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Integration of services for victims of child sexual abuse at the university teaching hospital one-stop centre.

Chomba E, Murray L, Kautzman M, Haworth A, Kasese-Bota M, Kankasa C, Mwansa K, Amaya M, Thea D, Semrau K - J Trop Med (2010)

Bottom Line: Results.Conclusion.For establishment of a One Stop Centre, there needs to be a core group comprising of managers as well as a technical team committed to the management and protection of sexually abused children.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics and Child Health, University Teaching Hospital, Nationalist Road, Lusaka 10101, Zambia.

ABSTRACT
Objective. To improve care of sexually abused children by establishment of a "One Stop Centre" at the University Teaching Hospital. Methodology. Prior to opening of the One Stop Centre, a management team comprising of clinical departmental heads and a technical group of professionals (health workers, police, psychosocial counselors lawyers and media) were put in place. The team evaluated and identified gaps and weaknesses on the management of sexually abused children prevailing in Zambia. A manual was produced which would be used to train all professionals manning a One Stop Centre. A team of consultants from abroad were identified to offer need based training activities and a database was developed. Results. A multidisciplinary team comprising of health workers, police and psychosocial counselors now man the centre. The centre is assisted by lawyers as and when required. UTH is offering training to other areas of the country to establish similar services by using a Trainer of Trainers model. A comprehensive database has been established for Lusaka province. Conclusion. For establishment of a One Stop Centre, there needs to be a core group comprising of managers as well as a technical team committed to the management and protection of sexually abused children.

No MeSH data available.


Related in: MedlinePlus

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Related In: Results  -  Collection


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Mentions: The diagram below (Figure 1) depicts the previous system for management of a child who had been sexually abused, along with some of the associated flaws and potential delays due to the lack of a centralized, coordinated service. When a child had been sexually or physically abused, the majority are reported either to the victim support unit within the police or, if the child had been physically injured or had a medical symptom, for example a genital discharge, or to a local health facility. A few children presented to a nongovernmental organization such as the Young Womens' Christian Association (YWCA). The processing goals of a child sexual abuse case involved care and protection of the child, investigation of the background to the abuse, and apprehension and prosecution of the offender. As a result, the child was likely to have been interviewed (and even examined or “inspected”) on more than one occasion, often by people without the requisite skills. All too often the result was that the child was further traumatized, and the guardian and child were put much inconvenience when both were already highly distressed. The need to visit multiple sites for evaluation also led to critical delays in the administration of PEP as well as an increased risk of loss-to-follow-up.


Integration of services for victims of child sexual abuse at the university teaching hospital one-stop centre.

Chomba E, Murray L, Kautzman M, Haworth A, Kasese-Bota M, Kankasa C, Mwansa K, Amaya M, Thea D, Semrau K - J Trop Med (2010)

© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2913632&req=5

Mentions: The diagram below (Figure 1) depicts the previous system for management of a child who had been sexually abused, along with some of the associated flaws and potential delays due to the lack of a centralized, coordinated service. When a child had been sexually or physically abused, the majority are reported either to the victim support unit within the police or, if the child had been physically injured or had a medical symptom, for example a genital discharge, or to a local health facility. A few children presented to a nongovernmental organization such as the Young Womens' Christian Association (YWCA). The processing goals of a child sexual abuse case involved care and protection of the child, investigation of the background to the abuse, and apprehension and prosecution of the offender. As a result, the child was likely to have been interviewed (and even examined or “inspected”) on more than one occasion, often by people without the requisite skills. All too often the result was that the child was further traumatized, and the guardian and child were put much inconvenience when both were already highly distressed. The need to visit multiple sites for evaluation also led to critical delays in the administration of PEP as well as an increased risk of loss-to-follow-up.

Bottom Line: Results.Conclusion.For establishment of a One Stop Centre, there needs to be a core group comprising of managers as well as a technical team committed to the management and protection of sexually abused children.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics and Child Health, University Teaching Hospital, Nationalist Road, Lusaka 10101, Zambia.

ABSTRACT
Objective. To improve care of sexually abused children by establishment of a "One Stop Centre" at the University Teaching Hospital. Methodology. Prior to opening of the One Stop Centre, a management team comprising of clinical departmental heads and a technical group of professionals (health workers, police, psychosocial counselors lawyers and media) were put in place. The team evaluated and identified gaps and weaknesses on the management of sexually abused children prevailing in Zambia. A manual was produced which would be used to train all professionals manning a One Stop Centre. A team of consultants from abroad were identified to offer need based training activities and a database was developed. Results. A multidisciplinary team comprising of health workers, police and psychosocial counselors now man the centre. The centre is assisted by lawyers as and when required. UTH is offering training to other areas of the country to establish similar services by using a Trainer of Trainers model. A comprehensive database has been established for Lusaka province. Conclusion. For establishment of a One Stop Centre, there needs to be a core group comprising of managers as well as a technical team committed to the management and protection of sexually abused children.

No MeSH data available.


Related in: MedlinePlus