Saurabh Rambiharilal SHRİVASTAVA, Prateek Saurabh SHRİVASTAVA, Jegadeesh RAMASAMY

Çocuk Istismarının Küresel İnsidansını En aza Indirmek için Uygulanacak Halk Sağlığı Stratejileri

Çocuk istismarı son derece komplike ve çok yönlü bir halk sağlığı sorunu olup, mağdurun yaşı, istismarın gerçekleştiği yer, mağdurla failin arasındaki ilişki de bu olayın boyutunu önemli ölçüde etkilemektedir. Küresel tahminler buzdağının sadece görünen parçasıdır çünkü bu olayların bir çoğu aile hayatının gizliliği içerisinde kalır ve sıklıkla otoritelere bildirilmeden veya fark edilmeden devam eder. Aslında çocuk istismarının en iyi açıklaması belkide farklı seviyedeki çoklu faktörler arasındaki karmaşık etkileşimden ileri gelmektedir. Bu tehdite karşı koymanın yolu tüm tarafların dahil olacağı gözetim sisteminin yardımı ile çocuk istismarının zorunlu olarak bildirilmesinin sağlanmasından geçmektedir. Sonuç olarak hizmetlerin kapsamlı ve entegre olarak; erken tespit ve istismar mağdurlarının uzun süreli takibi gibi toplum temelli girişimlerin desteklenmesiyle, çocuk istismarının ve ihmalinin insidansı en aza indirilebilir.

Anahtar Kelimeler:

Çocuk, İstismar, Halk Sağlığı, Politika.

Public health strategies to minimize the global incidence of child abuse

Child abuse is an extremely complicated and a multi-faceted public health concern, significantly influenced by the victim"s age, the settings in which the abuse occurs, and the relationship between the victim and perpetrator. The global estimates are just the tip of the iceberg as most of it takes place in the privacy of domestic life and often goes unreported and undetected. In fact, occurrence of child abuse can be best explained by exploring the complex interaction among multiple factors at different levels. In order to counter this menace there is a definite need to involve all the stakeholders and ensure mandatory reporting of child abuse with the help of a surveillance system. To conclude, comprehensive and integrated package of services is desired to minimize the incidence of child abuse and neglect, supplemented with community-based initiatives to facilitate early detection and prolonged follow-up of victims of the abuse.

Keywords:

Children, Abuse, Public health, Policy,

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Yazışma Adresi / Address for Correspondence: Dr. Saurabh RamBihariLal Shrivastava Department of Community Medicine, Shri Sathya Sai Medical College & Research Institute, Ammapettai village, Thiruporur - Guduvancherry Main Road, Sembakkam Post, Kancheepuram 603108, Tamil Nadu, INDIA
E-mail: drshrishri2008@gmail.com G eliş tarihi/Received on : 13.06.2014
Kabul tarihi/Accepted on: 01.07.2014