Based on preliminary results of a qualitative pilot study at Panzi Hospital, the number of pregnancies resulting from sexual violence is high. These unintended pregnancies impact women, children, and their communities, because of the morbidity related to unsafe abortion and the stigmatization that occurs from delivering a child as a result of rape. There is a clear need for further research to more clearly quantify the number of unintended pregnancies occurring due to rape, to describe the nature and degree of unsafe abortions occurring in the community, and to explore the means to provide preventive care through increasing provision and utilization of contraception and emergency contraception. In addition, through GIS mapping we hope to identify where women obtain illegal abortions and where they present for family planning services. These future studies will be instrumental in creating interventions and shaping policies to protect and assist survivors of sexual violence. Patients at Panzi Hospital making crafts to sell in the local market (Justin Ide, Harvard University News Office) R ECO MMENDATIONS 1. The Congolese government and its international partners must ensure that quality care is available for women in all areas, in order to save lives and preserve quality of life. Of sexual violence survivors seeking medical care at Panzi Hospital, only 12% received treatment within a month of the assault. The number of survivors who reach medical care in time to receive HIV/AIDS PEP is even lower. While no comprehensive overview of existing services is currently available, community consultations confirm that women in rural areas largely lack access to even basic medical care in the aftermath of rape, while more specialized care for postrape complications is available in only a handful of health centers such as Panzi Hospital. This situation reflects a wider problem of insufficient funding and support for health services in rural areas, which impacts critically on the provision of basic care to preserve life and quality of life for rape survivors. The Government of the DRC must increase access to survivor support services, particularly medical care and particularly in remote and rural areas, by: • 52 Massively increasing provision of medical care for survivors of sexual violence. The comprehensive mapping of existing services provided in the UN’s Comprehensive

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