"We find that the specific emergency care needed for victims of rape is either very rare or completely absent in the countries where we operate," said Thilde Knudsen, MSF's sexual and reproductive health advisor. "The damage cannot be completely undone; some level of psychological impact is likely to remain for life."
In the report, Shattered Lives, released on 5 March, ahead of International Women's Day on 8 March, MSF highlights its experience with sexual violence in Burundi, Colombia, the Democratic Republic of Congo, Liberia and South Africa.
As part of the comprehensive care required for sexual violence victims MSF lists counselling, post-exposure prophylaxis to prevent HIV-infection, treatment for other sexually transmitted infections, such as Hepatitis-B, tetanus injections for those physically injured, and emergency contraception.
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MSF also said aggressive awareness-raising campaigns were necessary to break social taboos and encourage survivors of sexual violence - including male survivors, who often went unrecognised and untreated - to report.
"Our teams hear painful stories of horrible abuse every day," said Meinie Nicolai, operational director of MSF in Belgium. "There can be no excuse for sexual violence, no matter how prevalent these violations may be in some of the places where we work."
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