CHILD SEXUAL ABUSE IN MATABELELAND, ZIMBABWE

The extent, nature, causes and consequences of child sexual abuse in M atabeleland, Zimbabwe, are explored by an intersectoral working group consisting of health, legal and AIDS prevention workers who were struc k in the course of their work by the regularity with which they saw se xually abused children infected with HIV and STDs. Methods used in thi s study are record review, focus group discussions, structured and in- depth interviews. Child sexual abuse cases form between 40-60% of the rape cases brought to the attention of hospitals, police and court and many more are believed to remain unreported. Half of the sexual abuse in children is detected through STDs and some have HIV. The majority of offenders are mature men known to the child. Factors influencing ch ild sexual abuse are male dominance in society, men's professed inabil ity to control sexual desire, and magic beliefs. Victims are traumatiz ed by the abuse itself as well as by subsequent problems in family, he alth and in court. Since child sexual abuse may endanger the life and well-being of the child, it is a serious problem that requires urgent action.