RINJ RSAC

Women's health care is a primary field-level function of RINJ Women. We found that preventing rape, for example, is a never ending dream but caring for survivors is a true reality that is greatly needed. In this work we developed a nurse-led system of health care providing women's services in the areas where those are most needed. That turned out to be war zones and any other regions where women are most vulnerable.
RSAC (RINJ Sexual Assault Clinics) were born from special needs. They are Nurses Without Borders Community Health Team medical clinics or mobile teams treating women, children and their families in war zones and refugee camps in Middle East Asia, some South American nations, South East Asia, in Africa and in spontaneous response regions like Palestine where acute needs of women become apparent whenever widespread hostilities resume.

RSAC Community Health-Team Nurse Standards of Practice

In the conduct of its mandate RINJ Nurses Without Borders learned the best way to achieve the unit's objectives is to offer OB/GYN care to the community served by RSAC mobile or fixed 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 and the timing of needs by the client/patient. Any patient seen at our doorstep can be assumed to be a general health care patient and not a rape survivor. RINJ Women are focussed on women and children, not just rape survivors but gained its reputation from combatting gender-based-violence.
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/
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.
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.

The RSACs offer free medical care to women, 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 Nurses Without Borders team.

Midwifery;
Women's special needs;
Infant trauma care;
Physical injuries treatment and minor surgery;
Sexually transmitted disease detection treatment and prevention;
Sexual assault forensic testing;
Pregnancy issues, from family planning to emergency abortion to delivering your baby;
Legal course of action counseling;
Criminal prosecution assistance;
Mental health care; and
all needed follow-up care.

The-RINJ-Foundation-Sexual-Assault-Clinics

The RINJ Foundation's women's health care nurses and midwivesat RSAC facilities provide a full range of outpatient & walk-in services to rape survivors, sexual assault & gender-based violence of other types. Some RSACs offer periodical educational & counseling services inside hospitals, community centers, refugee camps, & learning institutes.
In the Middle East, hundreds of RINJ Women midwives visit communities and homes where pregnant women await the happy day when their midwife will visit to assist her delivery of the new family member.
This is a joyous occasion for families and communities and the assistance of an OB/GYN-trained and remotely supported midwife who is fully learned in the cultural aspects of home and facility birthing in the Middle East makes the family experience a safe one with plenty of support in the event of complications.
Where complications are expected home birth is only an emergency option and the mother-to-be is escalated to a pre-planned and well-prepared facilty capable of dealing with the predicted complications. These are all free services within the RINJ Women's facilities or control. In the event of our practitioner escalating a case to a public or private hospital, financial assistance is usually available.

The RINJ Foundation support and care for survivors

Missing Persons

In certain RSAC operations it is possible our workers have contact with missing persons such as ISIL War Brides and other exploited women. If you believe you are missing such a family member you are invited to dialogue with us so that we may ascertain what if any information we can share.

Our goal is to find benefit for patients and in the case of minor children or youth, to see that they are if possible returned to the safety of their home. Follow this link for more information or simply contact us here. The RSAC is caring for patients in absolute privacy and that is the first priority.

Nurses Without Borders RSACs Leverage Modern Health Care Technology and years of experience

satellite data communications connect all RSAC patient records from any RSAC.

Satellite data networks securely access encrypted RSAC patient records from any RSAC location and VSee /TeleHealth medical video conferencing is available in some cases with remote medical and surgical specialists.

The Mid-East Two Finger Virginity Test is a Form of Rape

Persons (men) asking for a so-called "virginity" test of their female family members are refused and warned of the consequences of attempting such (Middle East Two Finger Test is a form of rape) acts of sexual violence themselves.

"Virginity Test requests come often enough to mention the issue. Patient privacy is absolute.

The so-called Middle East two-finger virginity test that was much debated in the 1980s is a criminal offence defined as rape: "the penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim." See: https://rinj.org/rape/

Pink indicates the areas and routes used by The RINJ Foundation volunteers and the green symbols are refugee camps.

Click the map to open it up. Pink indicates the areas and routes used by The RINJ Foundation volunteers in the Mid-East region since 2012 and the green symbols are refugee camps.

The Examination and Forensic Evidence Collection Kit (Rape Kit)

Rape kit = Sexual assault evidence collection kits; sexual assault forensic evidence (SAFE) kits; Sexual offence evidence collection (SOEC) kits; or Physical Evidence Recovery Kits (PERK)

The rape exam serves two goals: first to provide the best immediate care for the survivor, and second to collect evidence that may be used to prosecute the crime.

In order to collect evidence, a survivor must seek treatment at a clinic within 120 hours of an assault.

The survivor is in control of the entire exam. Before each step of the Kit, the RSAC nurse will explain the step and ask the survivor if they wish to continue. Nothing will be done that the survivor does not agree to.
A rape exam is usually done by the RSCA nurse; sometimes it will be done by a doctor.
The exam may take several hours. During the exam, the RSAC nurse must remain with the evidence kit at all times.
The survivor can give the RSAC nurse a verbal account of the assault. This will tell the RSAC nurse where to look for evidence on the survivor's body.
As mentioned earlier a physical exam is performed to assess, document, and treat physical injuries like bruises, lacerations and broken bones.
the RSAC nurse may collect samples from the survivor's mouth, vaginal and/or anal cavities, fingernails, and other parts of the body that the rapist touched during the assault.
the RSAC nurse will ask the survivor if he or she had sex with anyone in the past five days (who may also have left behind DNA).
If there are signs that the survivor may have been drugged, a 'toxicology kit' may be collected (blood and urine samples).
Some garments may be collected as evidence during the RSAC rape exam.

The mental health of the people we care for is extremely fragile. There are many triggers capable of causing their state of mind to rapidly deteriorate. Living conditions they are forced to face, memories of their ordeal, and uncertainty about what is going to happen to these women are factors contributing to thoughts of suicide and eventual deaths.

These are invisible wounds and the worst are among the female children. STD's and other traumatizing aspects always have the underlying problem of mental health issues which skilled RSAC nurses treat during recurring patient visits. There is no charge ot the patient for this ongoing care.

Privacy of the patient is a foremost priority and exhaustive steps are taken to assure that privacy. The RINJ Foundation Sexual Assault Clinics 1

The RINJ Foundation Sexual Assault Clinics 1

Some women seeking care in Northern Iraq & in Syria have shown fear on a religious basis. If the person is in our care it could be for a number of reasons including a full range of medical care including ingrown toe nails, non of which procedures anyone can assume and none we will reveal.

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Bibliography. Reading:
1) RINJ Is Building an ICC Case Against Each ISIL Rapist
2) ISIL/ISIS combatants. They are Sexually Violent Predators
3) Islamic State Cabinet Seeks & Recruits Sexually Violent Predators