32. Maternal health care
When women victims of sexual violence have been unable to seek, or have not wished to seek, access to
medical abortion services, States must guarantee their access to pre- and postnatal and nutritional services
during pregnancy and lactation.
Explanatory Notes: Maputo Protocol, Article 14 (2) (b).
33. Prevention and treatment of HIV
33. 1. States must take all necessary measures for victims of rape to have access to prophylaxis within 72
hours, especially post-exposure prophylaxis (PEP), including in rural areas, to prevent the transmission,
spread and proliferation of STIs, especially HIV. High-quality test kits for HIV and all other STIs must be
accessible and available to victims of rape at no cost.
33. 2. States must also take the necessary measures for victims of rape to have access to antiretroviral
therapy (ART) programmes and prenatal care to reduce the risk of transmitting HIV and certain other STIs
from mother to child.
33. 3. States must take the necessary measures for specific short and long-term support to be provided
to victims who were infected with HIV after a rape, including ongoing, free, high-quality medical and
psychological care.
Explanatory Notes: Maputo Protocol, Article (1) (d) and (e); ACHPR, General Comments on Article 14 (1) (d) and (e) of the Maputo
Protocol (2012); SADC Declaration on Gender and Development (1997); General Assembly of the United Nations, Resolution
A/RES/S-26/2, Declaration of Commitment on HIV/AIDS (2001); WHO/Office of the United Nations High Commissioner for
Refugees, Clinical Management of Rape Survivors: Developing protocols for use with refugees and internally displaced persons
(2005).
D. SOCIAL SUPPORT
34. Empowerment of victims
States must provide social support to victims to aid them in achieving autonomy, especially by facilitating
access to (new) housing; care services for their children (access to daily supervision, education and
healthcare), especially children born from rape; access to financial assistance; and helping them return to
work or obtain work as needed. States must work together with civil society organisations, private sector
stakeholders and technical partners who support the victims of sexual violence by offering appropriate
support services and helping them to regain control of their lives, especially by assisting them to gain new
skills and access new opportunities, for example through income-generating activities.
Explanatory Notes : Maputo Protocol, Article 16.
E. INFORMATION
35. Access to information
35. 1. States must adopt all necessary measures so that victims of sexual violence and their families are
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GUIDELINES ON COMBATING SEXUAL VIOLENCE
AND ITS CONSEQUENCES IN AFRICA