The National Gender and Equality Commission (NGEC) has issued a stern reminder to public health facilities across Kenya that survivors of sexual and gender-based violence (SGBV) are entitled to free, urgent medical care without any preconditions.

In a public advisory released on July 28, NGEC chairperson Rehema Dida Jaldesa emphasized that survivors must not be denied treatment, charged fees, or required to register with the Social Health Authority (SHA) before receiving emergency services.

Entitlements for SGBV Survivors

  • Immediate medical examination and injury treatment
  • Post-Exposure Prophylaxis (PEP) to prevent HIV infection within 72 hours
  • Emergency contraception and, where appropriate, Pre-Exposure Prophylaxis (PrEP)
  • Collection and preservation of forensic evidence
  • Completion of P3 and Post Rape Care documentation
  • Counselling and psychosocial support services

NGEC underlined that these services are guaranteed under the Sexual Offences (Medical Treatment) Regulations of 2012 and the Constitution of Kenya, which protect survivors' rights to health, dignity, equality, and access to justice.

Prohibited Practices and Remedies

The commission warned against unlawful practices such as charging for SGBV-related care, delaying treatment due to stock shortages or lack of funding, refusing treatment pending SHA registration, or denying forensic evidence collection.

Survivors who experience such violations are encouraged to demand free post-rape care, request to speak with facility leadership, and document the incident details. Reporting can be made to NGEC, the Kenya Police Gender Unit, or the relevant County Health Department.

Additional Guidance

  • Seek medical attention promptly, ideally within 72 hours, to maximise treatment effectiveness.
  • No police report is required before receiving medical care.
  • Services must be delivered confidentially and respectfully to avoid secondary trauma.
  • NGEC calls on the public to support survivors in accessing care and to report any institution that charges or denies treatment.
  • Registration with SHA is encouraged to enhance accountability in health service delivery.

This advisory reinforces the government's commitment to upholding the rights of SGBV survivors and ensuring they receive timely and dignified medical assistance in public health facilities nationwide.