Rape is one of South Africa’s most pressing social problems. Rape levels in the country are often discussed and reported on, but it does not deter perpetrators from this behaviour.
According to Africa Check, of the more than 42 000 rape cases reported in 2015, 15 790 were child rape cases.
In an effort to assist victims of sexual assault and rape, the University of the Free State’s (UFS) Department of Family Medicine adopted the Tshepong Thuthuzela Care Centre, under the leadership of UFS lecturer, Mariaan Kotze.
The Discovery Fund donated a colposcope to Tshepong Thuthuzela, an instrument that works with the help of a bright light and which is used to examine victims of abuse.
It has also become a standard of good practice in the assessment of child abuse worldwide. According to Dr Kotze, the new instrument will also be used for training health practitioners by rendering clinical forensic services to abuse victims.
The care centre works with between 80 and 120 victims of rape each month, a third of whom are children under 14 years of age. According to Dr Kotze, the management of child sexual abuse victims is more complex than with adults; as there is a higher chance of missing or over-diagnosing abnormalities.
Also, she says, the examination process is often observed by a group of healthcare practitioners, an experience which is often intrusive and intimidating for the child. With the colposcope, the timeframe of the examination is shortened, and can be captured and viewed in real time, without the victim being present.
The colposcope is a magnifier and light source used during gynaecological examinations. It is instrumental in providing the best care to victims of sexual abuse, and helps diagnose and assist in the treatment of cases of abuse.
Its ability to capture and review images at the time of examination allows for retrospective research, and improves the ability of expert witnesses in court cases.