Multiyear, Multisectoral Training Program in Kenya to Enhance Medical-Legal Processes in Response to Sexual and Gender-Based Violence

Violence Against Women. 2022 Nov;28(14):3311-3330. doi: 10.1177/10778012221099984. Epub 2022 Aug 7.


Sexual and gender-based violence (SGBV) leads to severe sequelae for individuals and communities. Lack of cross-sector coordination inhibits effective medical-legal support and justice for survivors. Multisectoral trainings for health, legal, and law enforcement professionals on survivor-centered SGBV care were conducted in Kenya during 2012-2018. Evaluation utilized objective structured clinical examinations, standardized patients, knowledge assessments, and interviews. A total of 446 professionals participated in 18 trainings. Mean knowledge scores increased from 75.6% to 84.7% (p < .001). Thirty interviews revealed improved survivor confidentiality, increased specialized hospital care, more comprehensive forensic care, and greater cross-sector collaboration. Participants reported survivors feeling more comfortable pursuing legal action and increased perpetrator convictions.

Keywords: Kenya; forensic evidence; gender-based violence; sexual assault; sexual violence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Gender-Based Violence*
  • Humans
  • Kenya
  • Sex Offenses*
  • Sexual Behavior
  • Survivors