{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:35:57Z","timestamp":1785411357399,"version":"3.56.0"},"reference-count":10,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0South Africa\u2019s population experiences high rates of gender-based violence (GBV), with primary care emergency centres (ECs) often being the first point of contact for victim-survivors of violence. The ability of these centres\u2019 staff to identify survivors of abuse plays a critical role in connecting them to a multidisciplinary network of support services. During 2025, a medical intern expressed his frustration with a community health centre\u2019s lack of readily available guides to refer GBV victim-survivors for psychosocial support. Once, it was established that his perception was shared by other clinicians, the family physician of the facility agreed to work with the intern to \u2018do a situational analysis audit and fix the problem\u2019.\nMethods:\u00a0The folders of the first 100 adults over 18 years old who presented to the EC with injuries in 2025 were reviewed between June and August for identification of physical and nonphysical abuse plus whether their management included appropriate referral for psychosocial support.\nResults:\u00a0Roughly a quarter were GBV, with most being women. Perpetrators were largely known individuals. For sexual violence, the standard management guidelines were followed, and appropriate medico-psychosocial referrals were made. For non-sexual assaults, such referrals were sparse. Where medico-legal action was taken, it tended to be patient initiated.\nConclusion:\u00a0These findings pointed to missed opportunities to provide legislated care for abused victims.\nContribution:\u00a0A flowchart, in line with South Africa\u2019s National Strategic Plan for GBV, was produced to close the gaps. Its generic design will allow for wider use at the primary level.<\/jats:p>","DOI":"10.4102\/safp.v68i1.6280","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T07:25:04Z","timestamp":1776669904000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["An audit to detect gender-based violence victim-survivors and to improve their referral care pathways in a primary care clinic\u2019s emergency centre in Cape Town, South Africa: A narrative report"],"prefix":"10.4102","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3579-7139","authenticated-orcid":false,"given":"Mosedi","family":"Namane","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03p74gp79","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cape Town"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3084-7582","authenticated-orcid":false,"given":"Salmaan","family":"Moosa","sequence":"additional","affiliation":[{"name":"Vanguard Community Health Centre, Department of Health and Wellness, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"ref0","unstructured":"UN Women, UNODC. Gender-related killings of women and girls: Improving data to improve responses to femicide\/feminicide [homepage on the Internet]. 2022 [cited 2025 Oct 06]. Available from: https:\/\/www.unwomen.org\/sites\/default\/files\/2022-11\/Gender-related-killings-of-women-and-girls-improving-data-to-improve-responses-to-femicide-feminicide-en.pdf"},{"key":"ref1","unstructured":"Human Sciences Research Council (HSRC). The first South African national gender-based violence study, 2022 \u2013 Executive summary [homepage on the Internet]. HSRC [cited 2025 Oct 06]. Available from: https:\/\/www.stateofthenation.gov.za\/assets\/executive-summary-the-first-sa-national-gbv-study-2022.pdf"},{"key":"ref2","unstructured":"Department of Justice, South Africa. National Strategic Plan on Gender-Based Violence & Femicide (NSP-GBVF) [homepage on the Internet]. Pretoria: Department of Justice; 2020 [cited 2025 Oct 06]. Available from: https:\/\/www.justice.gov.za\/vg\/gbv\/nsp-gbvf-final-doc-04-05.pdf"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Randa MB, McGarry J, Griffiths S, Hinsliff-Smith K. Accessing care services after sexual violence: A systematic review exploring experiences of women in South Africa. Curationis. 2023;46(1): 2405. https:\/\/doi.org\/10.4102\/curationis.v46i1.2405","DOI":"10.4102\/curationis.v46i1.2405"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Horn JJ, Bush L, Van Hoving DJ. Analysis of emergency centre recidivism for interpersonal violence in a district-level hospital in Cape Town, South Africa. S Afr Med J. 2024;114(11):e2373. https:\/\/doi.org\/10.7196\/samj.2024.v114i11.2373","DOI":"10.7196\/SAMJ.2024.v114i2.1176"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Naidoo M, Kaswa R, Govender I. Post-exposure prophylaxis for sexual assault victim-survivors: Guidelines and best practices. S Afr Fam Pract. 2025;67(1): 6073. https:\/\/doi.org\/10.4102\/safp.v67i1.6073","DOI":"10.4102\/safp.v67i1.6073"},{"key":"ref6","unstructured":"Western Cape Department of Health. Circular H19\/2024: management of survivors of sexual offence. Cape Town: Western Cape Government; 2024. (Internal circular)."},{"key":"ref7","unstructured":"CARE. Gender-based violence: Research ethics \u2013 Resource guide [homepage on the Internet]. 2022 [cited 2025 Oct 06]. Available from: https:\/\/www.care.org\/wp-content\/uploads\/2022\/08\/GBV-Resource_Research-ethics_web.pdf"},{"key":"ref8","unstructured":"Baloyi P. Thuthuzela Care Centre: Turning victims into survivors. Servamus Commu Saf Secur Mag. 2023;116(4):58\u201359. https:\/\/doi.org\/10.10520\/ejc-servamus_v116_n4_a15"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Omar J, Loftus I, Vallie N, et al. A reflective process led by a family physician to develop a renal-protection surveillance tool for HIV patients newly started on dolutegravir. Afr J Prm Health Care Fam Med. 2021;13(1):e1\u2013e3. https:\/\/doi.org\/10.4102\/phcfm.v13i1.3088","DOI":"10.4102\/phcfm.v13i1.3088"}],"container-title":["South African Family Practice"],"original-title":[],"link":[{"URL":"https:\/\/safpj.co.za\/index.php\/safpj\/article\/view\/6280\/10452","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T07:25:10Z","timestamp":1776669910000},"score":1,"resource":{"primary":{"URL":"https:\/\/safpj.co.za\/index.php\/safpj\/article\/view\/6280"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,23]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.4102\/safp.v68i1.6280","relation":{},"ISSN":["2078-6190","2078-6204"],"issn-type":[{"value":"2078-6190","type":"print"},{"value":"2078-6204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,23]]},"article-number":"a6280"}}