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She was raped a few days ago. She does not feel well, she has pelvic pain and she fears she might be pregnant. While admitting her, the consultant asks her a series of questions: Where are you from?

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Self-reported unprotected sex validity is questionable and is thought to decline with longer recall periods. We used biomarkers of semen to validate self-reported unprotected sex and to compare underreporting of unprotected sex between 2 recall periods among female sex workers FSW. At baseline of an early antiretroviral therapy and pre-exposure prophylaxis demonstration study conducted among FSW in Cotonou, Benin, unprotected sex was assessed with retrospective questionnaires, and with vaginal detection of prostate-specific antigen PSA and Y-chromosomal deoxyribonucleic acid Yc-DNA.

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And we must make sure that those involved are held fully accountable. These words sound very much like the ones spoken by the UN secretary general Ban Ki-moon last week in response to reports of sexual abuse by peacekeepers in Central African Republic CAR. But they were spoken more than a decade ago. It was a previous secretary general, Kofi Annanwho first pledged to eliminate the scourge of sexual abuse from the UN.

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People displaced by armed conflict around Goma are now suffering high levels of sexual violence in and around the camps where they have taken shelter. Between December 3,and January 5,the MSF team working in Mugunga III camp, a few kilometers west of Goma, registered and treated 95 patients who were victims of sexual violence, with a notable increase in late December. MSF denounces the lack of action on the part of those responsible for protecting civilians and the poor security conditions in the Goma camps.

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PAIF has been working with women and girls in northeastern DRC since to educate women on their rights, empower women to participate in politics, provide resources to survivors of gender-based violence including rape survivorsadvance peace and security agendas for the area, and more. Although it is illegal, beating is very common in the schools. These are beatings so severe that recently a girl in secondary school was beaten to death by her teacher.

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Displaced adolescents are vulnerable to a host of difficulties that affect their sexual and reproductive health. The stakes are highest for adolescent girls, who face a high risk of gender-based violence including sexual violence, exploitation and abuse, trafficking, and early and forced marriage. Refugee adolescents have limited access to health care, especially care that protects their sexual and reproductive health including protection from sexually transmitted infections and contraception.

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The UN has a problem of accountability and of abuse; of an organisation sent to police the world which remains unable to police itself, and of a climate of systematic abuse which ranges from alleged high-level fumblings to the rape of girls and boys, some of them as young as six, by members of the DRC peacekeeping force, known as Monuc, its French acronym, and civilian UN officials. This climate has reached its apogee with the recent allegations in the Democratic Republic of Congo where cases have been brought against Monuc soldiers and UN civilians ranging from the abduction and rape of minors to the finding of more than images of child pornography involving Congolese children on the laptop of a French UN civilian working in Goma. Last Friday the UN's Office of Internal Oversight Services OIOS published its report into the allegations of abuse in Bunia and found that at least seven cases of under-age sexual abuse, all but one of them committed by UN peacekeepers, were fully substantiated.

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We set up the MSF Access Campaign in to push for access to, and the development of, life-saving and life-prolonging medicines, diagnostic tests and vaccines for people in our programmes and beyond. Read stories from our staff as they carry out their work around the world. Hear directly from the inspirational people we help as they talk about their experiences dealing with often neglected, life-threatening diseases.

During five years of armed conflict in the Democratic Republic of Congo, tens of thousands of women and girls in the eastern part of the country have suffered crimes of sexual violence. The signing of a peace agreement in and the installation of a transitional government in raised hopes that both the military conflict and related abuses would end. But in eastern Congo women and girls as young as three years old continue to be targeted for crimes of sexual violence. Some have been gang-raped or abducted by combatants for long periods of sexual slavery.


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