Abstract
Sexual abuse remains a hidden and underreported form of violence against children and a serious public health concern. Although it results in severe mental, physical, and psychological risks with consequences such as depression, fear, and low self-esteem, it is still an unexplored and less prioritized area in Nepal. The objective of this study was to determine the prevalence of Child Sexual Abuse among school children of a municipality. This was a descriptive cross-sectional study, conducted among 405 students, aged below 18 of Mandan-Deupur Municipality, Kavrepalanchowk from April to May 2018. Ethical clearance was taken from Nepal Health Research Council (Ref no 2506). A simple random sampling technique was used to select the schools. Collected data were then entered and analyzed using Statistical Package for Social Sciences version 16. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage. In overall, 64 (15.8%) (12.4-19.7 at 95% Confidence Interval) were found to be sexually abused, where a high prevalence of Child Sexual Abuse was reported for boys 46 (73.43%). According to the findings of this study, child sexual abuse is seen as a significant issue in the place studied. Awareness programs on child sexual abuse should be organized targeting children along with parents and community people.
Highlights
Sexual abuse remains a hidden and underreported form of violence against children and a serious public health concern
The objective of this study was to find out the prevalence of Child Sexual Abuse (CSA) among school children of MandanDeupur Municipality of Kavre district, Nepal
Out of 405 respondents, 64 (15.8%) (12.4-19.7 at 95% Confidence Interval) were found to be sexually abused (Figure 1), where high prevalence of CSA was among boys 47 (73.43%)
Summary
Sexual abuse remains a hidden and underreported form of violence against children and a serious public health concern It results in severe mental, physical, and psychological risks with consequences such as depression, fear, and low self-esteem, it is still an unexplored and less prioritized area in Nepal. A child under the age of 18, if gets involved in any sexual activity that he or she does not fully comprehend is defined as Child Sexual Abuse (CSA) Such activity is evident between a child and an adult or another child who by age or development is in a relationship of responsibility, trust or power, for gratifying the needs of the other person.[1] CSA results in severe mental, physical, and psychological hazards such as depression, fear, and low self-esteem.[2,3] WHO reports that a child (aged 0-17 years), one in five women and one in 13 men have been sexually harassed.[4]. In Nepal, child sexual abuse is prevalent in families, neighborhoods, schools, streets, workplaces, social media and so on.[5,6,7,8] CSA remains underexplored and less prioritized area of study.[9]
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