Exploration of Institutional and Cultural Barriers to a Holistic Care of Survivors of Sexual Violence at the Kasongo General Reference Hospital

Abstract

Introduction : Sexual violence constitutes a major public health issue in the Democratic
Republic of the Congo, where survivors face institutional, organisational and
socio-cultural barriers that limit access to holistic care. This study analyses these barriers
at the Kasongo General Reference Hospital.
Methods :A qualitative phenomenological study was conducted using semi-structured
interviews with survivors of sexual violence and healthcare professionals (doctors, nurses
and social workers). Data were analysed using thematic analysis.
Results : Despite the existence of protocols inspired by national and international guidelines,
their implementation is hindered by a shortage of specialised human resources
(particularly in mental health), frequent stock-outs of essential medicines, inadequate infrastructure
and weak inter-service coordination. Cultural and social barriers (stigma,
taboos and fear of reprisals) delay care-seeking and undermine continuity of care.
Discussion : The ndings highlight a tension between institutional willingness and persistent
structural and socio-cultural constraints. Strengthening human resources, improving
the supply of medicines, institutionalising inter-service coordination and developing
community awareness strategies are essential to enhance the eectiveness of holistic care
for survivors