Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 4

Knowledge, Attitude and Practices of Physicians Towards Child Physical Abuse and Associated Factors in Addis Ababa Burn, Emergency and Trauma Hospital Addis Ababa, Ethiopia 2021GC

Tilahun Desta1*, Mamo Deksisa2, Habtewold Mulat1 and Sahle Tsegabrhan3

1Assistant Professor, Consultant Orthopedic Surgeon, St. Paulmillennium Medical Collage, Aabethospital, Ethiopia
1Assistant Professor of Orthopedics and Trauma Surgery, Consultant Orthopedic Surgeon, Sport and Arthroscopy Surgeon, St. Paulmillennium Medical Collage, Aabethospital, Ethiopia
2Consultant Orthopedic and Trauma Surgeon, St. Paulmillennium Medical Collage, Aabethospital, Ethiopia

*Corresponding Author: Tilahun Desta, Assistant Professor, Consultant Orthopedic Surgeon, St. Paulmillennium Medical Collage, Aabethospital, Ethiopia.

Received: January 06, 2022; Published: March 04, 2022

Abstract

Background: Child physical abuse is a common practice worldwide and often times victims are brought to health facilities to get medical care. As a result, responsibility of detection and reporting falls on physicians. Knowledge on child physical abuse and reporting system is essential for the first contact person. Anecdotally, on global scale several cases of child abuse have been missed out at the first contact level and knowledge of reporting system and practice is low. Therefore we undertook this survey to assess the knowledge, attitudes and practice of physicians towards child physical abuse and associated factors in our setup.

Objectives: To assess the Knowledge, Attitude and Practice of physicians toward child physical abuse and associated factors in Aabet hospital, SPHMMC, Ethiopia, April 30 - May 30, 2021

Methods: from April 30- May 30, 2021, Institution based cross-sectional study was conducted in Aa BET hospital, SPHMMC, Addis Ababa involving all physicians working in the hospital. Data was collected using pre-tested self administered structured questionnaire via printed form and electronic google form. Data was cleaned, edited and fed to computer and analyzed using SPSS for window version 26D. Ethical approval from IRB and informed consent from participants was obtained.

Results: Response rate was 92.4% (n = 152). Only 7.9% of participants had formal training in child physical abuse. Our participants lacked knowledge on signs and symptoms of physical abuse, first action to be done when suspecting child physical abuse and legal authorities to report suspected cases. Majority of our participants possessed positive attitude on importance of detecting and reporting of child physical abuse case although 62.5% of the participants claim the amount of material presented regarding child abuse is insufficient. 61.2% physicians suspected child physical abuse and only one third of which reported to legal authorities. Shortage of knowledge about the referral procedure was listed as the most common cause of underreporting. Only 7.2% of physician’s believe their institution provided them with procedure to follow when child physical abuse case is suspected.

Conclusion and Recommendation: Majority of physicians lacked knowledge but were positive about the need to assess child physical abuse. Child abuse course should be included in both undergraduate and post graduate teaching programs. Regular training on the subject matter shall be provided in the institution and procedural framework should be established on management of suspected child physical abuse cases.

Keywords :Child Physical Abuse; Child Maltreatment; KAP

References

  1. Chowdhury S., et al. “Universal health coverage ‑ There is more to it than meets the eye”. Journal of Family Medicine and Primary Care2 (2017): 169-170.
  2. Loder RT and Feinberg JR. “Orthopaedic injuries in children with nonaccidental trauma: Demographics and incidence from the 2000 kids’ inpatient database”. Journal of Pediatric Orthopaedics 4 (2007): 421-426.
  3. World Health Organization. “Global status report on preventing violence against children 2020” (2020): 352.
  4. Stoltenborgh M., et al. “Analysis of Global Prevalence” (2013): 37-41.
  5. Flaherty EG., et al. “Evaluating children with fractures for child physical abuse”. Pediatrics 2 (2014).
  6. Tachdjian’s.
  7. Jayakumar P., et al. “Orthopaedic aspects of paediatric non-accidental injury”. Journal of Bone and Joint Surgery - Series B 2 (2010): 189-195.
  8. Johnston RB. “Arsenic and the 2030 Agenda for sustainable development”. Arsen Res Glob Sustain - Proc 6th Int Congr Arsen Environ AS 2016 (2016): 12-14.
  9. Christian CW., et al. “The evaluation of suspected child physical abuse”. Pediatrics 5 (2015): e1337-1354.
  10. Van Haeringen AR., et al. “The child abuse lottery - Will the doctor suspect and report? Physician attitudes towards and reporting of suspected child abuse and neglect”. Child Abuse and Neglect3 (1998): 159-169.
  11. Appleton J V and Sidebotham P. “Physical Abuse of Children”. Child Abuse and Review6 (2017): 405-410.
  12. Ji K and Finkelhor D. “A meta-analysis of child physical abuse prevalence in China”. Child Abuse and Neglect 43 (2015): 61-72.
  13. Igwe WC and Igwebuike VO. “Bruising in children: Evaluation in cases of suspected non-accidental injuries in children (physical child abuse)”. Nigerian Journal of Paediatrics1 (2017): 1.
  14. Witt A., et al. “Child maltreatment in Germany: Prevalence rates in the general population”. Child and Adolescent Mental Health1 (2017): 1-9.
  15. Mbagaya C., et al. “Mediation by PTSS”. 48.2 (2013): 95-107.
  16. Pankhurst A., et al. “Understanding Children’s Experiences of Violence in Ethiopia : Evidence from Young Lives”. (2016).
  17. Unasho YS., et al. “Prevalence and Contributing Factors of Childhood Physical Abuse in Households and at Schools among School Adolescents in Arba Minch Town, Southern Ethiopia”. Journal of Child and Adolescent Behaviour 1 (2013).
  18. Abuse C., et al. “Symposium: nonaccidental trauma in children The Role of the Orthopaedic Surgeon in Nonaccidental Trauma”.
  19. Özgür N., et al. “Turkish paediatric dentists’ knowledge, experiences and attitudes regarding child physical abuse”. International Dental Journal 2 (2020): 145-151.
  20. Mogaddam M., et al. “Knowledge, attitudes, and behaviors of dentists regarding child physical abuse in Jeddah, Saudi Arabia”. Child Abuse and Neglect 54 (2016): 43-56.
  21. Al-Jundi SHS., et al. “Jordanian Dental Students’ Knowledge and Attitudes in Regard to Child Physical Abuse”. Journal of Dental Education 10 (2010): 1159-1165.
  22. Ghanem MA. “WHO EMRO | Child maltreatment: knowledge, attitudes and reporting behaviour of physicians in teachin”. 1-12.
  23. Hashim R and Al-Ani A. “Child physical abuse: Assessment of dental students’ attitudes and knowledge in United Arab Emirates”. European Archives of Paediatric Dentistry5 (2013): 301-305.
  24. Survey ACS. “Knowledge , attitude and practice of medical and dental professionals regarding child abuse in jabalpur city”. University Journal of Dental Sciences3 (2019).
  25. Randa Youssef., et al. “Knowledge, attitude, and experience of master degree dental students toward child physical abuse in Egypt: A cross-sectional study”. Journal of International Oral Health 1 (2021): 76-82.
  26. Habib HS. “Pediatrician knowledge, perception, and experience on child abuse and neglect in Saudi Arabia”. Annals of Saudi Medicine 3 (2012): 236-242.
  27. Sathiadas MG., et al. “Child abuse and neglect in the Jaffna district of Sri Lanka - a study on knowledge attitude practices and behavior of health care professionals”. BMC Pediatrics1 (2018): 1-9.
  28. Sonbol HN., et al. “Knowledge , educational experiences and attitudes towards child abuse amongst Jordanian dentists”. European Journal of Dental Education11 (2012): 158-165.
  29. Mulatie M. “Physical and Psychological Child Abuse in Ethiopia: Implications for Intervention”. Journal of Psychology and Psychotherapy2 (2012): 2-7.
  30. Mogaddam M., et al. “Child Abuse and Neglect Knowledge , attitudes , and behaviors of dentists regarding child physical abuse in Jeddah , Saudi Arabia”. Child Abuse and Neglect 54 (2016): 43-56.
  31. Thomas J E., et al. “Knowledge and professional experiences concerning child abuse: An analysis of provider andstudent responses”. Journal of Pediatric Dentistry 28 (2006): 438-444.

Citation

Citation: Tilahun Desta., et al. “Knowledge, Attitude and Practices of Physicians Towards Child Physical Abuse and Associated Factors in Addis Ababa Burn, Emergency and Trauma Hospital Addis Ababa, Ethiopia 2021GC".Acta Scientific Orthopaedics 5.4 (2022): 33-44.

Copyright

Copyright: © 2022 Tilahun Desta., 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.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is August 15, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US