204. The Court considers it appropriate to order that the State adapt its existing protocols or adopt new protocols that incorporate international standards on the matter (supra paras. 101 to 107) in investigations and criminal proceedings arising from acts of sexual violence to the detriment of children and adolescents; that it ensure that the statements and interviews, the medical-forensic examinations, as well as the expert psychological and/or psychiatric assessments are carried out in a manner tailored to the needs of that particular group of victims, and define the content of the specialized comprehensive care to children and adolescents who are victims of sexual violence. Therefore, the Court orders the State to adopt, implement, supervise and appropriately monitor three standardized protocols, namely: (i) investigation and action protocol during the criminal proceedings for cases involving child and adolescent victims of sexual violence; (ii) protocol on a comprehensive approach and medical-legal assessment for cases of children and adolescents who are victims of sexual violence, and (iii) a comprehensive care protocol for children and adolescents who are victims of sexual violence. 205. In relation to the investigation and action protocol during the criminal proceedings for cases of children and adolescent victims of sexual violence, the State must take into account the criteria established in international instruments on the protection of the rights of the child, as well as the standards developed in this judgment and in the case law of the Court. In this sense, said protocol must take into consideration that enhanced due diligence with a gender and childhood perspective, as the case may be, implies the adoption of special measures and the development of a process adapted to children and adolescents with a view to avoiding their revictimization, which must include, in accordance with the standards developed in paragraphs 103 to 106, at least the following criteria: (i) the right to information related to the procedure, as well as legal and health assistance services and other protective measures available; (ii) legal assistance, free of charge and provided by the State, of a duly trained lawyer, and/or specialized in childhood and adolescence, with the power to become a procedural party, oppose judicial measures, file appeals and carry out any other procedural act aimed at defending their rights in the proceedings; (iii) the right to be heard, with due guarantees and within a reasonable time, which entails an enhanced criterion of speed; (iv) the right of the child or adolescent victim to participate in the criminal process, depending on their age and maturity, and provided that it does not imply harm to their psycho-social well-being. To do this, only strictly necessary procedures must be carried out and the presence and interaction of children and adolescents with the perpetrator must be avoided; (v) generate adequate conditions so that children and adolescents can participate effectively in the criminal process through special protections and specialized support; (vi) the interview must be carried out by a specialized psychologist or a professional from related disciplines duly trained in taking this type of statements from children and adolescents; (vii) the interview rooms will provide a safe environment that is not intimidating, hostile, insensitive or inappropriate and that encourages privacy and trust; (viii) the justice service personnel who participate must be trained in the area, and (ix) immediate and professional assistance, both medical and psychological and/or psychiatric, must be provided by a professional person specifically trained in the care of victims of this type of crimes and with a gender and childhood perspective. The Court considers that this protocol should be directed, in particular, to all personnel of the administration of justice who participate in the investigation and processing of criminal proceedings in cases of children or adolescents who are victims of sexual violence, whether this has occurred in the public or private sphere. 206. With respect to the protocol on a comprehensive approach and medical-legal assessment for cases of children and adolescents who are victims of sexual violence, the Court orders the State of Bolivia to adopt a specific standardized protocol so that all health personnel, whether public or private and, in particular, the staff of the Forensic Investigations Institute, have the necessary criteria for the execution of the corresponding examinations, in accordance with the criteria established in paragraph 107 of this judgment, the case law of the Court, and international standards on the matter. The Court highlights that, if a medical examination is considered necessary, the State must guarantee at least the following: (i) more than one physical assessment must be avoided, insofar as possible; 63

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