Responding to abuse: Children's experiences of child protection in a central district, Uganda
Responding to abuse: Children's experiences of child protection in a central district, Uganda
复制标题
DOI：
10.1016/j.chiabu.2014.06.009
复制
发表时间：
2014-10-01
影响因子：
4.8
通讯作者：
Devries, Karen M.
中科院分区：
文献类型：
--
作者：
Child, Jennifer Christine;Naker, Dipak;Devries, Karen M.
对暴力侵害儿童行为的全面应对措施的一部分涉及儿童保护制度，但关于低收入国家此类制度的现有数据很少。本研究描述了乌干达一个地区向当地儿童保护服务机构求助的儿童的特点和求助行为，以及一线响应的质量。参与者包括来自42所小学的3 706名儿童，他们参加了作为好学校研究一部分的暴力基线调查（NCT 01678846，clinicaltrial.gov）。根据基于其经历的类型、严重程度和时间范围的预先确定的标准，将披露暴力行为的儿童转介。研究结束后，对儿童进行了长达4个月的随访。接受机构的一线答复分为三类：仅行动计划、采取了一些行动、没有计划也没有采取行动。答复的适当性取决于作出答复的机构、答复的及时性、文件的质量和案件的最终状态。从基线调查开始，529名儿童（14%）被转诊。女孩更有可能被转诊并符合严重病例的标准（9%女孩，4%男孩）。总共有104个案件（20%）采取了某种具体行动，但只有20个案件（3.8%）符合得到充分答复的所有标准。近一半（43%）的被转介儿童在基线调查之前曾通过披露其暴力经历寻求帮助。在我们的研究领域，对儿童虐待报告的第一线反应很差，尽管有一些转介结构。(C)2014爱思唯尔有限公司版权所有。
Part of a comprehensive response to violence against children involves child protection systems, but there are few data available on such systems in low-income countries. This study describes the characteristics and help seeking behavior of children referred to local child protection services and the quality of the first-line response in one district in Uganda. Participants included 3,706 children from 42 primary schools who participated in a baseline survey on violence as part of the Good Schools Study (NCT01678846, clinicaltrial.gov). Children who disclosed violence were referred according to predefined criteria based on the type, severity, and timeframe of their experiences. Children were followed up to 4 months after the study ended. First-line responses by receiving agencies were classified into 3 categories: plan for action only, some action taken, and no plan and no action taken. Appropriateness of responses was based on which agency responded, timeliness of the response, quality of the documentation, and final status of the case. From the baseline survey, 529 children (14%) were referred. Girls were more likely to be referred and to meet the criteria for a serious case (9% girls, 4% boys). In total, 104 referrals (20%) had some kind of concrete action taken, but only 20 (3.8%) cases met all criteria for having received an adequate response. Nearly half (43%) of referred children had ever sought help by disclosing their experiences of violence prior to the baseline survey. In our study areas, the first-line response to children's reports of abuse was poor even though some referral structures are in place. (C) 2014 Elsevier Ltd. All rights reserved.