Child sexual abuse (CSA), which includes assault and rape, encompasses all sexual activities involving a child. Internationally, there has been a recent surge in reports of CSA and other forms of violence against children. This substantiates the global significance and gravity of the matter, given its magnitude and impact on children. The current study on assessing CSA determinants in Tanzania for the Kilwa–Lindi region is presented as a case study, intending to uncover the socioeconomic determinants of CSA. The primary data were collected from 32 parents/guardians, who were systematically selected from 384 individuals who had reported CSA to social welfare offices. The presented findings were based on the observed meanings and realities that family members and the community ascribed to CSA through the lens of social construction theory. The qualitative data were analysed using Atlas.ti, and the quantitative data was analysed using Microsoft Excel. The following factors influenced CSA in the study area of Kilwa district: the socioeconomic status of women; the belief of community members in witchcraft as a method of purging misfortune and acquiring wealth; the use of remedies for HIV and other incurable diseases; the excessive workload and passivity of parents or guardians; the apathy of community members; the prevalence of myths and sexual taboos among parents or guardians; the ignorance of parents or guardians regarding indicators of CSA; and the scarcity of parental competence. Having the presented findings, it is therefore timely for the government to consider investing in prevention measures such as the early warning signs of CSA among children and parents and the reporting points, among others. The study recommends a comprehensive study on the awareness of CSA warning signs among children and parents in Tanzania
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