HEALTHCARE AS PART OF INTEGRATED GBV SERVICES: The potential need of a network of expertise and knowledge - PowerPoint PPT Presentation

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HEALTHCARE AS PART OF INTEGRATED GBV SERVICES: The potential need of a network of expertise and knowledge


Title: HEALTHCARE AS PART OF INTEGRATED GBV SERVICES: The potential need of a network of expertise and knowledge Created Date: 2/24/2010 5:42:46 PM – PowerPoint PPT presentation

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Title: HEALTHCARE AS PART OF INTEGRATED GBV SERVICES: The potential need of a network of expertise and knowledge

The potential need of a network of expertise and
  • Dr. Sam Thenya
  • CEO The Nairobi Womens Hospital
  • 5th GTZ Health Sector Network Meeting
  • 25th February 2010

  • GVRC was established in 2001 as a charitable
    trust of the Nairobi Womens Hospital to provide
    free medical treatment and psychosocial support
    to survivors of sexual and domestic violence.
  • Today the centre has treated over 15,000
    survivors of sexual and domestic violence.
  • 90 of the cases are of sexual violence
  • 49 of the cases are women, 45 children and 6
  • The youngest survivor of sexual violence is a 1
    month old baby and the oldest 105 yrs old
  • The centre has 15 staff, runs semi autonomously
    from the NWH and depends on donor funding to run
    its activities. ( Both International and local
  • Other services provided include
  • Training of other service providers ( health
    workers, police, magistrates, policy makers,
    community opinion leaders) on management of
    gender based violence,
  • Daily collection of data and analysis of GBV
  • Advocacy for policy/legislative enactment and
  • Community awareness creation on impact of GBV and

What Difference does GVRC make?
  • GBV cases have no boundaries economic, social,
    cultural or religious everyone is directly or
    indirectly affected, everyone needs these
  • All GVRC services are free we reach out to the
    poorest of the poor
  • Medical services are aimed at prevention of HIV
    infection ( PEP within 72hrs and has 99 success
    rate), prevention of unwanted pregnancy,
    prevention of Hepatitis B infection, treatment of
    STI and reconstructive surgeries.
  • GVRC creates awareness on prevention of violence
    in the society. GVRC has advised police and
    Kenyans on red spots in the city and constantly
    shared statistics to advise policy change and
    establishment of structures to prevent the vise.
  • GVRC provides legal support preservation of
    evidence, medical reports and doctors evidence at
    no cost.

NWH/GVRC Linkage with Public Health
  • Best practices GVRC remains the oldest and
    leading institution in East and Central Africa.
    Various institutions learn from NWH/GVRC
  • Capacity building/Trainings Train health
    service providers, legal professionals, the
    police, social workers and counselors on
    management of GBV and service delivery
  • Participate in the development of standard
    operating procedures, quality services,
    regulatory frameworks, policies and professional
  • Participate in intersectoral coordination,
    collaboration and partnerships to improve quality
    of service example referral systems.

Networking organizations
  • GVRC network comprise
  • Women's Rights Awareness program (WRAP),
  • Coalition of Rights and Education of Abused Women
  • Coalition of Violence Against women (COVAW),
  • UNAIDS, United Nations Population Fund (UNFPA),
  • UNIFEM, Federation of Women Lawyers in Kenya
  • African Womens development and communication
    Network (FEMNET),
  • CRADLE, CLAN, ANPPCAN, Plan Kenya, International
    Justice Mission (IJM),
  • GOAL Kenya Rescue Centre, Oscar Foundation Free
    Legal Aid Clinic,
  • Child life Trust, Childrens Department, Nairobi
    Childrens Home, Childline Kenya, Faulu Kenya,
  • Support for Women In Extreme Difficulties
    (S.W.E.D), and other GBV stakeholders etc.

GVRCs Achievements through networking
  • GVRC received great support during the post
    election violence. 653 survivors were treated at
    the hospital, 286 through partners supported by
    GVRC and over 2812 through medical camps. Over
    180,000 received psychosocial support. GVRC is
    proud to, in collaboration with Red Cross,
    establish the psychosocial component of the
    national emergency response team during PEV where
    over 180,000 people received psychosocial
  • Recruitment of long term project donors namely
    Safaricom Foundation, Terres des hommes, PLAN
    International, Childline Kenya, OBA, UNFPA and
    UAP Insurance
  • Police headquarters ( Gender and children affairs
    department) currently working closely with GVRC
    to assist survivors who encounter challenges
    while trying to report their cases at any police

Knowledge Sharing
  • GVRC is a pioneer centre for GBV statistics and
    other centers in Kenya many NGOs, Government,
    Media houses and UN agencies rely on the centres
    statistics in providing reports. These including
    the National Commission on Gender and
    Development, Kenya National Human Rights
    Commission, FIDA Kenya, WRAP, MEDEVA among
    others. UNFPA has come on board to support GVMU
    expansion to collect and collate data on GBV in
    the country. This is a pilot program that is
    hoped to be replicated in all provinces to enable
    a national reflection of statistics and further
    enable advocacy for societal change.

Knowledge Sharing
  • GVRC is currently a centre of reference in East
    Africa for best practices in medical services and
    psychosocial support for survivors of GBV. GVRC
    staff have carried out several trainings and
    presented several papers to service providers and
    like minded stakeholders in East Africa and
  • The centres statistics are also quoted in
    several UN and NGO publications. For example, the
    GBV Sub cluster report on PEV, WRAP report on
    PEV, Action Aid Kenya on the intersection of VAW
    and HIV/AIDS amongst others.

Achievements through Networking
  • GVRC representative seat in the Childline Kenya
    board of directors and in the National Steering
    Committee on the Child 24 hour toll free
    helpline. GVRC is in partnership with Childline
    to provide rescue services (Ambulance).
  • GVRC made significant contribution to the
    enactment of the Sexual Offences Act, 2006,
    magistrates, police, health service providers
    among others were trained on implications of
    sexual violence and statistics collected at the
    centre used to advocate and lobby for the change
    in legislation.

Achievements in lobbying through Networking
  • Rape Red spots Bill boards were initially put in
    the sites to educate people about rape. The globe
    cinema roundabout as well as the railway red spot
    is now matatu terminus, well light and each has a
    police post.
  • GVRC together with other Civil Society
    Organizations (CSOs) lobbied the government to
    convert some of the police stations to set up
    gender and children desks. This led to the
    conversion of Kilimani police station to
    exclusive handle gender based violence meted on
    women and children

Achievements in Training through Networking
  • Trainings have been done in East Africa through
    the partnership of TDH and GVRC. 250 personnel
    have been trained on child protection and
    management of gender based violence. GVRC has
    been able to share its best practices as a model
    institution in the management of GBV in East and
    Central Africa. The topics of trainings have
    included medical management, psychosocial support
    and social support. The partners in region that
    GVRC has worked with together with TDH are in
    Tanzania (Moshi and Musoma), Uganda (Kampala and
    Jinja) and Kenya (Turkana, Bondo, Nairobi) All
    these partner organization are funded by TDH to
    carry out activities geared toward the protection
    of the child in the society against all forms of
  • Development of Training Health workers, police,
    CBOs on management of rape and PEP treatment in
    Coast region, Rift Valley and Western provinces.
    A total of 12 hospitals were trained on rape
    management, 24 doctors, 24 trauma counselors (12
    facility based and 12 community based), 24 child
    counselors, 24 community/opinion leaders, 320
    senior police officers between 2005/2006.
    Developing the manuals used in these training
    exercises such as training manuals on Rape
    Management, Trauma counseling, Child counseling
    and Gender issues.

  • More support to the relevant government and
    institutions is needed to integrate prevention of
    GBV and gender equality concerns into their
    emergency plans of action and improve their
    capacity to address the problem of GBV. The
    private sector and faith based organizations
    should be integrated
  • There is also need for continued partnership for
    collective and effective results on Gender
    equality and empowerment of women. coordination
    mechanisms for prevention and response
    programming at the national, provincial and
    district level is important.
  • Need to allocate technical and financial
    resources to security personnel to address GBV
    and especially against women and girls who are
    more vulnerable

  • Need for greater integration of the private
    sector, faith based organizations and civil
    societies by the government in the decision
    making processes that concern SGBV.
  • Need to improve multi-sectoral prevention and
    response to GBV at the community level, through
    sustained support to sectors such as health,
    legal/justice, security and psychosocial, with a
    special focus on gaps such as availability of
    forensic examiners ,legal aid services and
    judicial response
  • Need to conduct widespread community education
    aimed at prevention and ensuring survivors know
    how and where to access services.
  • Need for continued capacity building and training
    on GBV.
  • Better allocation of taxpayers money towards
    fighting SGBV
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