Abstract

Objectives. In 2023, Chile added comprehensive care for acute sexual aggression in its program Garantías Explícitas en Salud (GES). This study aims to evaluate its implementation, comparing case prevalence be-tween regions and by sociodemographic factors. Methods. A descriptive ecological study was designed to characterize comprehensive care of acute se-xual aggression (GES 86) in Chile. Adjusted rates were calculated for each region and specific rates were estimated for sex, age, and victim-aggressor relationship. Results. The regions of Tarapacá, Antofagasta and Magallanes present the highest age-adjusted rates per 100.000 population. The highest percentage of people who sought services were women across all regions. Age ranges between 10-44 years in wo-men, 0-9 years in men and the months of January and November had the highest number of cases. Regarding the victim-aggressor relationship, vio-lence was perpetrated mainly by someone known (≈2200 cases) to the victim. Conclusions. This study highlights territorial, gender, and age inequalities and the high propor-tion of known aggressors. The implementation of GES 86 must be completed alongside broader strategies of primary prevention, human rights and social justice that reduce negative sequelae in the overall health of survivors.