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Evaluating the medical care of child sexual abuse victims in a general hospital in Ibadan, Nigeria.

Show simple item record Ige, O. K., & Fawole, O. I. 2013-09-30T17:48:27Z 2013-09-30T17:48:27Z 2012
dc.description.abstract Objectives: Evaluation of the medical care provided to victims of Child Sexual Abuse (CSA). Design: A retrospective cross sectional study. Setting: The general outpatient clinic of a 150 bed secondary health care facility in Ibadan, Nigeria Participants: Children < 18 years who were treated as Victim’ssexual assault. Main Outcome measure: Investigations and treatment prescribed for CSA victims. Results: The median age of victims was 12 years (range 3-17 years). All were females and 33.3% had attained menarche. Many (68.1%) had torn hymen; of these, 16.3 % also had vaginal lacerations and bleeding. Children>10 years more often had torn hymen (P<0.001). Vaginal swab microscopy was done in 84.0% of those with torn hymen. About 60% of victims had retroviral screening done (all were non reactive) the retroviral screening of the perpetrator was requested in only case. None of the patients received post exposure prophylaxis for HIV. Of those with signs of vaginal penetration who had also attained menarche 12.2% had emergency contraceptives prescribed. Treatment of victims consisted mostly of antibiotics - 47.2% and analgesics- 37.5% with only 15.3% of patients proffered any form of counselling. Conclusions: There is a still a huge gap between the health care needs of victims of CSA and the medical services provided for victims of CSA. The use of a treatment protocol and additional training for health care providers in the management of CSA victims is encouraged. en_US
dc.language.iso en en_US
dc.publisher Ghana Medical Journal en_US
dc.relation.ispartofseries 46;1
dc.subject child sexual abuse en_US
dc.subject medical care en_US
dc.subject evaluation en_US
dc.subject Nigeria en_US
dc.subject International Resources en_US
dc.title Evaluating the medical care of child sexual abuse victims in a general hospital in Ibadan, Nigeria. en_US
dc.type Article en_US

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