dG FdG e Ib V .G
e fi e IH ,hdG Y ,dP SGh
J CG Y K .(WdG dG) OY
q CG MJ CG Yh ,G OLh Y G
Y FdG e J e J CG kjCG Y .d
AGdG dG JGh iNCG jT
.M Me d
dG e Y NCG Y ,(G O) G GQNG AGLE -
SGH MdG Y WH Ib eh d G
IQGM LQO cJ CG Yh b Se
.adG
Gh MdG Y e e Y CG Y -
.G RJdG QNG AGLE
bG GPEG ,G e Y Y CG Y -
AGLEh G OLh LCG e ,dP eCG
.G RJdG h (G O) G GQNG
53
YdGh dG dOCG L :7 aG
rape 6/13/07 10:04 AM Page 18
dOCG S Y G
L dOCG S Y G gCG e
eCG db dOCG g CG e cCd dPh ,bhCG
jJh SJh dOCG L j dPh .G
Y FKdG J CG jh .U H fh
kGAH c bh CG dOCG Rj T c bJ
dG dH kAfGh dOCG j dG dH
dG G KCG d dPh G Yb EG j
.bdG Lh Y a LJ
H PJG a G EG kGQa dG NCG QJ GPEGh
.eh WMG
bh SGh Gh HG c e H -
, j dG ATCG e dP EG eh TdG
e ScCG Vhh adG IQGM LQO jH
dG h (SdG e dh) QdG
Y GS Qhe H M (G O) G e kj
.ke aL IOG J CG jT KOG
LdG dGh dG Y jJ -
jJ e H WCG I dH Mdh .jCG
gQj dG dG JG Yh .IO qL
.OdG Gg G G
bQ Vhh Vh H dG c SJ j -
hG h dG SG dh) H j Oc
dG fh YdGh jQdG Vhh ,(S hCG
dG Vhh ,(e NCG dG Gh dG g e)
.AYh
Y U jH AYdG hCG dG J CG Y -
qj dG OdG bdG Y J CG Yh .dG
Y SG e hCG hG J CGh jQdGh H
.UdG jdG
J VGh H J CG Y cJhd kJh
.dG fh jJh L CH G
dG Qb GPEG EG dG EG dOCG J j
.G eCG b J
fCG Z dOCG L LCG e aGe dG J bh
h .dG AGLEG id dG EG J jJ b
Xfi S dOCG CH J CG Y ,dG g
K T W dG cG jMh eBG e
fEa IdG J N jCGQ Z GPEa .aJG j
d dG G Y dG WG J
.e dOCG IOSG
eCG dG FdH QSGG
G eCG b J dG ZQ GPEG
H H b dG dG edG Ea fd
FdG Y kGjJ j CG e j b KOd VJ
H f CG Gh .G EG dEG N dG
gh .G eCG eCG bGh J G e
gdH hj b jdG dG edG e dG
bdG d j b hCG VdG j H G e
EG dOCG g J CG Z .G eCG d dG
.dG jYH j a H G Qhd OGeG g
dh) dG YG Y j ZG M h
:g (11)ATCG KK Y ddG j CG (dG edG
dG hCG G ,kW c e ,jEG hM .1
d jEG hM hCG NBG AT CG hCG b SGH
;dG
;dG aGe hH jEG hM .2
.G jg .3
j CG dG edG e bj cG e h
Vj CG Y CG) FbdG Y kGgT UH dOCG
.c dh (S c FbdG kGO
AH b dG YH AdH dG edG Ujh
ee Y dh JOT OGYE cG L
dG Y J dG edG FG M
.MhG
54
(11)Brown WA. Obstacles to women accessing forensic medical exams in cases of sexual violence. Unpublished
background paper for the WHO Consultation on the Health Sector Response to Sexual Violence, Geneva, June 2001
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c kHe cS j CG dG edG e jh
dh G Yb jdG HW j CGh G
:j j CG Y ,dP
;dG fi j CG -
Wfl YCG EG j CGh IODHh VH j CG -
.dP hO IFdG YLEG GYCG J GPEG
.bO W e j CG -
eh bO H Y J dG SCG Y qOj CG -
.YSG Qb
VZ a e GDS Y HLEG j c GPEG -
Vj CGh HLEG j CG Yh .dH j CG
.UNG f Y J Fe
CG Yh .j dG SCG jEG j CG Y -
.SCG e Qj
hCG HG AKCG fhG MG CG Gh
edG Y dG FdG YJ EG hCG dGh
cj CG AG Y dG eh .ej CG dG
IQhV dP cDjh .fhj dG ATCGe c jhJ
Hh UJ H HGdGh GAGLEG Jh oj
.JAGb Hh CG LdG Yh bOg gh
.G eCG d OGYEd jW aCG
55
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WCG J W IOd P
fCG fEGfOCG bG - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (SG ,FdG SG)
dG - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (XdG cP ALdG)
dG Gg e YdG g - - - - - - - - - - - - - - - - - - - - - (YdG - dG - dG -dG)
H J W Y kAH fCH TCG- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - :
(fdG G hCG CG hCG CG SG
dG a b - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (SG ,FdG SG) :
OG jQJ- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (dG - dG - dG) :
:GdG(dG ebEG e hCG jdGd edG GdG)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
dG b HG Nh(eEG Qb bO H dG H qJ e cP ALdG)
b HG Nh:(d aGG dG SEG)
:ddG VGYCGh edG dG Gg Y X bh
:dG dG(dEG ,AdG e ,dH F ,Je ,Og ,e ,nroe :dG S)
57
dG GOdG :8 aG
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:dG dGieh ,dG jM hCG b fc e GPEGh ,gGeh Ve :HUEGh hd J H)
(eNh
:SdG AYCG a Y(dEG ,bdG ,edG ,IQdG VaG Y jG hCG dG edG)
:LdG G a Y
:NCG dG dGh dG iNCG UdG
.Vd g hM H SG EG Oj CG j HUEG OLh Y EG
:EG fb dc q oSh dG Gg IOdG g qYoCG(ISCG SGh d fdG G hCG CG hCG CG SG)
dG edG bJ
58
rape 6/13/07 10:04 AM Page 13
ddG J W IOd P
fOCG bG fCG fEG - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (SG ,FdG SG)
dG - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (XdG cP ALdG)
dG Gg e YdG g - - - - - - - - - - - - - - - - - - - - - (YdG - dG - dG -dG)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - :fBG ,IdG ,dG a b fCH TCG
(SG ,FdG SG)(W) W Y kAH- - - - - - - - - - - - - - - - - - - - - - - - - - - - :
:OG jQJ- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (dG - dG - dG)
:GdG(a dG d edG GdG)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
L AGY (VJ) VJ (fEG) fEG (db) b bh- - - - - - - - (dG ,dG ,dG ,YdG)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
:- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (G)
:b e- - - - - - - - - - - - - - - - - - - - - - - - - - - - (he Z hCG he T)
dG ,fBG ,IdGh ```````````````````````````:ddG edG (Y) Y X b
:dG dG(.dEG ,AdG e ,dH F ,Je ,Og ,e ,oe :dG)
:dG dGieh ,dG jM hCG b fc e GPEGh gGeh Ve :HUEGh hd J H)
(eNh
59
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:SdG AYCG a Y,bdG ,dG ,edG ,IQdG VaG Y jG hCG dG edG)
(dEG
:LdG G a Y
:NCG dG dGh dG iNCG UdG
:G Wfl J
.Vd g hM H SG EG Oj CG j HUEG OLh Y EG
.fb dc G dG EG q oSh dG Gg IOdG g qYoCG
dG edG bJ
60
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kjCG h) dd FYEH dG dG e UJ dGh kL dG VGeCd IOG LdG
(bdG eGSG
:MeCG ,kFGO ,Yh .iNCG LY g J bh .kL dG VGeCd IOG LdG Y eCG g
.G dG Y eG kL dG VGeCG Y cJhH AL e J
VGdG
dGScahdG(G Me NCG j ) dG jW Y IMGh YL GZ e 500
hCG
dGdG jW Y IMGh YL GZ e 400
hCG
cjdGdG NGO IMGh YL GZ e 125
GKH ihdGjehjRCGG Me NCG j ) dG jW Y NDJ IMGh YL GZ 1
hCG
jchdG NCG j ) jCG 7 GW dG Je dG jW Y GZ e 100
(G Me
GKH ihdGjehjjGjCG 7 GW dG Ge 4 ,dG jW Y GZ e 500
eGG idhCG
ceCGjCG 7 GW dG Ge 3 ,dG jW Y GZ e 500
dGKGH T Y oj) a IMGh Ie dG NGO dhO IMh e 2^4
*jH(G e fl Ve M
eY ,dGchdG kej 14 GW dG Je ,dG jW Y GZ e 100
jG j(G Me NDj CG j )
d kSM(GKG V kjCG a G OG Gg :Me)
AdG id ,dGjehjjGkej 14 GW dG Ge 4 ,dG jW Y GZ e 500
jd FdG eGG
d SM
GG AGOhRGfhG e YL hCG IMGh YL dG jW Y GZ 2
TCG KdG N NCG j ) YS 12 fdGh hCG H J
(G e hCG
Y NDJ GZ 1 gQb IMGh YL bGH jehjRCG Y j bdG f c GPEG AGhdG Gg Uh Y ASG :Me*
.VG MG dG V Lf gh ,dG jW
.a LJ dG G IG ihdG M d dH YJG jh IG b kLY J CG Yh
:e
:d SM e J h keM d ICGe GKH ihdGh dGh dG V FbdG dG
.IMGh YL dG jW Y GZ 1 jehjRCG + dG jW Y GZ e 400 dGG -
hCG+ dG NGO dhO IMh e 2^4 jH KGH + dG jW Y GZ e 500 ScahdGG -
.jCG 7 GW dG Je ,dG jW Y GZ e 100 chdG
Y NDJ hRGfhG e GZ 2 gQb IMGh YL dG Gg EG J CG a kGe GG AGO c GPEGh.dG jW
61
VGeCG e jbdG cJhH :9 aG
LYh kL dG
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dG dG e UJ dGh kL dG VGeCd IOG LdG
(FbdG dG eGSG kjCG h) gGGh WCd FYEH
:Me,Yh .iNCG LY g J bh .kL dG VGeCd IOG FbdG LdG Y eCG g
J CGh ,G dG Y eG kL dG VGeCG Y cJhH AL e J CG ,kFGO
.WCd SG YGh jhOCG
VGdG hCG RdGdG
dGcjdGdG NGO IMGh YL GZ e 125
hCG
jedG RhJ CG Y) dG NGO G Rh e c/GZ e 40
(IMGh YL ,bCG c ,GZ 2 YG
hCG(dG e TCG dG a jG c GPEG)
dGdG jW Y IMGh YL ,G Rh e c/GZ e 8
kdH c d c jG dj
ihdGjehjRCGdG jW Y IMGh YL G Rh e c/GZ e 2