Post-exposure prophylaxis for sexual assault victim-survivors: Guidelines and best practices

Abstract

This study addresses the importance of post-exposure prophylaxis (PEP) in the context of sexual assault. Post-exposure prophylaxis serves as a critical intervention to reduce the risk of human immunodeficiency virus (HIV) transmission and unintended pregnancies for victim-survivors. Immediate access to PEP, emergency contraception and comprehensive medical assessments is essential for effective care. The study outlines the steps healthcare providers must take, including timely administration of prophylaxis, monitoring for side effects and offering psychosocial support to victim-survivors. It emphasises the need for follow-up visits to ensure ongoing care and the importance of implementing risk-reduction strategies until final infection outcomes are confirmed. Additionally, the role of standardised documentation, such as the J88 form, is highlighted for collecting evidence in cases of sexual violence, ensuring that healthcare practitioners understand their responsibilities in promoting justice. The study underscores the social obligation of healthcare professionals to combat gender-based violence, advocating for reporting mechanisms for child victims and appropriate referral pathways for positive test results. By prioritising the health and wellbeing of victim-survivors, the healthcare community can significantly contribute to their recovery and empowerment, ultimately fostering a supportive environment that addresses both medical and emotional needs following sexual assault.