A Scoping Review on the Psychosocial Effects of Sexual Abuse on the Girl Child in Sub-Saharan Africa
Issue: Vol.5 No.4 Issue Article 10 pp.477-493
DOI: https://doi.org/10.38159/ehass.20245410 | Published online 19th April, 2024
© 2024 The Author(s). This is an open access article under the CCBY license (http://creativecommons.org/licenses/by/4.0/).
Child sexual abuse has become a global phenomenon. The statistics of sexual abuse of a girl child by relatives and/or other people known to the girl child are shocking. Various factors predispose a girl child to be susceptible to sexual abuse. As a result, the purpose of this study was to review the existing literature on the psychosocial effects of sexual abuse on a girl child. The study used a scoping review guided by PRISMA-ScR guidelines. African Journals Online, Sabinet African Journals, EBSCOHost, PubMed, and ScienceDirect were used in the study to compile papers that were assessed for their coverage of the psychosocial impacts of child sexual abuse on girls between 2012 and 2023. The collected data was narratively analysed using thematic analysis. The study revealed that child sexual abuse has an impact on the mental health of the girl child which leads to their behavioural change. It further revealed that children are afraid to disclose sexual abuse as they fear secondary victimisation in the community. It was recommended that community awareness and education be organised to equip community members about the impact of stigmatisation on victims, and appropriate ways must be created to respond to the disclosure of sexual abuse. This study contributes to the academic field of child psychology and social work by offering a comprehensive analysis of the psychosocial impacts of child sexual abuse on girls in Sub-Saharan Africa, identifying gaps in current literature, and providing evidence-based recommendations for community and policy-level interventions. Its findings underscore the critical need for gender- and age-specific research and interventions to mitigate the profound effects of sexual abuse on vulnerable populations.
Keywords: Effects, Girl Child, Psychosocial, Sexual Abuse, Scoping Review
Abbasi, Maryam Ajilian, Masumeh Saeidi, Gholamreza Khademi, Bibi Leila Hoseini, and Zahra Emami Moghadam. “Child Maltreatment in the Worldwide: A Review Article.” Int J Pediatr 3, no. 1–1 (2015): 353–65.
Alaggia, Ramona, Delphine Collin-Vézina, and Rusan Lateef. “Facilitators and Barriers to Child Sexual Abuse (CSA) Disclosures: A Research Update (2000–2016).” Trauma, Violence, & Abuse 20, no. 2 (April 23, 2019): 260–83. https://doi.org/10.1177/1524838017697312.
Arksey, Hilary, and Lisa O’Malley. “Scoping Studies: Towards a Methodological Framework.” International Journal of Social Research Methodology 8, no. 1 (February 2005): 19–32. https://doi.org/10.1080/1364557032000119616.
Barrera, Mauricio, Liliana Calderón, and Vaughan Bell. “The Cognitive Impact of Sexual Abuse and PTSD in Children: A Neuropsychological Study.” Journal of Child Sexual Abuse 22, no. 6 (August 2013): 625–38. https://doi.org/10.1080/10538712.2013.811141.
Cashmore, Judy, and Rita Shackel. “The Long-Term Effects of Child Sexual Abuse,” 2013.
Chacko, Arman Z, Jackwin S G Paul, Ranjith Vishwanath, S Sreevathsan, Divya Bennet, Pranuth D Livingstone, and Jacob John. “A Study on Child Sexual Abuse Reported by Urban Indian College Students.” Journal of Family Medicine and Primary Care 11, no. 9 (2022): 5072–76.
Clarke, Victoria, and Virginia Braun. “Teaching Thematic Analysis: Overcoming Challenges and Developing Strategies for Effective Learning.” The Psychologist 26, no. 2 (2013): 120–23.
Diaz, Angela, Viswanathan Shankar, Anne Nucci-Sack, Lourdes Oriana Linares, Anthony Salandy, Howard D Strickler, Robert D Burk, and Nicolas F Schlecht. “Effect of Child Abuse and Neglect on Risk Behaviors in Inner-City Minority Female Adolescents and Young Adults.” Child Abuse & Neglect 101 (2020): 104347.
Fontes, Lisa Aronson, and Carol Plummer. “Cultural Issues in Disclosures of Child Sexual Abuse.” Journal of Child Sexual Abuse 19, no. 5 (2010): 491–518.
Gervasio, Maddi, Avery Beatty, Brian Kavanaugh, Mary Kathryn Cancilliere, and Karen Holler. “The Association between Neurocognition and Sexual Abuse within a Children’s Psychiatric Inpatient Program.” The Clinical Neuropsychologist 36, no. 1 (2022): 189–206.
Gqgabi, Rosemary Boitumelo, and Elizabeth Ivy Smit. “Psycho-Social Effects of Father–Daughter Incest: Views of South African Social Workers.” Journal of Child Sexual Abuse 28, no. 7 (2019): 840–59.
Heymann, Jody, Lorraine Sherr, and Rachel Kidman. Protecting Childhood in the AIDS Pandemic: Finding Solutions That Work. OUP USA, 2012.
Karagöz, Duygu. “Investigation of Clinical Characteristics of Children and Adolescents Followed under Health Precaution.” Psikiyatride Güncel Yaklaşımlar 14, no. Suppl. 1 (2022): 268–77.
Kidman, Rachel, and Tia Palermo. “The Relationship between Parental Presence and Child Sexual Violence: Evidence from Thirteen Countries in Sub-Saharan Africa.” Child Abuse & Neglect 51 (2016): 172–80.
Lalor, Kevin. “Child Sexual Abuse in Sub-Saharan Africa: A Literature Review.” Child Abuse & Neglect 28, no. 4 (2004): 439–60.
Liberati, Alessandro, Douglas G Altman, Jennifer Tetzlaff, Cynthia Mulrow, Peter C Gøtzsche, John P A Ioannidis, Mike Clarke, Philip J Devereaux, Jos Kleijnen, and David Moher. “The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration.” Annals of Internal Medicine 151, no. 4 (2009): W-65.
Lisak, David, and Paul M Miller. “Repeat Rape and Multiple Offending among Undetected Rapists.” Violence and Victims 17, no. 1 (2002): 73–84.
Maikovich, Andrea Kohn, Karestan C. Koenen, and Sara R. Jaffee. “Posttraumatic Stress Symptoms and Trajectories in Child Sexual Abuse Victims: An Analysis of Sex Differences Using the National Survey of Child and Adolescent Well-Being.” Journal of Abnormal Child Psychology 37, no. 5 (July 17, 2009): 727–37. https://doi.org/10.1007/s10802-009-9300-x.
Meinck, Franziska, Lucie Cluver, Heidi Loening-Voysey, Rachel Bray, Jenny Doubt, Marisa Casale, and Lorraine Sherr. “Disclosure of Physical, Emotional and Sexual Child Abuse, Help-Seeking and Access to Abuse Response Services in Two South African Provinces.” Psychology, Health & Medicine 22, no. sup1 (2017): 94–106.
Miranda, Debora Marques De, Bruno da Silva Athanasio, Ana Cecília Sena Oliveira, and Ana Cristina Simoes-e-Silva. “How Is COVID-19 Pandemic Impacting Mental Health of Children and Adolescents?” International Journal of Disaster Risk Reduction 51 (2020): 101845.
Mphatheni, Mandlenkosi Richard, Witness Maluleke, and Zipho Nomsasa Snyman. “Understanding the Dynamics Involved in Sexual Offences against Children in the Eastern Cape Province of South Africa.” Gender and Behaviour 19, no. 2 (2021): 17875–82.
Mugabe, Miriam. “Psychosocial Effects of Child Sexual Abuse on the Holistic Development of the Girl Child in Zimbabwe.” University of the Free State, 2021.
Mugabe, Miriam, Shamiso Chingombe, and Kudzai Chinyoka. “Psychosocial Effects of Child Sexual Abuse on the Academic Performance of Grade Seven Learners in Gweru Urban, Zimbabwe.” Journal of Emerging Trends in Educational Research and Policy Studies 7, no. 4 (2016): 255–63.
Muridzo, Noel Garikai, and Victor Chikadzi. “Some Impediments to Child Sexual Abuse Interventions and Corresponding Social Work Implications: Reflections on the Zimbabwean Victim Friendly System.” Journal of Human Rights and Social Work 5, no. 4 (2020): 257–66.
Musiwa, Anthony Shuko. “Addressing Intrafamilial Child Sexual Abuse: Lessons from the Victim-Friendly Court in Marondera District, Zimbabwe.” Child and Adolescent Social Work Journal 37, no. 2 (2020): 207–25.
Nichols, J, L Embleton, A Mwangi, G Morantz, R Vreeman, S Ayaya, D Ayuku, and P Braitstein. “Physical and Sexual Abuse in Orphaned Compared to Non-Orphaned Children in Sub-Saharan Africa: A Systematic Review and Meta-Analysis.” Child Abuse & Neglect 38, no. 2 (2014): 304–16.
O’Driscoll, Ciarán, and Esther Flanagan. “Sexual Problems and Post‐traumatic Stress Disorder Following Sexual Trauma: A Meta‐analytic Review.” Psychology and Psychotherapy: Theory, Research and Practice 89, no. 3 (September 9, 2016): 351–67. https://doi.org/10.1111/papt.12077.
Ogunfowokan, A A, and B R Fajemilehin. “Experiences of Sexual Abuse by Adolescent Girls in Ife/Ijesa Zone, Nigeria.” Nigerian Journal of Health Sciences 15, no. 2 (2015): 89.
Pascoe, S J S, L F Langhaug, Jeffrey Durawo, Godfrey Woelk, Rashida Ferrand, Shabbar Jaffar, Richard Hayes, and F M Cowan. “Increased Risk of HIV-Infection among School-Attending Orphans in Rural Zimbabwe.” AIDS Care 22, no. 2 (2010): 206–20.
Put, Claudia E van der, Nadine Lanctôt, Corine De Ruiter, and Eveline Van Vugt. “Child Maltreatment among Boy and Girl Probationers: Does Type of Maltreatment Make a Difference in Offending Behavior and Psychosocial Problems?” Child Abuse & Neglect 46 (2015): 142–51.
Rapholo, Frank Selelo. “Factors Influencing Non-Disclosure of Child Sexual Abuse amongst Bapedi Tribe in Polokwane, Limpopo Province, South Africa.” Global Journal of Health Science 11, no. 12 (2019): 175.
Republic of South Africa. “ Children’s Act 38 of 2005 ,” 2005. https://www.gov.za/documents/childrens-act.
Reza, Avid, Matthew J Breiding, Jama Gulaid, James A Mercy, Curtis Blanton, Zodwa Mthethwa, Sapna Bamrah, Linda L Dahlberg, and Mark Anderson. “Sexual Violence and Its Health Consequences for Female Children in Swaziland: A Cluster Survey Study.” The Lancet 373, no. 9679 (2009): 1966–72.
Saferspaces. “Child Maltreatment in South Africa .” SaferSpaces, 2021. https://www.saferspaces.org.za/understand/entry/child-maltreatment-in-south-africa.
Selengia, Victor, Hanh Nguyen Thi Thuy, and Declare Mushi. “Prevalence and Patterns of Child Sexual Abuse in Selected Countries of Asia and Africa: A Review of Literature.” Open Journal of Social Sciences 8, no. 9 (2020): 146–60.
Shoba, Sandisiwe. “Abused, Beaten, Neglected: South African Children Exposed to Horrific Levels of Violence ,” 2021. https://www.dailymaverick.co.za/article/2021-06-01-abused-beaten-neglected-south-african-children-exposed-to-horrific-levels-of-violence/.
Singh, Mannat Mohanjeet, Shradha S Parsekar, and Sreekumaran N Nair. “An Epidemiological Overview of Child Sexual Abuse.” Journal of Family Medicine and Primary Care 3, no. 4 (2014): 430–35.
Steely, Mollee, and Tusty Ten Bensel. “Child Sexual Abuse within Educational Settings: A Qualitative Study on Female Teachers Who Sexually Abuse Their Students.” Deviant Behavior 41, no. 11 (November 1, 2020): 1440–53. https://doi.org/10.1080/01639625.2019.1624288.
Theimer, Kate, and David J Hansen. “Child Sexual Abuse: Stigmatization of Victims and Suggestions for Clinicians,” 2018.
UNICEF. “Towards an AIDS-Free Generation – Children and AIDS Stocktaking Report, 2013.” UNICEF DATA, 2013., 2013. https://data.unicef.org/resources/towards-an-aids-free-generation-children-and-aids-stocktaking-report-2013/.
———. “Violence against Children,” 2017. https://www.unicef.org/protection/violence-against-children.
Ward, Catherine L, Lillian Artz, Lezanne Leoschut, Reshma Kassanjee, and Patrick Burton. “Sexual Violence against Children in South Africa: A Nationally Representative Cross-Sectional Study of Prevalence and Correlates.” The Lancet Global Health 6, no. 4 (2018): e460–68.
World Bank. “Africa Overview: Development News, Research, Data,” 2023. https://www.worldbank.org/en/region/afr/overview.
World Health Organization. Mental Health and COVID-19: Early Evidence of the Pandemic’s Impact: Scientific Brief. World Health Organization, 2022.
Ms. Tsholofelo Keikabile is a registered social worker and completed her Masters in Child Protection with North-West University, Potchefstroom Campus. She is currently working as a Social Worker at COSUP which is a Community Oriented Substance Use Program, in Gauteng, South Africa.
Dr. Frans Matlakala is a senior lecturer at North-West University, Department of Social Work, Mafikeng Campus. He is also a registered social worker and served as the supervisor for the first author.
Dr. Curwyn Mapaling, a clinical psychologist and award-winning Mandela Rhodes Scholar, is a senior lecturer at the University of Johannesburg (UJ) and director of PsycheMap Psychology Practice and Research Consultancy. With a PhD in Education, he is interested in well-being research, bridging the realms of clinical psychology and education to address systemic challenges and foster resilience and success. His work, recognised by accolades like the Nelson Mandela University Alumni Rising Star Award, underscores a commitment to mental health innovation and educational excellence.
Keikabile,Tsholofelo, Frans Koketso Matlakala and Curwyn Mapaling. “A Scoping Review on the Psychosocial Effects of Sexual Abuse on the Girl Child in Sub-Saharan Africa,” E-Journal of Humanities, Arts and Social Sciences 5, no.4 (2024): 477-493. https://doi.org/10.38159/ehass.20245410
© 2024 The Author(s). Published and Maintained by Noyam Journals. This is an open access article under the CCBY license (http://creativecommons.org/licenses/by/4.0/).