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Sexual Assaults at the One Stop Center Unit in the Health District of Commune V of Bamako (Mali)

Introduction: Sexual assault violates fundamental rights, including physical and psychological integrity and security of the person. The purpose of this work was to take stock of the holistic management of sexual assaults received in the service. Patients and method: We conducted a cross-sectional and descriptive study covering the period from June 2017 to May 2020, i.e. three years. It focused on all survivors of sexual assault received in the unit of  which houses the Obstetric Gynecology Department of the CSRéf CV of the district of Bamako in Mali. Results: The prevalence of sexual assault was 1.79%. The average age of survivors was 24 years. Sexual assaults mainly concerned adolescent girls (92.20%). The majority of survivors had been admitted (88.84%). They were single (89.80%). The average gesture was 4. The alleged perpetrator was unknown to the survivor in 79.14%. Genitogenital penetration with ejaculation was reported in 70.14% of cases, including 52.40% in a climate of violence. The initial clinical evaluation found recent hymenal lesions found in 13.58% of cases and an intact hymen in 9.42% of survivors. Holistic management included a paraclinical assessment component and a care administration and support component. The drafting of a medical certificate in three copies was systematic. Conclusion: Sexual assaults are relatively common in our department. They are probably underestimated. Keywords: Violence, gender, survivors, bamako.