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Clinical Forensic Medical Services (CFMS)

Description

CFMS is the provision of healthcare to patients of sexual assault, domestic violence and other violent acts.

​These very specialized services cut across all levels of health care service delivery. 

In light of the emphasis placed on Women and Child health by the World Health Organisation (WHO), the provision of healthcare of sexual assault, domestic violence and other forms of violence must be priority and is a designated responsibility of the Department of Health.

When can a person report to CFMS?

You should go to the nearest health facility as soon as possible, preferably within 72 hours after the assault or rape. 
 
You do NOT need to open a police case to receive health services.  

You may go to the nearest police station before you go for medical examination and if so, the police or support organisation will take you to the health facility for examination. 


When sexual assault or abuse happens the following will happen: 

If you report at a Health Facility first:
  • You will be reffered to CFMS facility. 
  • At CFMS facility: you will wait at a designated room for clinician
  • If not brought by police, they will be called to bring the kit
  • Clinician will take history, do counselling, take blood and do examination, provide PEP, refer you for psychosocial support and give follow up dates
  • Police will take a statement should you want to open a case
  • ​In cases where a child is abused, reporting is obligatory 
If you report at SAPS first: 
  • ​​The Police will provide you with the transport to health facility. 

What is abuse?

Abuse is any form of behaviour that controls another person, causes physical harm or fear, makes someone do things they do not want to do, or prevent them from doing things they want to do.  Abuse can also be verbal, emotional, physical, sexual, material or financial. Abused women usually experience multiple forms of abuse.

Forms of abuse
  • ​Physical Abuse
  • Emotional Abuse
  • Sexual Abuse
  • Verbal Abuse
  • Financial Abuse

What is rape/ sexual assault?

Rape/​sexual assault can happen to anyone - woman or man, girl or boy. Rape is forced sex, and can be either vaginal or anal or oral. Rape is a crime against more vulnerable persons by another.

Remember:
If sexual assault happens to you, it is not your fault. Many women, men and children are sexually assaulted by people they know. Anyone can be assaulted sexually, young or old, rich or poor, male or female.

You have rights:​
  • To be treated with respect and dignity at all times by doctors, nurses, police officers, prosecutors and social workers who help you after the rape.
  • To be given full and accurate information about your health. 
  • To refuse treatment.
  • ​To emergency medical treatment if you are seriously injured even if you cannot pay for it.
  • Information about your health is confidential. No health worker can tell others about your HIV status without your permission.

Post Exposure Prophylaxis (PEP)

Post-exposure prophylaxis is the treatment that is given to patients of sexual assault and rape to reduce their risk of contracting HIV.  If someone has been sexually assaulted- raped or forced to have anal sex- and the HIV status of the attacker is unknown, the survivor is treated as though the attacker were HIV+

This way we will be ensuring that all possible precautions are taken to reduce the chances of HIV being passed on to the survivor of  sexual assault. 


Who needs to take PEP?
 
Anyone who has been raped or sexuallly assaulted, this include women, men and children- both boys and girls who meet specific criteria. 

Where can I obtain PEP?

​You must go to the local clinic or hospital, if they do not offer PEP they will refer you to the one that does.  ​​

Available Services

Visit your local clinic

In Person Over Phone

Related Services

No Related Services