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Aspects épidémio-cliniques et prise en charge des agressions sexuelles chez les sujets de sexe féminin à Lomé.

Amah B. Adama-Hondégla, Abdoul-Samadou Aboubakari, Kodjo Fiagnon, Augustha R. N’kamga-Tchocote, Koffi Akpadza

Abstract

Il s’agit d’une étude rétrospective qui a pour objectif de décrire les aspects épidémio-cliniques et la prise en charge des agressions sexuelles en milieu noir africain. L’étude a porté sur 373 dossiers de victimes féminines présumées d’agression sexuelle enregistrées dans le service de Gynécologie et d’Obstétrique du CHU Tokoin de Lomé de 2007 à 2009. Les agressions sexuelles ont représenté 4,37 % des motifs de consultation. La victime était souvent une fillette d’un âge moyen de 12 ans. Le viol par pénétration vaginale (62,2%) était le mode prépondérant. Le délai moyen de consultation qui était de 13 jours a considérablement limité certains aspects de la prise en charge. Il y a eu 14,5% de traumatisme génital, 2,4% de séroconversion au VIH et 2,14% de grossesses induites. Les agressions sexuelles ont touché une population jeune et vulnérable. Les pouvoirs publics doivent davantage informer sur ce sujet et créer des centres pluridisciplinaires de prise en charge gratuite.  (Afr J Reprod Health 2013; 17[1]: 67-72).

Abstract

This is a retrospective study whose objective is to describe the epidemiological and clinical aspects of the management of sexual violence in Black Africa.  The study included 373 cases of alleged female victims of sexual assault registered in the Department of Obstetrics and Gynecology of the University Teaching Hospital, Tokoin, Lomé, from 2007 to 2009.  Sexual assault accounted for 4.37% of reasons for consultation and vaginal penetration (62.2%) was the predominant mode.  The victim was often a small girl of an average age of 12 years.  The mean reporting delay which was about 13 days has considerably limited some aspects of the management.  We found 14.5% signs of genital trauma, nine cases of HIV serological conversions (2.4%) and eight induced pregnancies.  Sexual assault among female victims in Lomé affected the young and vulnerable population. Governments must further inform about this issue and create multidisciplinary free management centres.  (Afr J Reprod Health 2013; 17[1]: 67-72).



Mots clés: Abus sexuels, Femme, Afrique subsharienne

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References

Jewkes R, Sen P, Garcia-Moreno C. La violence sexuelle. In: Krug E, Dahlberg LL, Mercy JA, Zwi AB,

Lozano R. Rapport mondial sur la violence et la santé. Genève, Organisation Mondale de la Santé, 2002; 165-99.

Kimberly AT. Social and emotional outcomes of childhood sexual abuse a review of recent research. Aggression and Violent Behavior 2002; 7: 567-89.

Pitche P. Abus sexuels d’enfants et infections sexuellement transmissibles en Afrique subsaharienne. Med Trop 2005; 65: 570-74.

Dassa KS, Numukpo P, Menick DM, Ahyi RG. Violences sexuelles sur les enfants en Afrique subsaharienne: contexte socioculturel et représentations communautaires. Journal de la Recherche Scientifique de l’Université de Lomé 2009; 11.

Ruto SJ. Sexual abuse of school age children: Evidence from Kenya. J Int Coop Educ 2009; 12: 177-92.

Christofides N, Webster N, Jewkes R, Penn-Kekana L, Martin L, Abrahams N et al. The state of sexual assault services: findings from a situation analysis of services in South Africa. In: The South African gender-based violence and health initiative (2003).

Mbaye SM. Impact psychosocial de la traite sur des enfants au Togo. In : Behrendt A, Summary paper of the research project “Psychosocial support to children in difficult circumstances in West Africa”. 2008.

Dieme FM, Traore AL , Gueye SMK, Moreira PM, Diouf A, Moreau J-C. Profil épidémioclinique et prise en charge des victimes d’abus sexuels à la clinique gynécologique et obstétricale du CHU de Dakar. J Gynécol Obstét Biol Reprod 2008; 37 : 358-64

Lawlor K. Child sexual abuse in sub-Saharan Africa: child protection implications for development policy makers and practitioners. In 'Development Research Briefings, 2005, No. 3' by the Centre for Development Studies at University College Dublin.

Ogunyemi B. Knowledge and perception of child sexual abuse in urban Nigeria: some evidence from a community-based project. Afr J Reprod Health 2000; 4: 44-52.

Brennan S and Taylor-Butts A. Sexual assault in Canada 2004 and 2007. Canadian centre for justice statistics profile series. N° 19 85F0033M Ottawa.

Cambanis A. Child sexual abuse, HIV, and tuberculosis in sub-Saharan Africa: a case report from rural Cameroon. AIDS 2007; 21: 887-89.

Saint-Martin P, Bouyssy M, Jacquet A, O'Byrne P. Les victimes d'abus sexuels : éléments médicolégaux et suites judiciaires (analyse de 756 cas). J Gynecol Obstet Biol Reprod 2007; 36:588-94.

Lalor K. Child sexual abuse and HIV transmission in subSaharan Africa. Child Abuse Review 2008; 17: 94107.

Lema VM. Sexual abuse of minors: Emerging medical and social problem in Malawi. East Afri Med J 1997; 74: 743-46.

Lalor K. Child sexual abuse in Tanzania and Kenya. Child Abuse Neglect 2004; 28: 833-44.

Meel BL. The myth of child rape as a cure for HIV/AIDS in Transkei: a case report. Med Sci Law 2003; 43: 8588.

D. Mbassa M, Ngoh F. Sero-prévalence de l’infection à VIH chez les enfants victimes d’abus sexuels au Cameroun. Med Trop 2003; 63 : 155-58.

Breiding MJ, Reza A, Gulaid J, Blanton C, Mercy JA, Dahlberg LL et al. Risk factors associated with sexual violence towards girls in Swaziland. Bull World Health Organ 2011; 89: 203-10.

Lakew Z. Alleged cases of sexual assault reported to two Addis Ababa hospitals. East Afr Med J 2001; 78.

Sugar NF, Fine DN, Eckert LO. Physical injury after sexual assault: Findings of a large case series. Am J Obstet Gynecol 2004; 190: 71-76.

F. Guillet-May, O. Thiebaugeorges - Le médecin face aux agressions sexuelles et au viol. EMC-Médecine 2 (2005) 13–23.

Devries K, Watts C, Yoshihama M, Kiss L, Schraiber LB, Deyessa N et al. Violence against women is strongly associated with suicide attempts: Evidence from the WHO multi-country study on women's health and domestic violence against women. Social Science and Medicine 2011;73: 79-86.

Pitché P, Kombaté K , Gbadoé AD, Tchangaï-Walla K. Les maladies sexuellement transmissibles chez le jeune enfant à Lomé (Togo) : Place de l'abus sexuel. Archiv Pédiatr 2001; 8: 25-31.

UNAIDS. 1999. AIDS - 5 years since ICPD: Emerging issues and challenges for Women, Young People and

Infants.

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