Project 467053

Sexual assault evidence kits (SAEKs) are used to gather forensic evidence from survivors after assault. Justice is hindered without such evidence, resulting in dependence on survivors recounting traumatizing narratives. 1/3 of Canadian women have experienced sexual assault, but 41% of Canadian hospitals do not have SAEKs available and/or staff trained to administer them. Most of these deficits fall in remote Northern areas, forcing women to travel long distances to receive care. Research on availability is limited but it is known that a ;justice gap exists, whereby women in rural regions and socioeconomically marginalized communities have poor access; Northern and Indigenous communities are known to especially lack access to SAEKS and related counselling. This lack of resources often results in poor survivor mental health, increased chronic health disorders, substance abuse, and violence perpetuation, placing further strain on health services.Using surveys in 10 communities which are Northern healthcare hubs, I plan to gain the perspectives of Northern healthcare providers on access to SAEKs in their communities as well as barriers they face in providing sexual assault care. These surveys will inform the guide for in-depth interviews, which I will carry out with healthcare providers at two hubs for rural areas in cities with large Indigenous populations (Thunder Bay Regional Health Sciences Centre; North Bay Regional Health Centre).Sexual assault stigma and trauma hinders many survivors from seeking care, especially when care has been inadequate in the past. It is essential that few barriers deter post-assault care. This research will provide insight into rural health challenges and inform changes that can relieve over-burdened mental health and emergency services.