Child protection experience and training: a regional study of international junior paediatricians

Hosdurga, Saraswati; Finlay, Fiona

doi:10.1002/car.1130

Cited by 7 publications

(6 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the fact that none of the patients was referred for such services further buttresses the assertion that doctors are exposed to little or no child protection training during either the undergraduate or post-graduate curricula in Nigeria as in many countries around the world. 9 The normal genital findings in four victims could be due to healing of minor bruises when interval between abuse and presentation is prolonged, or may suggest non-penetrative abuse, oral penetration or penetration with a foreign object. 8,13 The preponderance of male assailants in our study corresponds to what Santos et al, 13 in Lisbon, Portugal, Hobbs and Wynne 7 in Leeds United Kingdom documented.…”

Section: Discussionmentioning

confidence: 95%

“…Unfortunately, there is little or no attention to child protection training given to physicians during the under-graduate or postgraduate training globally. 9 A community survey in south-western Nigeria 10 showed that five percent of adults interviewed admitted to have been sexually abused as a child, and up to 35% admitted to have been sexually active in their adolescence, which highlights some of the consequences of child sexual abuse in later life.ing the pattern of child sexual abuse in our environment, as there is paucity of relevant local documented data.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Child sexual abuse in Zaria, Northwestern Nigeria

Bugaje¹,

Ogunrinde²,

Faruk³

2012

Nig. J. Paed.

View full text Add to dashboard Cite

Abstract:Background: Child sexual abuse has been reported from all corners of the globe, and all age groups and both sexes are affected. Although the trauma of abuse heals with time, it leaves long term psychological and medical problems. This study was aimed at documenting the pattern of child sexual abuse in Zaria, Northern Nigeria. Methods: Retrospective study of case notes of all patients seen with a history of sexual abuse, from August 2008 to October 2009, at a primary health centre in Northwestern Nigeria. Results: A total of twenty cases were seen out of a total of 33, 313, which gave a prevalence rate of 0.06%. There were three boys and 17 girls, with a male: female ratio of 1: 5.7. The age range was 3-13 years, with a mode of 7years. Majority (19, 95%) were aged 12 years and below. Eleven cases (55%) attended school, while three (15%) were hawkers. Twelve (60%) of the children presented more than 72 hours after the assault. Twelve (60%) cases were abused more than once, and there was evidence of genital trauma in 60% of cases. The assailants were all males, and identified in 70% of the cases. Of those identified, 55% of them had previously been suspected of committing sexual abuse. In 55% of cases the assailants were either household members or neighbours. Only 12 (60%) of incidents were reported to the police. Legal outcome was not known in any of the cases. All the cases defaulted to follow-up. Conclusion: Child sexual abuse is not an uncommon problem in Zaria. There is a need to ensure follow-up after treating immediate medical problems, in order to manage and prevent the long-term psychological problems of sexual abuse. The high default rate to follow-up needs to be further investigated. The legal outcome in all the cases was unknown.

show abstract

Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

Child sexual abuse in Zaria, Northwestern Nigeria

Bugaje¹,

Ogunrinde²,

Faruk³

2012

Nig. J. Paed.

View full text Add to dashboard Cite

show abstract

“…Sexual abuse is associated with significant morbidity and mortality. Various types of injuries are seen as a result of physical force such as severe multiple bruises in uncommon sites, vaginal and anal lacerations and perforations have been reported [ 6 – 10 ]. The victim is also exposed to sexually-transmitted disease, psychological trauma and risk of unwanted pregnancy [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and pattern of sexual assault in Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

Hassan¹,

Awosan²,

Panti³

et al. 2016

Pan Afr Med J

View full text Add to dashboard Cite

IntroductionSexual violence is an important public health problem of growing concern all over the world. This study was conducted to determine the prevalence and pattern of sexual assault managed in Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria.MethodsIt was a retrospective study that looked into cases of sexual assault admitted into the hospital between January 2010 and December 2014. Information on patients’ biodata, and relevant details on the cases were extracted from the patients’ case files and analyzed.ResultsOut of the 5317 gynecological admissions during the period under study, 45 (0.84%) were cases of sexual assault. Of these, only 34 case files were available for data extraction. The patients’ ages ranged from 2 to 37 years (mean = 12.6 + 8.3). About two thirds (61.8%) of those affected were young children (aged 12 years and below). In majority of cases (70.6%) the assault was penetrative, and in most of the cases (91.2%) only a single assailant was involved. In close to two thirds of cases, the assailant was either an acquaintance (38.2%) or a family member (20.6%). Although law enforcement agents were informed in majority (58.8%) of cases, arrests were made in less than half (41.2%).ConclusionAlthough the prevalence of sexual assault in this study appears to be low, a major cause for concern is the fact that those affected were predominantly young children. Parents should be more vigilant in monitoring their children’s movement, and stringent laws should be enacted and enforced to curb this heinous act.

show abstract

“…12 Although the police were involved in the majority of cases, there was no record of prosecution or conviction, perhaps because the attending clinicians failed to adequately document evidence to support prosecution, as highlighted in other studies. 7,12,29 It might also reflect child-carers' inadequate knowledge of aspects of child maltreatment 7,27,31 and of what to do in such situations. Parents'/carers' unwillingness to support prosecution because of the social stigma might also be a factor.…”

Section: Discussionmentioning

confidence: 99%