Condé Ibrahima^1,2*, Hyjazi Marie Elisabeth¹, Diallo Fatoumata Binta^2,3, Kouyaté Mustapha^2,3, Cherif Mahamoud Sama², Camara Abdoulaye¹ and Traoré Amadou¹

¹Hôpital ANAIM Kamsar, Guinea
²Université Gamal Abdel Nasser de Conakry, Guinea
³Pédiatrie Hôpital National Donka, Guinea

*Corresponding Author: Condé Ibrahima, Hôpital ANAIM Kamsar, Guinea.

Received: November 16, 2022; Published: November 23, 2022

Abstract

Introduction: The incidence of rape and sexual abuse among children is constantly increasing in the world and particularly in Guinea. The objective of this study was to describe the epidemiological, clinical, and therapeutic aspects of sexually abused children admitted to Kamsar Hospital.

Patients and Methods: It was a prospective cross-sectional, study on the sexual abuse of all minors victims admitted at the Kamsar hospital and the incident evaluation was carried out by a multidisciplinary team made up of gynecologists and pediatricians from January to December 2020.

Results: Out of a total of 29 cases of sexual abuse recorded and treated at the Kamsar hospital, 24(82.75%.) cases were minors. The victims were aged 4-10 years (41.66%) and 11-16 years (58.34%). Children were abused at the family’s house (54.17%) and mostly between 1 p.m.-5 p.m. (58.17%)often by someone known to the victim (71.84%).The sexual contact (genito-genital) was about 58.3%, the sexual contact with fingers was 12.5%, the genito-anal contact was 12.5% and 1 case of touching (4.35%).Almost all the children presented sexual trauma (99.67%) with different locations: a hymenal (79.16%), anal (16.67%) and extra genital (8.33%). Mutism was present in 99.17% of cases. Preventive antibiotic therapy was used in 100%; preventive antiretroviral (ARV) was used in 58.33%; local antiseptic was used in (54.17%), analgesic was used in 79.17%. Emergency contraception (Levonorgestel) was used in 12.5% of cases.

Conclusion: Sexual violence among children and adolescents remains a reality at the Kamsar hospital; this phenomenon includes both sexes with a female dominance.

Keywords: Sexual Abuse; Children; Hospital; Kamsar

References

1. Gonzalez D., et al. “Child Abuse and Neglect”. Stat Pearls. Treasure Island (FL) (2021).
2. Assini-Mey LC., et al. “Preventing and responding to child sexual abuse: Organizational efforts”. Child Abuse and Neglect 112 (2021): 104892.
3. OmdlSOPdlSOmdl. “Understanding and addressing violence against women: health consequences”. (‎2012) (2021).
4. Kuhni M. “Sexual violence against children: STOP DENIAL 2015” (2021).
5. WHOROf. “Responding to violence against women and children during COVID-19: impact on service provision, strategies and actions in the WHO European Region”. (2021).
6. Steiner JJ., et al. “Sexual Violence of Liberian School Age Students: An Investigation of Perpetration, Gender, and Forms of Abuse”. Journal of Child Sexual Abuse1 (2021): 21-40.
7. Uvere EO and Ajuwon AJ. “Sexual Abuse among Female Adolescent Hawkers in Selected Markets in Ibadan, Nigeria”. Journal of Child Sexual Abuse5 (2021): 579-596.
8. Wangamati CK., et al. “Challenges in Supporting Survivors of Child Sexual Abuse in Kenya: A Qualitative Study of Government and Non-governmental Organizations”. Journal of Interpersonal Violence15-16 (2021): NP8773-NP99.
9. Self-Brown S., et al. “Individual and Parental Risk Factors for Sexual Exploitation Among High-Risk Youth in Uganda”. Journal of Interpersonal Violence5-6 (2021): NP3263-NP84.
10. Moreau CTCMMNAKSEHOFJ-C. “Epidemioclinical and legal aspects and cost management of sexual abuse among minors in Dakar, Senegal”. Journal of Obstetrics Gynecology and Reproductive Biology9 (2015): 825-831.
11. Amah B Hondegla., et al. “Aspects épidémie-cliniques et prise en charge des agressions sexuelles chez les sujets de sexe féminin à Lomé”. La Revue Africaine de la Santé Reproductive1 (2011): 67-72.
12. Rim B S., et al. “Aspects epedemiolcliniques et suites judiciaires des abus sexuels chez les mineurs à Monstir, Tunisie”. Février 38.105 (2011).
13. Yobi A S., et al. “Aspects cliniques et thérapeutiques des violences sexuelles reçues au centre hospitalier et universitaire (CHU) Yalgado Ouédraogo, Burkina Faso”. Mali medical2020, tome 35.2 (2020): 38-42.
14. Mbaye M., et al. “Abus sexuels dans une zone reculée du sud du Sénégal : épidémiologie et prise en charge”. La Tunisie médicale08/09 (2013): 499-504.
15. P Pitche. “Abus Sexuels D’enfants Et Infections Sexuellement Transmissibles En Afrique Sub-Saharienne”. Top. 65 (2005): 570-574.
16. Mbassa Menick. Violences sexuelles envers l’enfant et lien de parenté en Afrique”. Analyse polée des études réalisées au Cameroun, Elsevier France Masson 64 (2016): 102-112.
17. Ngo U M E., et al. “Aspects Épidémiologiques, Cliniques et Thérapeutiques des Agressions Sexuelles chez les Enfants et Adolescentes à l’Hôpital Central de Yaoundé”. Health Science Dissease2 (2020).
18. Mbacké Leye M., et al. “Etude des déterminants de Viols chez Les mineurs dans la région de Kolda au Sénégal”. 26 (2014): 131-138.
19. Dre Muriel. “Viols et agressions sexuelles”. édition Dunod, (2020): 79-101.
20. Black DA., et al. “Risk Factors for Child Sexual Abuse”. Aggression and Violent Behavior 6 (2001): 203-229.

Citation

Citation: Condé Ibrahima., et al. “Epidemiological, Clinical and Therapeutic Aspects of Sexual Abuse in Children and Adolescents at KAMSAR Hospital, Guinea”.Acta Scientific Medical Sciences 6.12 (2022): 83-88.

Copyright

Copyright: © 2022 Condé Ibrahima., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.