A Study on the Assessment of Pattern and Predisposing Conditions of Child Sexual Abuse among Female Children Seen in Gandhi Memorial Hospital Addis Ababa, Ethiopia 2017

Assabu, Getinet (2017) A Study on the Assessment of Pattern and Predisposing Conditions of Child Sexual Abuse among Female Children Seen in Gandhi Memorial Hospital Addis Ababa, Ethiopia 2017. Masters thesis, Addis Ababa University.

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Abstract

Background:Child sexual abuse remains a silent crime which occurs in different settings and cuts across varying social classes. Child sexual abuse is a serious breach of basic human rights and is responsible for numerous adverse sequelae its wide-spread presence in both developing and developed countries is well documented. Child sexual abuse is a serious worldwide public health concern that requires collective, as well as individual, pro-active measures for safeguarding children’s rights. Child sexual abuse is associated with a variety of problems in the short and the long term for both male and female victims. Objective: To assess the pattern and predisposing conditions of child sexual abuse among female Children seen in Gandhi Memorial Hospital Addis Ababa, Ethiopia 2017 Methods: The research was conducted by collecting reported child sexual abuse cases from the records of patients who presented to Gandhi Memorial Hospital as a case of Child sexual abuse from March 2016 to February 2017 seen in Gandhi Memorial Hospital. Systematic random techniques were used to determine the sample size. Results: Being a total of 292 selected samples of victim children was included from the one year period then completed a semi-structured questionnaire and data were analysed.Their peak age is adolescent age (12-18yr). Most of the victims (41.1%) live with their both parents, followed by single parent care taker. Nearly half of the cases were victimized at their own home followed by their neighbour home. Even though most of them have old hymen injury physical finding at presentation, minor laceration and major bleedings were also common. Almost all the perpetrators are male and majority of the perpetrators are known by the child and most of them use alcohol during the time of attack. Conclusion:From the study it shows female children are at risk of sexual abuse irrespective of their age, socioeconomic status and degree of relationship between the perpetrators and victims.The proportion of child sexual abuse at Gandhi Memorial Hospital is estimated 73.3%, from the total victims of females, some came down with pregnancy.Presences of family problem were a predisposing factor for CSA. Recommendations: As we observed CSA is becoming one of problem of the public health problem so it is important that effective preventive strategies must be developed and implemented.Establishment of child protection centre is mandatory. We should enhance CSA data documentation to utilize for the promotion of evidence based CSA policy & programming.

Item Type: Thesis (Masters)
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
R Medicine > RT Nursing
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 28 Jun 2018 13:58
Last Modified: 28 Jun 2018 13:58
URI: http://thesisbank.jhia.ac.ke/id/eprint/6212

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