Preventing child sexual abuse: A systematic review of interventions and their efficacy in developing countries

Journal article


Russell, D., Higgins, D. and Posso, A.. (2020). Preventing child sexual abuse: A systematic review of interventions and their efficacy in developing countries. Child Abuse and Neglect. 102(April 2020), pp. 1 - 14. https://doi.org/10.1016/j.chiabu.2020.104395
AuthorsRussell, D., Higgins, D. and Posso, A.
Abstract

Background: Research on prevalence, risk factors, and prevention interventions for child sexual abuse has continued to focus on western and developed countries. Where country-level prevalence data or large-scale research exists, rates of child sexual abuse are consistently higher in developing and non-western countries than their western and developed counterparts. Objective: We systematically reviewed research on the nature of child sexual abuse interventions in developing countries, the settings and populations included to identify types of child sexual abuse prevention initiatives being implemented in developing countries and their effectiveness. Methods: Following PRISMA guidelines, we conducted a systematic search of six databases and identified eight studies to include in our analysis. Results: Most empirically evaluated interventions in developing countries have focused on preschool and primary school-aged children. Most have focused on interventions delivered in educational settings, with a lack of focus on population-level interventions to prevent child sexual abuse. Researchers have used outcomes measuring knowledge or skills for young people in self-protection and help-seeking, not deployment of those skills, actual reduction in prevalence of CSA, or improvements in conditions of safety in organizational contexts. Conclusions: If the focus on school-based strategies to prevent child sexual abuse continues in developing countries, a significant gap in knowledge of the efficacy of population-level interventions outside of school contexts, and consistency across the application of interventions will remain. Evaluations are needed that address the efficacy of broader government-led or whole-of-community prevention interventions to reduce actual prevalence of child sexual abuse, or that can link increased knowledge and skill with reduced victimization.

Keywordschild sexual abuse; low-to-middle income countries; developing countries; prevention; systematic review; intervention
Year2020
JournalChild Abuse and Neglect
Journal citation102 (April 2020), pp. 1 - 14
PublisherElsevier Inc.
ISSN1873-7757
Digital Object Identifier (DOI)https://doi.org/10.1016/j.chiabu.2020.104395
Scopus EID2-s2.0-85079277471
Page range1 - 14
Research GroupInstitute of Child Protection Studies
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
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Public health models for preventing child maltreatment: Applications from the field of injury prevention
Scott, Debbie, Lonne, Bob and Higgins, Daryl. (2016). Public health models for preventing child maltreatment: Applications from the field of injury prevention. Trauma, Violence, and Abuse. 17(4), pp. 408 - 419. https://doi.org/10.1177/1524838016658877
How can child welfare and youth-serving organisations keep children safe?
Higgins, Daryl J., Kaufman, Keith and Erooga, Marcus. (2016). How can child welfare and youth-serving organisations keep children safe? Developing Practice.
Conceptualising the prevention of child sexual abuse
Quadara, Antonia, Nagy, Vicky, Higgins, Daryl and Siegel, Natalie. (2015). Conceptualising the prevention of child sexual abuse Australia: Australian Institute of Family Studies, Australian Government.
A public health approach to enhancing safe and supportive family environments for children
Higgins, Daryl J.. (2015). A public health approach to enhancing safe and supportive family environments for children. Family Matters. 96, pp. 39 - 52.
The Stronger Families in Australia (SFIA) study: Phase 2
Edwards, Ben, Mullan, Killian, Katz, Lian and Higgins, Daryl. (2014). The Stronger Families in Australia (SFIA) study: Phase 2 Australia: Australian Institute of Family Studies, Australian Government.
Complex family issues: Collective awareness, common narratives and coordinated approaches to promoting resilience
Hayes, Alan and Higgins, Daryl. (2014). Complex family issues: Collective awareness, common narratives and coordinated approaches to promoting resilience. In In A. Hayes and D. Higgins (Ed.). Families, policy and the law: Selected essays on contemporary issues for Australia pp. 299 - 303 Australian Institute of Family Studies, Australian Government.
Weaving a common narrative: An introduction to essays on families, policy and the law in Australia
Hayes, Alan and Higgins, Daryl. (2014). Weaving a common narrative: An introduction to essays on families, policy and the law in Australia. In Families, policy and the law: Selected essays on contemporary issues for Australia pp. 1 - 4 Australian Institute of Family Studies, Australian Government.
Past adoption practices: Implications for current interventions
Higgins, Daryl. (2014). Past adoption practices: Implications for current interventions. 36(4), pp. 8 - 11.
Contemporary issues in child protection intake, referral and family support
Bromfield, Leah, Arney, Fiona and Higgins, Daryl. (2014). Contemporary issues in child protection intake, referral and family support. In In A. Hayes and D. Higgins (Ed.). Families, policy and the law: Selected essays on contemporary issues for Australia pp. 121 - 129 Australian Institute of Family Studies, Australian Government.
Reform, (r)evolution and lingering Effects: Family policies in Australia
Higgins, Daryl J.. (2014). Reform, (r)evolution and lingering Effects: Family policies in Australia. In In M. Robila (Ed.). Handbook of family policies across the globe pp. 335 - 353 Springer. https://doi.org/10.1007/978-1-4614-6771-7_22
Past adoption practices: Key messages for service delivery responses and current policies
Kenny, Pauline and Higgins, Daryl. (2014). Past adoption practices: Key messages for service delivery responses and current policies. In In A. Hayes and D. Higgins (Ed.). Families, policy and the law: Selected essays on contemporary issues for Australia pp. 29 - 38 Australian Institute of Family Studies, Australian Government.
Multi-type maltreatment and polyvictimisation: A comparison of two research frameworks
Price-Robertson, Rhys, Higgins, Daryl J. and Vassallo, Suzanne. (2013). Multi-type maltreatment and polyvictimisation: A comparison of two research frameworks. Family Matters. 93, pp. 84 - 98.
Past adoption experiences: Impacts, insights and implications for policy and practice
Kenny, Pauline, Higgins, Daryl, Sweid, Reem and Soloff, Carol. (2013). Past adoption experiences: Impacts, insights and implications for policy and practice. Children and Families Australia. 7(1), pp. 35 - 46.
Past adoption experiences: Impacts, insights and implications for policy and practice
Kenny, Pauline, Higgins, Daryl, Sweid, Reem and Soloff, Carol. (2013). Past adoption experiences: Impacts, insights and implications for policy and practice. Communities, Children and Families. 7(1), pp. 35 - 46.
Families make all the difference: Helping kids to grow and learn
Baxter, Jennifer, Higgins, Daryl J. and Hayes, Alan. (2012). Families make all the difference: Helping kids to grow and learn. Family Matters. 90, pp. 98 - 105.
Child abuse and neglect in Australia's Northern Territory: The Northern Territory Emergency Response
Higgins, Daryl and Scott, Debbie. (2012). Child abuse and neglect in Australia's Northern Territory: The Northern Territory Emergency Response. In In H. Dubowitz (Ed.). World perspectives on child abuse pp. 69 - 75 International Society for the Prevention of Child Abuse and Neglect.
Contemporary militant extremism: A linguistic approach to scale development
Stankov, Lazar, Higgins, D., Saucier, Gerard and Knezevic, Goran. (2012). Contemporary militant extremism: A linguistic approach to scale development. In In G. J. Boyle, Donald H. Saklofske and G. Matthews (Ed.). Psychological Assessment pp. 41 - 67 SAGE Publications Inc..
Protecting children: Evolving systems
Higgins, Daryl. (2011). Protecting children: Evolving systems. Family Matters.
Unfit mothers... Unjust practices?: Key issues from Australian research on the impact of past adoption practices
Higgins, Daryl J.. (2011). Unfit mothers... Unjust practices?: Key issues from Australian research on the impact of past adoption practices. Family Matters. 87(1), pp. 56 - 67.
Contemporary militant extremism: A linguistic approach to scale development
Stankov, Lazar, Higgins, D., Saucier, G. and Kneszevic, G. (2010). Contemporary militant extremism: A linguistic approach to scale development. Psychological Assessment. 22(2), pp. 246 - 258. https://doi.org/10.1037/a0017372