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RINJ RSAC – Africa Clinics

Our Mission To Africa Begins Now
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RINJ RSAC – Africa Clinic | The RINJ Foundation
https://rinj.org/africa/

Free medical care to women and children in war zones, refugee camps and displaced in villages and cities. Care includes obstetrics, trauma care, physical injuries treatment, minor surgery, STD treatments, forensic testing, mental health care and all needed follow up care.

The RINJ Foundation Purpose

–      To exist for the benefit of the general public.
–      To help prevent rape and sexual assault crime.
–      To assist those who have become survivors of these crimes.

  1. The RINJ Foundation has adopted a mission while supporting and caring for survivors, to also gather and compile detailed information on parties to armed conflict that are credibly suspected of committing or being responsible for acts of rape or other forms of sexual violence.
  2. The RINJ Foundation vows to be especially vigilant in its Sexual Assault Clinics (RSAC) and aggressively gather evidence where a pattern of sexually violent conduct appears to prove the crime of genocide.
  3. The RSACs offer free medical care to women and children and their families. Community related services such as victim advocacy, crisis hotlines, community outreach, & education programs are provided based on each RSAC’s resources at the discretion of the local RSAC nurse-led team.
  4. In the conduct of its mandate The RINJ Foundation has learned the best way to achieve its objectives is to offer full medical care to the community served by RSAC mobile units and to establish long-term relationships with female and child clients for the purpose of establishing and understanding in absolute privacy the complete range of needs of the patient. Any patient seen at our doorstep can be assumed to be a health care patient.
  5. Patients who report sexual assault crimes are canvassed for as much information as possible about perpetrators so that any assistance they may provide is made available to investigators. All communication is absolutely private. The patient has the option of reporting the crime and seeking a prosecution in which they will participate. If that is the patient’s decision the nurse follows the prescribed intake and forensic evidence collection procedure as set out in pre-intake, primary exam and forensic kit protocols.https://rinj.org/documents/medical_forms/
  6. RINJ is pioneering “Team-Based Health Care”. Mobile RSAC Team Leads are most likely to be an RN (Registered Nurse) but regionally they report to and are delegated by a Nurse Practitioner (NP). NPs are an integral part of The RINJ Foundations primary care teams strategy and lead the move to team-based medical practice in community settings.
  7. NPs are especially effective in refugee and combat regions as well as rural settings where there are shortages of doctors, and with patients who suffer a multitude of chronic illnesses and are ill-suited for a traditional seven-minute doctor’s appointment.

RNs, NPs, RPNs, Doctors – Volunteer Today

RINJ is designing some new permanent Nurse-led Women’s clinics to help us care for survivors of sexual assault in war zones and areas of armed conflict.  We need your help to move quickly because in Africa, the Islamic State, active by many names, is taking over one country after another, using rape as a method of genocide.

  1. Patients must be seen repeatedly for weeks and months in order to ensure their survival.

  2. Sexually transmitted diseases from rapists and unwanted rape-pregnancies are epidemic and must be treated.

  3. The mental health care provided by RSACs is intended to prevent suicide and to get the survivor back on track in a useful and productive life.

RSACs Provide A Range Of Women’s Health Care including Obstetrics

The 20 foot RSAC units have a 55 gallon water tank and pump system. This allows for one week of water supply at normal usage. The split a/c is D/C inverted and very efficient. All equipment and lighting is universal power with universal outlets. The solar equipment/system can be programmed for 110 volt – 220 volt 50/60 hz.

There are six solar panels permanently mounted on the roof which can produce 1500 watts of electricity. There are eight sealed lead-acid solar batteries which is the primary source of stored power. The whole clinic’s average power consumption with all equipment on (including a/c unit) is 500 watts. Even on a rainy/cloudy day the supply:demand of power is usually 4:1 ratio.

Every surface is disinfected. Parkland Plastic Non-frp forms the ceilings and the walls. The flooring is Armstrong seamless vinyl and is curved to cove the walls seamlessly. There is four inches of 1/2 lb icynene expandable foam insulation in the walls and ceilings which in effect gives you a R16 value. Electrics are to international code. Walls are steel studded and everything is level 1 commercial product.

Inside the Mobile RSAC

International research provides clear evidence of the correlation of reliable access to effective practices with better population health outcomes. While it is not always possible for a patient to see her own nurse or her other medical team members, efforts are made to ensure that continuity of care remain central to access planning and quality which is why we favour a small leave-behind presence (Two-Staff, Land Rover and Tent) when the Mobile RSAC moves onward in rotation.

The RSAC 20Ft. units are on a trailer or carried on tilt-bed-trucks and can be moved easily.

Establishing patient wait time targets in basic RSAC care is exceedingly difficult. Therefore, in lieu of setting access targets, we focus on enhancing access, specifically through same-day scheduling for things like pharmacological dispensing, blood tests, inoculations etc. all done the same day as the face-to-face.

Demographics of the population such as age, gender, language spoken, culture, socioeconomic status, and medical complexity determine the number of patient visits within a time line. We tend to favour the Murray and Tantau model which leaves 65 per cent of the day’s bookings open for walk-ins or deferrals and 35 per cent booked. It works like this: The 35 per cent are for patients who ‘couldn’t make it in on Friday and chose Saturday instead’ or ‘patients whom the intake deliberately scheduled today for follow-up’. Direct visits, after-hour appointments, and Smartphone communication or other digital follow up can take up shortfalls. The goal is to see all patients scheduled and unscheduled, avoiding as much as possible, long wait times. That’s the basic model.

We have a performance model for this work and need to see a certain number of patients per month to justify the location. Most return pt visits are weekly. So you see a 20ft Mobile RSAC unit supported by a two-staff, a land-rover and a tent to do follow ups when the Mobile RSAC unit moves to the next camp could well be the precursor to dropping a 40ft RSAC unit if the patient load calls for that. (The 40ft units have triple the staff and can handle four times the number of pts as a 20ft RSAC Unit but they can’t move.)

Nurses and Social Workers. RNs, NPs, RPNs, Doctors – Volunteer Today

RSAC 40Ft Unit

Until we have established a semi-permanent 40ft Clinic (below) every five days we make a move–the 20ft Units are good for this. The follow ups are patient progress and treatment monitoring. Surgical procedures are only done in the Mobile RSAC Units.

We focus on finding and regularly seeing as many sexual violence patients as we can. We prevent suicides, quash the spread of dangerous STDs, and collect sexual-violence testimonial and forensic evidence related to law enforcement; and everyone is better served by that focus.

Mobile RINJ Sexual Assault Clinics For Africa

We need lots of help and lots of donations of medical supplies and other materials. Can you help?

Find RSAC Africa on Facebook

Permanent RINJ Sexual Assault Clinics For Africa

Repeat visits are needed for each and every patient. Seeing a patient once is not good enough.

The RSACs offer free medical care to women and children. Community related services such as victim advocacy, crisis hotlines, community outreach, & education programs are provided based on each RSAC’s resources at the discretion of the local RSAC nurse-led team.

  • Trauma care;
  • Physical injuries treatment and minor surgery;
  • Sexually transmitted disease detection treatment and prevention;
  • Sexual assault forensic testing;
  • Pregnancy issues, from abortion to delivering your baby;
  • Legal course of action counseling;
  • Criminal prosecution assistance;
  • Mental health care; and
  • all needed follow-up care.

I think you know we are a highly stylized organization. We stylize ourselves because “Rape” (https://rinj.org/rape/) is a very difficult thing to talk about for many people. Talk about positive things like “caring” instead but seek help and you will get it from The RINJ Foundation Africa RSAC.

Many of our nurses were drawn to us because they themselves are sexual violence survivors.

Some are very strong individuals; very outgoing; beautifully creative in their communication; and we promote those attributes.

Nurse-led clinics have the time and care patients need. Repeat visits are needed for each and every patient. Seeing a patient once is not good enough.

They are like all nurses: “warriors” and “heroes”, and so we promote that too and encourage children and women who have had a negative experiences to come to an RSAC for health care and to heal with people who care and share.

We do all of this to show that it’s OK. You are probably a hero, if you are a “survivor” and are light years ahead of most people for having survived adversity in your life. Nurses and Social Workers. RNs, NPs, RPNs, Doctors – Volunteer Today

Our stylized “Women” can roll up their sleeves and launch into anything because they have the confidence and the resourcefulness of people who have survived great adversity. This is so evident in everything we see in each other.

  • If we have some kleenex in a box for patients, we try have something unusual like coloured kleenex.
  • If we paint a wall, we try to add a nice, warm, friendly, inspiring message.

What I am sharing with you is some of our plans for now and the future. We have great volunteer people all over the world and want to add you to our list because you too are beautiful. Why? Clearly, you are our friend.

Big things are happening. https://rinj.org/JOIN in the fun. 🙂

Love and be loved by other women, because when we work together we are a force to be reckoned with.

https://rinj.org/JOIN

Join us in strongly forcing a change in the way people think. Rape is no joke. We want a safer society for you and your family. Donate to The RINJ Foundation using  Interac e-Transfer to the email address below. Interac e-Transfer is a simple, convenient and secure way to send money directly from one bank account direct to The RINJ Foundation’s bank account.

For an INTERAC email transfer all you need is access to online or mobile banking through a participating financial institution, and you can send money without sharing any personal or financial information. If you would like your gift to honour someone, please inform us at the same email address.

 

The RINJ Foundation – 3219 Yonge Street, Suite 119, Toronto ON CA M4N 3S2
Phone numbers:

Canada +1647-739-9279
Philippines: +63 939 933 32621

RSAC Protocol Documents

# 0 – RINJ Biological Waste Disposal PDF- 1708 kB
# 1 – RINJ Care of Women WHO RHR 1426 eng PDF- 1834 kB
# 2 – RINJ Disinfection Standards Nov 2008 PDF- 971 kB
# 3 – RINJ Donation Process Guidelines For Professionals PDF- 323 kB
# 4 – RINJ End of Life PDF- 268 kB
# 5 – RINJ Intake Primary Examination PDF- 186 kB
# 6 – RINJ Rape Patients Initial Indications PDF- 347 kB
# 7 – RINJ Sexual Assault Clinics DNA Testing PDF- 346 kB
# 8 – RINJ Sexual Assault Clinics Drug Discrepancy Form PDF- 72 kB
# 9 – RINJ Sexual Assault Clinics General Discharge Form PDF- 39 kB
# 10 – RINJ Sexual Assault Clinics Hand Sanitizer Instructions PDF- 87 kB
# 11 – RINJ Sexual Assault Clinics Monitoring and Reporting Adverse Events PDF- 106 kB
# 12 – RINJ Sexual Assault Clinics Needle Stick Injury PDF- 115 kB
# 13 – RINJ Sexual Assault Clinics Nursing Manual PDF- 347 kB
# 14 – RINJ Sexual Assault Clinics OR Cleaning Record PDF- 111 kB
# 15 – RINJ Sexual Assault Clinics Policy on sharp injury prevention PDF- 104 kB
# 16 – RINJ Sexual Assault Clinics Policy re Patients PDF- 71 kB
# 17 – RINJ Sexual Assault Clinics Policy re Protective Equipment PDF- 27 kB
# 18 – RINJ Sexual Assault Clinics Procedure on Steam Sterilization PDF- 95 kB
# 19 – RINJ Sexual Assault Clinics Protocol Instrument Sterilization PDF- 42 kB
# 20 – RINJ Sexual Assault Clinics Pt Discharge RINJ PDF- 116 kB
# 21 – RINJ Sexual Assault Clinics Quality Assurance Program PDF- 66 kB
# 22 – RINJ Sexual Assault Clinics Release of Medical Info Form PDF- 34 kB
# 23 – RINJ Sexual Assault Clinics Sterilization Manual Cover PDF- 48 kB
# 24 – RINJ Sexual Assault Clinics peer review and audit chart PDF- 216 kB

RINJ: Rape Is No Joke @RapeIsNoJoke

 

RINJ: Fighting for the safety of women and children.