Demographics, mean distance to HEAL, payment type, and surgery location of patients treated by HEAL Africa Training Hospital from 2002 to 2014.

<p>Demographics, mean distance to HEAL, payment type, and surgery location of patients treated by HEAL Africa Training Hospital from 2002 to 2014.</p

Number of surgeons in the DRC, demonstrating the shortage of specialists in the country.

<p>DRC is ranked 187th out of 187 countries on the planet as per the Human Development Index calculated by the United Nations.</p

Patient Characteristics.

<p>Patient Characteristics.</p

R output summarizing the significant (p = 0.05) predictors of age at time of surgery in our best-fit model.

<p>Individual significant diagnoses were not included in this table but can be found in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0132362#pone.0132362.s002" target="_blank">S2 Table</a>. The model had AIC of 774.0, and an adjusted R² value of 0.41.</p

Boxplots depicting the yearly age distributions of patients treated for congenital malformations at HEAL Africa Training Hospital from 2002–2014.

<p>The overall average age at time of presentation decreased significantly (p = 0.04) over time, even when controlling for distance from HEAL, payment type, diagnosis, and sex. Boxes indicate interquartile (IQR) variation in age each year; bold lines the median age. Whiskers demonstrate data within the third and quartile +/- 1.5 IQR respectively; dots indicate outliers. Number of individuals treated each year is indicated within parentheses.</p

Characteristics of sexual assault according to patient age.

<p><b>A</b>.The largest number of cases in our retrospective sample from a single centre between 2006 and 2009 was in the age group 10–18 years. <b>B</b>. The proportion of cases allegedly perpetrated by military personnel was significantly higher in adult compared to pediatric rape victims (p<0.001). <b>C</b>. Delayed (>72hours) presentation was more common in youth aged 10–18 years than adults and younger children. <b>D</b>. Genital injury was more commonly observed on physical examination at presentation in youth aged 10–18 years than adults and younger children.</p

Features of pediatric sexual assault cases compared to adult cases seen in Goma, eastern DRC.

<p>*In eastern DRC, the presence of multiple armed groups without central leadership, deserters known as “inciviques <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0015911#pone.0015911-Alberti1" target="_blank">[11]</a>,” widely available military uniforms in the post-war period, and the possibility that civilians may wear military uniforms leaves open the possibility that patients' description of uniformed assailant may not always be military personnel.</p