This comparative study evaluates the effectiveness of Kenya's integration approach in addressing sexual violence (Gender Based Violence Recovery Center Model) and South Africa's Thuthuzela Care Center model, against the existing frameworks of state obligations to address sexual violence against women (SVAW). Integration—the multi-sectoral collaboration of different service providers to assist women and girl survivors of sexual violence seeking recourse through the criminal justice system—is acknowledged globally as the effective way of addressing SVAW. However integration models in resource poor settings within Africa remain largely unevaluated. To determine effectiveness, I evaluate how these implementation models contribute to the fulfillment of state obligations to prevent, protect, prosecute, punish and provide adequate redress to survivors of sexual violence, (the 5 P's). The 5 P's approach is adopted from the Global Due Diligence Framework, a widely tested framework also applied in Kenya and South Africa.