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Table 5 Clinical examination and laboratory tests findings for survivors presenting at the two hospitals

From: Missed treatment opportunities and barriers to comprehensive treatment for sexual violence survivors in Kenya: a mixed methods study

 

Naivasha Hospital n = 335 N (%)

Thika Hospital n = 208 N (%)

Total n = 543n (%)

p value

Clinical examination findings

 Physical exam

Normal

286 (85.4)

157 (75.5)

443 (81.6)

 

Abnormal

42 (12.5)

29 (13.9)

71 (13.1)

< 0.001

Not documented

7 (2.1)

22 (10.6)

29 (5.3)

 

 Genital exam

Normal

45 (13.4)

48 (23.1)

93 (17.1)

 

Hymen broken only

173 (51.6)

79 (38.0)

252 (46.4)

 

Hymen broken with other signs

91 (27.2)

49 (23.6)

140 (25.8)

0.001

Others e.g. anal signs

21 (6.3)

25 (12.0)

46 (8.5)

 

Not documented

5 (1.5)

7 (3.4)

12 (2.2)

 

 Psychological assessment

Calm/normal

278 (83)

149 (71.6)

427 (78.6)

 

Not calm/ other psychological disturbance

21 (6.3)

19 (9.1)

40 (7.4)

0.006

Not documented

36 (10.7)

40 (19.2)

76 (14.0)

 

Laboratory test results

 HIV

Negative

296 (88.4)

25 (12.0)

321 (59.1)

 

Positive

2 (0.6)

0

2 (0.4)

< 0.001

Known HIV positive patient

2 (0.6)

1 (0.5)

3 (0.6)

 

Not documented

35 (10.6)

182 (87.5)

217 (40.0)

 

 Urinalysis

Normal

206 (61.5)

20 (9.6)

226 (41.6)

 

Abnormal

70 (20.9)

18 (8.7)

88 (16.2)

< 0.001

Not documented

59 (17.6)

170 (81.7)

229 (42.2)

 

 Swab microscopy (high vaginal, oral or anal)

Normal

108 (32.2)

29 (13.9)

137 (25.2)

 

Abnormal

149 (44.5)

38 (18.3)

187 (34.4)

< 0.001

Not documented

78 (23.3)

141 (67.8)

219 (40.3)

 

 Pregnancy test

Positive

30 (12.8)

3 (7.5)

33 (12.0)

0.339

Negative

204 (87.2)

37 (92.5)

241 (88.0)

Total

234 (100)

40 (100)

274 (100)

 VDRL

Positive

2 (0.6)

0

2 (0.4)

 

Negative

296 (88.4)

10 (4.8)

306 (56.4)

< 0.001

Not documented

37 (11.0)

198 (95.2)

235 (43.3)

 

 Hepatitis B surface antigen

Positive

1 (0.3)

0

1 (0.2)

< 0.001

Negative

268 (80.0)

0

268 (49.4)

Not documented

66 (19.7)

208 (100)

274 (50.4)