Health Sector Inadequacies in Attending to Child Survivors of Sexual Abuse in Kenya: An Operations Research

2018 ◽  
Vol 27 (6) ◽  
pp. 475-485 ◽  
Author(s):  
Carolyne Ajema ◽  
Chi-Chi Undie ◽  
Charity Mbugua ◽  
Jordan Kyongo ◽  
Lina Digolo
Author(s):  
Noel Muridzo ◽  
Victor Chikadzi

Child sexual abuse is one of the prevalent social ills that affect children in Zimbabwe. In response to the problem of child sexual abuse and the need to mitigate its adverse effects, Zimbabwe established the Victim Friendly System. The Victim Friendly System is a multisectoral forum made up of social workers, medical doctors, nurses, the police force and role players within the justice system such as magistrates, prosecutors, counsellors, educationists and psychologists. These professionals offer distinctive but complementary interventions to child survivors of child sexual abuse. This paper discusses the merits and lessons gleaned from using the Victim Friendly System as a multisectoral forum to tackle child sexual abuse. In researching this phenomenon, the study adopted a qualitative approach and data were collected from 38 participants and 4 key informants selected using theoretical and purposive sampling respectively. A total of 300 court files of child sexual abuse cases were also reviewed. The findings that emerged from the study show that a multisectoral approach to dealing with child sexual abuse provides the benefit of integrated service delivery. Improved outcomes for victims of sexual abuse as well as streamlined, effective and efficient operations for organisations that form part of the Victim Friendly System were also evident. This notwithstanding, the paper also discusses some areas of concern that could potentially affect how the Victim Friendly System multisectoral arrangement works. The lessons that emerged from the study provide some insights that are useful in informing guidelines for multisectoral arrangements.


2021 ◽  
Vol 8 (1) ◽  
pp. 5
Author(s):  
Margaret R. Frimoth

Riane Eisler challenges us to identify and embrace partnership relationships in every aspect of our lives — personal, social, cultural, environmental, and economic. Her trove of written work and public appearances shape a vision of our greater selves working together to achieve more than the sum of our separate lives. Now, in the midst of the COVID-19 pandemic, the reality of overwhelming separation, grief, loss, and social distancing begs the question: Is it truly possible to achieve partnership values? Sometimes, we need to step away from news reports and social media to seek comfort in the stories that make positive differences in our lives. In this article, the author shares a story, more than three decades in the making, of a small group of committed volunteers who tackle a most difficult and disturbing form of oppression — child sexual abuse. An annual camp program, first requested by child survivors themselves, is deeply linked to partnership system ideologies. The Victory Over Child Abuse (VOCA) Camp story actualizes partnership values by firmly wrapping them around a tenacious vision of intentionally safe community. When communities commit to partnership systems, healing and non-violence become the norm, social transformation is possible, and children are safe.


1996 ◽  
Vol 20 (11) ◽  
pp. 1142-1143
Author(s):  
Barbara L. Bonner ◽  
Jane F. Silovsky

2003 ◽  
Vol 24 (6) ◽  
pp. 737-752 ◽  
Author(s):  
Rachel Lev-Wiesel ◽  
Marianne Amir

This study compared spouses who had experienced similar versus different childhood trauma in terms of post-traumatic symptomatology, psychological symptoms of distress, and marital quality. The sample comprised two groups: Holocaust child survivors who were sexually abused during the Holocaust and are married to Holocaust child survivors ( n = 44) who were also sexually abused, and adult survivors of childhood sexual abuse married to nonsurvivors of sexual abuse ( n = 43). All participants were administered the post-traumatic stress disorder, Symptom Checklist 90-Revised, and Enrich Scale for Marital Quality questionnaires. The results revealed that compared with survivors married to partners with different past traumatic experiences, survivors who shared similar past traumatic experiences with their spouses had higher levels of PTSD, anxiety, depression, somatization, phobic-anxiety, and hostility but also expressed greater levels of marital quality.


2020 ◽  
pp. 088626052094372
Author(s):  
Carmit Katz ◽  
Noa Field1

The literature on child sexual abuse (CSA) has contributed greatly to the understanding of child–perpetrator dynamic while mainly addressing the concepts of grooming and manipulation. Considerably less attention has been dedicated, however, to child–perpetrator dynamic in intrafamilial child sexual abuse (IFCSA). The current study examined how children perceive and experience the dynamic with their perpetrator parents in the context of IFCSA, as conveyed by victims. Analysis of 29 forensic interviews with children aged 8 to 14 years suggested above all, across all identified themes, the unspoken nature of IFCSA. Specifically, the children shared their surprise at the abusive incidents despite having described a long and unspoken grooming process. The children shared their understanding of the secretive nature of IFCSA although that too was unspoken, while illustrating the fear and terror in the family dynamic. Finally, the children discussed the elusiveness of the dynamic in terms of the natural and unnatural aspects of the relationship. The discussion addresses the unique nature of IFCSA and the family dynamic. The main implication for practice is the urgent need to modify existing instruction and training programs for practitioners to better adjust them to IFCSA survivors. More specifically, the elusive nature of IFCSA must be conveyed to both clinical and forensic practitioners who need to evaluate and intervene in with child survivors of IFCSA. In addition, the fear and terror that characterize the family dynamic and the unspoken, unbridled rule of the perpetrator fathers are of central importance in adapting interventions to children and their families in the context of IFCSA.


DYNA ◽  
2017 ◽  
Vol 84 (201) ◽  
pp. 129 ◽  
Author(s):  
Alfonso Rafael Romero-Conrado ◽  
Lauren Julieth Castro-Bolaño ◽  
Jairo R. Montoya-Torres ◽  
Miguel Ángel Jiménez Barros

Los aportes de la Investigación de Operaciones (IO) en el campo de la salud han sido ampliamente estudiados en la literatura científica desde la década de los 60, abarcando el soporte a la decisión en enfoques operacionales, tácticos y estratégicos. Se presenta un resumen del desarrollo histórico de la IO en el campo de la salud y se listan los principales modelos aplicados en los últimos años, identificando el principal enfoque utilizado, y el potencial aporte a la toma de decisiones en el campo de la salud.


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