Evaluating Case Attrition along the Medico-Legal Case Referral Pathway for Sexual and Domestic Violence Survivors in Kenya: A Secondary Data Analysis

Figures & data

Table 1. Descriptive statistics.

		Cases at risk of passing each transition
		No Medical Attention		Police		Prosecutor		Court		Convicted		All
		n	%	n	%	n	%	n	%	n	%	n	%
Sexual Violence	No	38/48	79%	57/113	50%	56/91	62%	34/86	40%	15/68	22%	200/406	49%
	Yes	10/48	21%	56/113	50%	35/91	38%	52/86	60%	53/68	78%	206/406	51%
Attack Happened in Public	No	45/50	90%	82/113	73%	77/91	85%	58/86	67%	58/68	85%	320/408	78%
	Yes	5/50	10%	31/113	27%	14/91	15%	28/86	33%	10/68	15%	88/408	22%
Survivor Knows Perpetrator	No	2/48	4%	24/113	21%	5/91	5%	16/86	19%	13/68	19%	60/406	15%
	Yes	46/48	96%	89/113	79%	86/91	95%	70/86	81%	55/68	81%	346/406	85%
Child Survivor	No	38/48	79%	62/113	55%	54/91	59%	42/86	49%	16/68	24%	212/406	52%
	Yes	10/48	21%	51/113	45%	37/91	41%	44/86	51%	52/68	76%	194/406	48%
Forensic Evidence	No	47/48	94%	101/113	89%	80/91	88%	66/86	77%	55/68	81%	349/408	86%
	Yes	3/50	6%	12/113	11%	11/91	12%	20/86	23%	13/68	19%	59/408	14%
Female Survivor	No	4/48	8%	13/113	12%	9/91	10%	8/86	9%	15/68	22%	49/406	12%
	Yes	44/48	92%	100/113	88%	82/91	90%	78/86	91%	53/68	78%	357/406	88%
Survivor’s Age	Mean SD	24	8	20	9	20	9	21	10	17	10	20	10

Figure 1. Sexual and domestic violence case referral pathway.

Table 2. Estimated weights for each stage of the medical-legal pathway, and their determinants.

	Medical	Police	Prosecutor	Court
Weight ($W_k)$	0.183	0.357	0.203	0.089
	(0.0312)	(0.021)	(0.013)	(0.008)
Gain ($\mathrm{\Delta }E\left[L_i\right])$	2.27	1.84	1.36	1
	(0.061)	(0.057)	(0.05)
Proportion Affected	1	0.912	0.63	0.387
		(0.017)	(0.026)	(0.027)
Discrimination ($\widehat{p_i})$	0.912	0.691	0.615	0.359
	(0.017)	(0.025)	(0.035)	(0.05)

Figure 2. Sequential logit estimates (all cases).

Figure 3. Sequential logit estimates (sexual violence cases).

Figure 4. Sequential logit estimates (domestic violence cases).

Table A1. Logit regression of whole sample.

Whole Sample
	(1)	(2)	(3)	(4)
	MEDICAL	POLICE	LEGAL	COURTCASE
Public Attack	0.0421	−0.0203	−0.0152	−0.124***
	(0.052)	(0.052)	(0.058)	(0.048)
Survivor Knew P	−0.0509	0.113	−0.0264	−0.0361
	(0.080)	(0.076)	(0.067)	(0.049)
Child Survivor	0.121**	0.267***	0.324***	0.285***
	(0.058)	(0.081)	(0.074)	(0.066)
Forensic Evid.	0.0777	0.159**	0.162***	0.0293
	(0.061)	(0.072)	(0.059)	(0.045)
Survivor’s Age	0.00280	0.0113***	0.0166***	0.0106***
	(0.003)	(0.004)	(0.004)	(0.003)
Female Survivor	−0.0232	−0.0516	−0.0864	−0.138***
	(0.055)	(0.074)	(0.066)	(0.044)
Sexual Violence	0.0861*	0.131**	0.229***	0.139***
	(0.045)	(0.060)	(0.055)	(0.048)
Observations	405	405	405	405

Table A2. Sequential logit estimates of sexual violence only.

Sexual Violence Cases
	(1)	(2)	(3)	(4)
	MEDICAL	POLICE	LEGAL	COURTCASE
Public Attack	0.00761	−0.147**	−0.0863	−0.267***
	(0.039)	(0.069)	(0.080)	(0.078)
Survivor Knew P	−0.0604	0.0520	−0.0683	−0.0590
	(0.053)	(0.074)	(0.084)	(0.073)
Child Survivor	0.0154	0.189	0.418***	0.360***
	(0.054)	(0.117)	(0.122)	(0.121)
Forensic Evid.	0.0357	0.125	0.203**	0.105
	(0.049)	(0.086)	(0.087)	(0.070)
Survivor’s Age	−0.00260	0.00189	0.0185**	0.00935
	(0.004)	(0.008)	(0.008)	(0.007)
Female Survivor	−0.0113	−0.0270	−0.0940	−0.167**
	(0.050)	(0.097)	(0.104)	(0.080)
Observations	205	205	205	205

Table A3. Sequential logit estimates of domestic violence only.

Sexual Violence Cases
	(1)	(2)	(3)	(4)
	MEDICAL	POLICE	LEGAL	COURTCASE
Public Attack	0.0934	0.209**	0.105	0.0467
	(0.098)	(0.105)	(0.076)	(0.043)
Child Survivor	0.206*	0.237*	0.191*	0.152**
	(0.113)	(0.126)	(0.104)	(0.065)
Survivor’s Age	0.00618	0.0148***	0.0133***	0.00644***
	(0.004)	(0.005)	(0.004)	(0.002)
Female Survivor	−0.0377	−0.0692	−0.0811	−0.0761*
	(0.101)	(0.112)	(0.082)	(0.041)
Observations	200	200	200	200

Table A4. Cases at risk of passing each transition for sexual violence only.

		No Medical Attention		Police		Prosecutor		Court		Convicted		All
		n	%	n	%	n	%	n	%	n	%	n	%
Attack Happened in Public	No	8/10	80%	30/56	54%	29/35	83%	31/52	60%	47/53	89%	145/206	70%
	Yes	2/10	20%	26/56	46%	6/35	17%	21/52	40%	6/53	11%	61/206	30%
Survivors Knows Perpetrator	No	1/10	10%	23/56	41%	4/35	11%	16/52	31%	12/53	23%	56/206	27%
	Yes	9/10	90%	33/56	59%	31/35	89%	36/52	69%	41/53	77%	150/206	73%
Child Survivor	No	4/10	40%	18/56	32%	8/35	23%	13/52	25%	5/53	9%	48/206	23%
	Yes	6/10	60%	38/56	68%	27/35	77%	39/52	75%	48/53	91%	158/206	77%
Forensic Evidence	No	9/10	90%	48/56	86%	31/35	89%	40/52	77%	40/53	75%	168/206	82%
	Yes	1/10	10%	8/56	14%	4/35	11%	12/52	23%	13/53	25%	38/206	18%
Female Survivor	No	1/10	10%	7/56	12%	3/35	9%	4/52	8%	10/53	19%	25/206	12%
	Yes	9/10	90%	49/56	88%	32/35	91%	48/52	92%	43/53	81%	181/206	88%
Survivor’s Age	Mean SD	18	7	16	7	14	7	16	7	14	5	15	7

Table A5. Cases at risk of passing each transition for domestic violence only.

		No Medical Attention		Police		Prosecutor		Court		Convicted		All
		n	%	n	%	n	%	n	%	n	%	n	%
Attack Happened in Public	No	35/38	92%	52/57	91%	48/56	86%	27/34	79%	11/15	73%	173/200	86%
	Yes	3/38	8%	5/57	9%	8/56	14%	7/34	21%	4/15	27%	27/200	14%
Survivors Knows Perpetrator	No	1/38	3%	1/57	2%	1/56	2%	0/34	0%	1/15	7%	4/200	2%
	Yes	37/38	97%	56/57	98%	55/56	98%	34/34	100%	14/15	93%	196/200	98%
Child Survivor	No	34/38	89%	44/57	77%	46/56	82%	29/34	85%	11/15	73%	164/200	82%
	Yes	4/38	11%	13/57	23%	10/56	18%	5/34	15%	4/15	27%	36/200	18%
Forensic Evidence	No	36/38	95%	53/57	93%	49/56	88%	26/34	76%	15/15	100%	179/200	90%
	Yes	2/38	5%	4/57	7%	7/56	12%	8/34	24%	0/15	0%	21/200	10%
Female Survivor	No	3/38	8%	6/57	11%	6/56	11%	4/34	12%	5/15	33%	24/200	12%
	Yes	35/38	92%	51/57	89%	50/56	89%	30/34	88%	10/15	67%	176/200	88%
Survivor’s Age	Mean SD	25	8	23	10	25	8	28	10	29	15	25	10