Audit Findings Thuthuzela Care Centres

Sexual Offences Indaba Conference National Audit of Multi Disciplinary Services in South Africa -presentation on preliminary findings and recommendations18 May 2009Tamara Braam& Advocate Brandon LawrenceNote from the Presenters' 􀂄Please do not quote the findings of this presentation as data analysis is still underway􀂄Hence these are the preliminary findings of the audit􀂄Final report will be released 30 June 2009RAPE IN SOUTH AFRICAAnnual Report of the South African Police Services for 2006/2007Provinces ordered from highest recorded rapes /100 000 of population for 2006/2007020406080100120140160Crime ratios /100 000 of populationProvincesNCNWFSGPWCMPECKZNLPMatrix for Action: choices need to be made about where to distribute energy and resourcesWhat is Bad?What What is Bad?􀁺Lack of safe places -situational and environmental􀁺High backlog in cases􀁺Limited roll out of services to rural areas􀁺􀁺􀁺areasWhat is Good?What What is Good?􀁺Education campaigns􀁺Integrated response centers􀁺Victim empowerment initiatives􀁺􀁺􀁺initiativesWhat is Missing?What What is Missing?􀁺A profile of offenders and victims􀁺Blueprint to fix CJS for effectiveness in dealing with rape cases􀁺Relevant and systematic support􀁺􀁺􀁺supportPreventionPreventionResponseResponseSupportSupport•A balance must be found across the actions•Key choices need to be made in terms of how to prioritize which department needs to react1 dedicated court, 2 dedicated prosecutors, one full time magistrate, 1 social worker, 1 admin clerk, comfort room, intermediary (where needed) Case flow managerThuthuzelaModelSexual offenses court􀂙Prosecution of SO cases only􀂙Leads weekly strategymeetings and case assessment 􀂙Consults with victimsthroughout court process􀂙Ensures speedier, more effectiveprosecutionsRAPE INVESTIGATION AND CARE CENTREhealth professionals Investigating officers, prosecutors on standby, counselors, site coordinator, victim asst officerSexual offenses courtRape investigation and care centre􀂙Centralisesall rapeinvestigations􀂙Ensures prompt transportation,examination and care of victims􀂙Increases communicationbetween prosecutor, policeand victim􀂙Develops best practices forspeedy, sensitive investigationof cases􀂙Ensures accurate data collectionand analysis􀂙Immediate crisis counseling for victimsRAPE VICTIMS REPORT AT LOCALPOLICE STATION, CLINICS, HOSPITALS OR OTHER CBO’SAUDIT OBJECTIVES􀂄The objective of the proposed audit is to provide the IDMT with a comprehensive report from selected institutionsthat provide sexual violence services, including a recommended framework to provide a pragmatic, data-driven approach to guide national and provincial departmental decisions on where TCCsneed to be established.Methodology􀂄Document Review􀂄Provincial Consultations􀂄Interviews􀂄Focus Group Discussions􀂄Survey􀂄Trend Analysis􀂄Framework Development & Application􀂄Limitations: Time! Overview of Process􀂄Data collection completed: 􀂄79 HCF 􀂄39 courts􀂄Police trend analysis -2005 -2007􀂄NGO service providers as appropriate􀂄Provincial close out discussions􀂄NGO partner engagement􀂄Nine final draft reports completedConceptual Framework􀂄IDMT framework for understanding rape􀂄TCC Blue Print􀂄Feasibility Criteria identified by NPA in relation to report􀂄Reviewing other relevant reports: Indaba Report 2008, Blue Print for TCCs, previous Audit Tool, Report ion the Feasibility and Location of a ThuthuzelaCare Centre for Mamelodi, Report on the feasibility and location of ThuthuzelaCare Centresfor GP, LP, FS, NC and MP & SAGBVHI reportExisting Base Line: infrastructure, human resources, existing service in placeExtent of intersectoralcollaborationProvince specific issuesCommitment at respective levels: management & staffingReach: population that will be reached & accessibilityNeed for service: statistics & absence of any serviceMatrix DevelopmentCATEGORY HIGH MEDIUM LOW NEED FOR SERVICE RAPE STATISTICS Average of over 60 Average of between 60 and 40 Average of under under 40 ACCESSIBILITY 24 hours and on public transport route Only 24 hours Neither EXISTING RESOURCE BASE: INFRASTRUCTURE Separate rooms available for examinations and therapy. Separate bathing and toilet facilities. Victim-friendly. Separate room available for examinations. No separate facilities available – part of casualty EXISTING RESOURCE BASE: HUMAN RESOURCE CAPACITY Dedicated medical personnel Psycho social services personnel in place Only medical personnel in place with no psycho social personnel in place No dedicated personnel in place INTERSECTORAL COLLABORATION Formalized agreements in place Meetings are taking place – there is coordination No agreements, no evidence of coordination Map of SitesEastern Cape1.Bisho Hospital-Bisho2.Fort Beaufort Hospital -Fort Beaufort3.Taylor Bequest Hospital -Matatiele4.Madizikane Ka Zulu Memorial Hospital -Mount Frere5.Settlers Hospital -Grahamstown6.Butterworth Hospital -Butterworth7.Dora NginzaHospital -Port Elizabeth8.Frere Hospital -East London9.St. Elizabeth’s Hospital-Lusikisiki10.All Saints Hospital -Ngcobo11.SinaweReferral Centre -MmtataHospital12.St Patricks-BizanaFacilities recommended in EC1.Dora NginzaHospital2.Settlers Hospital-Grahamstown3.Taylor Bequest Hospital -high hospital data4.St Elizabeths-Lusikisiki5.MmtataHospital -link with All Saints satellite6.St PatricksHospital -Bizana7.ButterworthEC Matrix NEED FOR SERVICE `REACH EXISTING BASE LINE INTERSECTORAL COLLABORATION     Rape Statistics (High/Med/Low) Population reached (High/Med/Low) Accessibility Infrastructure (High/Med/Low) Human Resources (Sufficient/Insufficient) Extent of intersectoral collaboration Province Specific issues (Yes/No) Recommend: Yes/No Order of priority  All Saints HIGH   HIGH LOW LOW LOW N N  Bisho MED  HIGH HIGH MED MED N N  Butterworth MED covers a wide geographical area HIGH LOW HIGH MED Y Y 7 Dora Nginza HIGH  HIGH MED HIGH HIGH Y Y 1 Fort Beaufort LOW   HIGH MED MED LOW N N  Frere MED  HIGH MED LOW LOW N N  Madizikane Ka Zulu Memorial HIGH  HIGH HIGH MED MED N N 8 Settlers MED    HIGH SUFF   N Y 2 Sinawe HIGH  HIGH HIGH HIGH HIGH Y Y 5 St Patricks HIGH   HIGH   LOW HIGH   Y 6 St Elizabeth HIGH Very rural communities HIGH   MED LOW Y Y 4 Tayler Bequest LOW   HIGH LOW HIGH LOW Y Y 3 EC Average /FacilityEC Average per Fa020406080100120140All SaintsMissionHospitalBishoHospitalButterworthHospitalDora NgizaFortbeafortHospitalFrereHospitalMadizikaneKa ZuluMemorialHospitalSettlersHospitalSinaweReferalCentreSt.ElizabethsHospitalSt. PatricksHospitalTaylorBequestHospitalCourt Overview -EC􀂄GrahamstownMagistrates Court: Agreements in place & intersectoralengagement. 50% of prosecutors time on sexual offences matters. Basic infrastructure in place􀂄EL Regional Court: Collaboration with civil society as well -meeting as needed.90% cases on sexual offences matters. No separate consultation rooms in place􀂄Butterworth Magistrates Court: meetings held periodically. 40 -49% on sexual offences mattersFree State1.BoitumeloHospital2.BotshabeloHospital3.Kopano Crisis Centre4.MafubeHospital5.MotshimaloHospital6.Parys Hospital7.PhekolongHospital8.Thebe HospitalFacilities recommended in FS1.PhekolongHospital2.BotshabeloHospital3.KopanoCrisis Centre4.MotshimaloHospital5.Thebe Hospital FS Matrix Need For Service Reach Existing Base Line Intersectoral Collaboration Province Specific issues    Rape Statistics (High/Med/Low) Population reached 1(High/Med/Low) Accessibility Infrastructure (High/Med/Low) Human Resources Extent of intersectoral collaboration  (Yes/No) Recommend: Yes/No Order of Priority Boitumelo Hospital MED 131 755 LOW LOW LOW HIGH N N   Botshabelo Hospital HIGH 237 609  HIGH MED HIGH HIGH N Y  2 Kopano Crisis Centre HIGH 236 414 HIGH HIGH HIGH HIGH Y Y 3 Mafube Hospital LOW 32 225 HIGH LOW HIGH HIGH N N   Motshimalo Hospital LOW 97 328  HIGH  MED  LOW MED   N Y  4  Parys Hospital LOW 44 150  HIGH  LOW MED  MED  N   N   Phekolong Hospital HIGH 88 559 HIGH MED LOW HIGH N Y 1 Thebe Hospital LOW 50 348 HIGH MED HIGH HIGH  Y  ? 5   FS Average/FacilityFS Average per Facility020406080100120140BoitumeloHCFBotshabeloHospitalKopano CrisisCentreMafube DistrictHospitalMotsimaholoDistrictHospitalParys DistrictHospitalPhekolongHCFThebe HCFCourt Overview -FS􀂄Welkom Sexual Offences Court -range of civil society involvement, stakeholder agreements in place. Infrastructure in place -detailed statistics available.􀂄Sasolburg Magistrates Court -good understanding between respective role players. Does not have consultation rooms for victimsKwazulu Natal1.Lower Umfolozi District War Memorial Hospital -Empangeni2.Stanger Regional Hospital-Stanger3.Edendale Hospital-Pietermaritzburg4.St. Mary’s Mission Hospital-Marianhill5.MadadeniHospital-Madadeni6.Ladysmith Hospital-Ladysmith7.Newcastle Hospital-Newcastle8.Benedictine Hospital-Nongoma9.Port Shepstone Regional Hospital-Port Shepstone10.Ingwavuma Hospital-Ingwavuma11.Kwadabeka Community Centre -Kwadabeka12.R.K. Khan Hospital-ChatsworthFacilities recommend in KZN1.EdendaleHospital2.Lower UmfoloziDistrict War Memorial Hospital 3.Stanger Hospital4.R. K. Khan Hospital5.MadadeniCrisis Centre6.Ladysmith Crisis Centre7.Benedictine Hospital8.Port Shepstone Hospital9.KwadabekaCommunity CentreKZN MatrixNeed For Service Reach Existing Base Line Intersectoral Collaboration Province Specific issues    Rape Statistics (High/Med/Low) Population reached (High/Med/Low) Accessibility Infrastructure (High/Med/Low) Human Resources (Sufficient/Insufficient) Extent of intersectoral collaboration  (Yes/No) Recommend: Yes/No Order of Priority  LOW ? HIGH MED HIGH HIGH Y N    MED ? HIGH MED HIGH HIGH N N    LOW ? HIGH MED MED LOW N ? 8  LOW ? HIGH LOW HIGH LOW Y N    o MED ? HIGH MED MED LOW Y Y 5  HIGH ? HIGH LOW HIGH MED Y Y 4  dt LOW ? HIGH MED HIGH HIGH Y N    MED 80 villages HIGH LOW MED MED N ? 7  LOW ? HIGH MED HIGH MED Y Y 6  HIGH ? HIGH MED HIGH HIGH Y Y 2  HIGH ? HIGH LOW MED MED Y Y 3  LOW ? HIGH LOW LOW LOW Y N    HIGH ? HIGH HIGH HIGH HIGH Y Y 1    KZN average/facilityKZN Average Facility020406080100120140BenedictineDistrictHospitalEdendaleKwadabekaLadysmithCrisis CareCentreLowerUmfoloziDistrict WarMemorialHospitalMadadeniCrisisCentreNewcastleCrisisCentreNgwavumaHospitalPortShepstoneRegionalHospitalR. K. KhanHospitalSt. Mary'sMissionHospitalArysStangerRegionalHospitalCourt Overview KZN􀂄IngwavumaCourt: No MOUS in place, inadequate infrastructure. Not high levels of sexual offence matters dealt with by court􀂄Ladysmith Regional Court: no separate consultation rooms etc. 50% sexual offences matters. No MOUS in place􀂄EmpangeniMagistrates Court: specialist court and prosecutor. Meeting happen as needed. 40% conviction rate and 60% acquittal􀂄MadedaniCourt: crisis centre only role player. Has a consultation room -60% sexual offences mattersLimpopo Province1.Elim Hospital2.Messina Hospital3.Louis Trichardt 4.Groblersdal5.Belabela6.Mokopane7.Jane Furse8.Lebowakgomo9.Seshego10.Letaba11.Phalaborwa12.Nkhensani13.MalamulelaFacilities recommended in LP1.SeshegoHospital2.MokopaneHospital3.NkhesaniHospital4.LetabaHospital 5.Lebowakgomo Hospital6.Messina Hospital7.Malamulele Health Centre8.Groblersdal LP average/facilityLP Average per Facility020406080100120140160180Bela BelaHospitalElim HospitalGroblersdalHospitalJane Furse HospitalLebowakgomoPublicHospitalLetabaProvincialHospitalLoius TrichardtMemorialHospitalMalamuleleHospitaMaphutha-Malatji DistrictHospitalMessinaHospitalMokopaneHospitalNkhensaniHospitalPhalaborwaHealth ClinicSeshegoDistrictHospitalCourt Overview LP􀂄Groblersdal Regional Court: 1 wk/month on child cases. No civil society organizations.21-30% non sexual offence matters -specialist prosecutor dealing with cases for children􀂄RitaviCourt: 40% of time dealing with non sexual offences matters. Does not have separate consultation rooms.Mpumalanga Province1.EmblenhaleCommunity Health Centre2.Ermelo Hospital3.Kwamhlanga Hospital4.MatikwaneHospital5.Middelburg Hospital6.Piet Retief Hospital7.Tonga Hospital8.SiphosensimbiFacilities recommended in MP1.Tonga Hospital2.SiphosensimbiHealth Centre3.Ermelo Hospital4.KwamhlangaHospital5.Embalenlhle-Evander Hospital6.MatikwaneHospital7.Piet Retief Hospital MP Matrix Need For Service Reach Existing Base Line IntersectoralCollaboration Province Specificissues Rape Statistics (High/Med/Low) Population reached (High/Med/Low) Accessibility Infrastructure (High/Med/Low) Human Resources Extent of intersectoral collaboration (Yes/No) Recommend: Yes/No Order of Priority Embalenhle HIGH ? HIGH LOW LOW LOW Y Y 5 Ermelo LOW ? HIGH MED MED LOW Y Y 3 Kwamhlanga HIGH ? HIGH MED HIGH HIGH Y Y 4 Matikwane HIGH ? HIGH MED MED LOW Y Y 6 Middleburg MED ? HIGH MED MED LOW Y N Piet Retief MED ? HIGH MED HIGH HIGH Y Y 7 Siphosensimbi MED ? HIGH MED LOW LOW Y Y 2 Tonga HIGH ? HIGH MED HIGH LOW Y Y 1 MP average/facilityMP Average per Facility020406080100120140160EmbalenhleCommunityHealth CentreErmeloProvincialHospitalKwaMahlangaHospitalMatikwaneHospitalMiddleburghProvincialHospitalPiet RetiefHospitalSiphosensimbiCHCTongaHospitalMP Court Overview􀂄Ermelo Regional Court: 71 -80% non sexual offence matters. No specialist prosecutors in place. No separate consultation rooms 􀂄Witbank Magistrates Court: no csoinvolvement. Stakeholder meetings do take place. 71 -80% non sexual offences matters. No consultation rooms􀂄Middelburg Court: two weeks a month/childrensSO cases. 30% non sexual offences matters. Specialist prosecutor in place. Intermediary room, waiting room and consultation room in place􀂄Piet Retief Magistrates Court: CSO involvement. Agreements in place & meetings between role players. 0 -10% non sexual offence matters. No specialist prosecutors. No consultation roomsNorthern Cape1.Dr van Niekerk /Springbok2.Karoo /De Aar Hospital3.KurumanHospital Facilities recommended in NCAll sites are recommended in the NC. In order of priority though1.KurumanHospital2.Dr van Niekerk Hospital, Springbok3.Central Karoo /De Aar HospitalNC Matrix Need For Service Reach Existing Base Line Intersectoral Collaboration ProvinceSpecific issues Rape Statistics (High/Med/Low) Population reached (High/Med/Low) Accessibility Infrastructure (High/Med/Low) Human Resources Extent of intersectoral collaboration (Yes/No) Recommend: Yes/No Order of Priority Dr Van Niekerk Hospital MED Very isolated HIGH MED LOW LOW Y Y 2 Karoo Hospital LOW Very isolated HIGH HIGH LOW HIGH Y Y 3 Kuruman Hospital LOW Very isolated HIGH MED LOW HIGH Y Y 1 NC Average/facilityNC Average per Facility051015202530DR Van Niekerk HospKaroo hospitalKuruman HospitalNC Court Overview􀂄Springbok Court: No specific court dealing with SO matters. 41-50% of cases non sexual offence matters. No separate consultation rooms. No role players providing support.􀂄De Aar Court: no specific court dealing with SO.Sometimes SO court held from Kimberley every 4/5 months. No separate consulationrooms.North West1.Brits District Hospital2.General de la Rey District Hospital3.Joe ShimankanaTabaneHospital4.KoshCrisis Centre, Klerksdorp5.Potchefstroom Regional Hospital6.TaungDistrict Hospital7.VryburgHospital8.ZeerustHospitalFacilities recommended in NW1.Joe ShimankanaTabaneHospital2.KoshCrisis Centre, Klerksdorp3.Potchefstroom Hospital4.TaungDistrict Hospital5.Brits District Hospital NW Matrix Need For Service Reach Existing Base Line Intersectoral Collaboration Province Specific issues Rape Statistics (High/Med/Low) Population reached (High/Med/Low) Accessibility Infrastructure (High/Med/Low) Human Resources Extent of intersectoral collaboration (Yes/No) Recommend: Yes/No Order of Priority Brits District Hospital HIGH ? HIGH LOW MED HIGH N Y 5 General de la Rey District Hospital LOW ? HIGH MED MED HIGH N N Joe Shimankana Tabane Hospital HIGH ? HIGH MED HIGH LOW Y Y 1 Kosh Crisis Centre HIGH ? HIGH HIGH HIGH HIGH N Y 2 Potchefstroom Hospital HIGH ? HIGH MED MED HIGH Y Y 3 Taung Distict Hospital MED ? HIGH MED HIGH HIGH Y Y 4 Vryburg Hospital MED ? HIGH MED LOW HIGH Y N Zeerust Hospital LOW ? HIGH MED LOW HIGH Y N NW Average/FacilityNWAverage per Facility020406080100120140Brits DistrictHospitalGeneral DeLa ReyDistrictHospitalJobShimankanaTabaneHospitalKosh CrisisCentrePotchefstromRegionalHospitalTaung DistrictHospitalVryburgDistrictHospitalZeerustCourt Overview􀂄Rustenburg Court: agreements in place, csoinvolvement. No specific court. 51-60% non sexual offence matters. Consultation rooms available.􀂄Molopo Regional Court:no csoinvolvement. Agreements in place. 41-50% are non sexual offences matters. Consultation rooms in place􀂄VryburgMagistrates Court: no csoinvolvemet, Agreements in place. 71-80% non sexual offences matters. No consultations rooms.Western Cape1.Beaufort West Hospital2.Ceres Hospital3.George Hospital4.HermanusHospital5.Karl Bremer Hospital6.KnysnaHospital7.Paarl Hospital8.VredenburgHospital9.Wesfleur Hospital10.Worcester HospitalFacilities recommended in WC1.Worcester Hospital2.Wesfleur, Atlantis3.George Hospital4.Paarl Hospital5.KnysnaHospital 6.Ceres7.Beaufort WestWC Matrix Need For Service Reach Existing Base Line Intersectoral Collaboration ProvinceSpecific issues Rape Statistics (High/Med/Low) Population reached (High/Med/Low) Accessibility Infrastructure (High/Med/Low) Human Resources (Sufficient/Insufficient) Extent of intersectoral collaboration (Yes/No) Recommend: Yes/No Order of Priority Beaufort West LOW ? LOW MED LOW LOW Y ? 7 Ceres LOW ? LOW MED LOW MED N ? 6 George HIGH ? HIGH HIGH HIGH MED N Y 3 Hermanus LOW ? LOW MED MED MED N N Karl Bremer HIGH ? HIGH HIGH HIGH MED N N Knysna MED ? MED HIGH HIGH MED N Y 5 Paarl MED ? MED HIGH LOW LOW Y Y 4 Vredenburg LOW HIGH LOW HIGH MED LOW N N Wesfleur MED ? MED MED MED MED Y Y 2 Worcester MED ? MED MED MED LOW Y Y 1 WC Average/facilityWC Average per Facility020406080100BeaufortWestHospitalCeresHospitalGeorgeHospitalHermanusHospitalKarl BremerHospitalKnysnaHospitalPaarlHospitalVredenburgHospitalWesfleurHospitalWorcesterHospitalCourt Overview WC􀂄George Magistrates Court: formal agreements in place -csoinvolvement. 0-10% non sexual offences matters. Specific court dealing with SO. Consultation rooms in place􀂄Atlantis Regional Court: Csoinvolvement, regular meetings ho formal agreements. 21-30% non sexual offences matters. Specific court for SO on children. Consultation rooms in placeBackground to GautengStanza BopapeMamelodiHospitalSoshunguveClinicPretoria Academic HospitalLaudiumClinicTembisaFar East RandStratford ClinicKopanongTCCCurrently have 4 operational TCC’scovering 􀂄Soweto: Chris Hani BaragwanathHospital􀂄Sebokeng–Sedibeng Region: KopanongHospital􀂄Mamelodi: MamelodiHospital􀂄Kathlehong: NatalspruitHospital􀂄(In the process of establishing: TembisaHospitalFurthermore due to Jurisdictional overlaps between the Department of Health and the Courts Odiand Brits were moved to North West Province2006 Audit􀂄􀂄􀂄􀂄􀂄2007 Audit􀂄􀂄􀂄􀂄Facilities pre selected in Gauteng1.Lenasia CHC2.Laudium CHCGP MatrixNeed For Service Reach Existing Base Line Intersectoral Collaboration Province Specific issues Rape Statistics (High/Med/Low) Population reached (High/Med/Low) Accessibility Infrastructure (High/Med/Low) Human Resources (Sufficient/Insufficient) Extent of intersectoral collaboration (Yes/No) Recommend: Yes/No Order of Priority C HIGH ? HIGH HIGH HIGH HIGH NO Y 1 HIGH ? HIGH MED MED HIGH NO Y 2 Court Overview -Audit 􀂄Statistics inconsistently collected􀂄Not many courts dealing with SO only􀂄Degree of formalized agreements in place varied -but stakeholder engagement taking place -meetings taking place as necessary. Varying levels of CSO involvement.􀂄Varying degrees of infrastructure -consultation room availability. 􀂄Overall high levels of sexual offences matters being heard at courts.56 For rapes that are reported, CJS statistics indicate that rape has several large areas of exit of casesRape Case Progress through the Criminal Justice System, 2000 (All Ages)Nationally in 2000, a guilty verdict was achieved in 7.7% of allreported cases of rape of victims of all ages, 16.8% of rape cases referred to court, and 48.9% ofrape cases finalisedNote: The numbers reported above are a “snapshot”of the number of cases recorded at each stage at the time. It does not, therefore, provide a means of tracking a case from start to finish. “Under Investigation”and “On Trial”are balancing figures used to cater for the time lag in the flow.Source: Crime Information Analysis Centre (CIAC), Rape and Attempted Rape Statistics, June 2001; Monitor Analysis1,9224,0604,2371,3003312,83924,2211,00615,76710,05952,975Cases ReportedCases Withdrawn before CourtUntraced Under InvestigationWithdrawn in CourtOn TrialNot GuiltyAlternative CompletionGuiltyUnfoundedReferred to CourtNo. of CasesPreventPreventReactReactSupportSupportNational Prevalence Rate: High courts & Regional courts 2003􀂾􀂾Cases:Cases:43 085 43 085 􀂾􀂾Counts:Counts:83 25083 250Not Indicated0.1%Arms/Ammo7.1%Narcotics0.2%Economic34.9%Violent32.9%Sexual24.1%􀂾􀂾Accused:Accused:65 31865 318􀂾􀂾Acc in Custody:Acc in Custody:22 987 /35.2%22 987 /35.2%􀂾􀂾Acc younger 18y: Acc younger 18y: 1 263 /5.5%1 263 /5.5%NATIONAL : Disposal Rate Disposal Rate of of Finalised Finalised Cases 2003 Cases 2003 Withdrawn/Struck38%Guilty23%Not Guilty28%Error Correlation11%Verdict51%Withdrawals35%Struck of Roll4%NATIONAL PREVALENCE RATE 2006􀂾􀂾Cases: 42 180Cases: 42 180􀂾􀂾Counts: 90166Counts: 90166Sexual21.7%Violent30.6%Economic40.5%Narcotics0.2%Arms/Ammo7.1%Not Indicated0.4%􀂾􀂾Accused: 64 431Accused: 64 431􀂾􀂾Acc in Custody: 20130 /31.2%Acc in Custody: 20130 /31.2%􀂾􀂾Acc younger 18y: 904 /4.5%Acc younger 18y: 904 /4.5%Case Management􀂄Case Tracking of both arrest and non arrest dockets􀂄Reducing cycle times of cases to an average of 9 months􀂄Maintain conviction rates above 80%050100150200250Court FCourt GCourt MCourt JCourt LFGMJL020406080100120F CourtG CourtM CourtJ CourtL CourtF=100G=44M=87J=102L=660102030405060708090100F CourtG CourtM CourtJ CourtL CourtF=56G=77M=77J=95L=74New casesFinalised casesConviction RateApril 04 –April 05J court is ThuthuzelaCourtCase Management Challenges􀂄Lack of implementation of the previously agreed roll out strategy for Regional courts dedicated to sexual offences􀂄Matters no longer on one court roll to ensure maximum monitoring and effective case management􀂄Contamination of court rolls resulting in the lack of prioritisation of sexual offences matters 􀂄Extensive postponements in courts􀂄Seen a steady decline in the conviction rates􀂄Seen a steady increase in the cycle times of cases􀂄Other Factors􀂄DNA Analysis􀂄Statements inconsistent􀂄Lack of understanding effective communication with childrenTracking performance over a period of 6 years re: dedicated courts and linked to TCC’s:Conviction Rates (TCC Matters:Dedicated Courts to No of Dedicated Courts)74%82%80%80%75%61%64%61%63%70%65%0.220.410.530.670.590.420%10%20%30%40%50%60%70%80%90%2002/20032003/20042004/20052005/20062006/20072007/2008TCC MattersDedicated CourtsNo CourtsWay Forward􀂄Linkages to Courts essential for the model and we need to find innovative strategic mechanisms & processes to deal with the closure􀂄Training and Capacity building􀂄Long Terms solutions MUST be foundOverall Issues Emerging􀂄Inter-sectoralresponse critical -look at good practices in this regard􀂄Importance of working in inter-sectoralways and clearly defining roles and responsibilities -need for agreements􀂄Address any issues that stand in the way of ensuring forensic nurses are able to be deployed􀂄Learn from existing TCCS in roll out of new TCCS -what is working, what is not working, what slows things down􀂄Work from where we are now towards commonly defined goalsIn conclusion􀂄Thank you to all provinces for their engagement in this process and facilitating the work of the team􀂄Provinces need to use the information provided by the audit to use the circular process of engagement and discussion to ultimately take the process forward, in ways that make geographical, social, political and economic sense.􀂄Together we can make the response to rape survivors more effective!THANK YOU