Sexual Abuse in Malawi: Patterns of Disclosure

Carole Mason, Neil Kennedy

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Potential human immunodeficiency virus transmission makes prompt disclosure of child sexual abuse in Africa critical. The pattern of disclosure of 133 children presenting to the largest hospital in Malawi were analyzed. Eighty percent presented early enough for effective use of HIV postexposure prophylaxis. Seventy-five percent of children made a disclosure of child sexual abuse; 29% spontaneously and 47% after prompting. Disclosures were most commonly made to a parent, and age did not affect the pattern of disclosure. The number of children reporting child sexual abuse is increasing, possibly because of increasing awareness, availability of services, and fear of HIV. Although prompt disclosure rates were relatively high, facilitating easier disclosure of child sexual abuse by a free telephone help-line and better training of teachers may be helpful. 

Original languageEnglish
Pages (from-to)278-289
Number of pages12
JournalJournal of Child Sexual Abuse
Volume23
Issue number3
Early online date18 Mar 2014
DOIs
Publication statusPublished - 2014

Keywords

  • Delay
  • HIV
  • Presentation
  • Self-disclosure
  • Sub-saharan africa

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Pathology and Forensic Medicine
  • Pediatrics, Perinatology, and Child Health
  • Clinical Psychology
  • Medicine(all)

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