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Recommendations on recognition and response to child abuse and neglect in the Indian setting
Kiran Aggarwal1, Samir Dalwai, Preeti Galagali
1Covener, CRPP, Delhi.
Insights
Pediatricians need training to recognize and manage child abuse effectively. New guidelines emphasize thorough assessment, support, and rehabilitation for child abuse victims, prioritizing their well-being.
Area of Science:
- Pediatric healthcare
- Child protection
- Medical education
Background:
- Pediatricians are crucial first points of contact for children in the healthcare system.
- Global studies indicate a knowledge gap in child abuse recognition and management among healthcare professionals.
- India lacks uniform guidelines for pediatricians on responding to child abuse.
Purpose of the Study:
- To equip pediatricians with skills to recognize, respond to, and report child abuse.
- To foster multidisciplinary networking for effective child abuse case management.
- To develop standardized training materials for pediatricians on child rights and protection.
Main Methods:
- Development of a Training of Trainers module by the Indian Academy of Pediatrics' Child Rights and Protection Programme (CRPP).
- A nationwide Training of Trainers Workshop was conducted in Mumbai in January 2007.
- A National Consultative Meet in New Delhi ratified the developed training program.
Main Results:
- Guidelines for the recognition and management of child abuse have been established.
- The training aims to enhance pediatricians' ability to handle child abuse cases comprehensively.
- Emphasis on the importance of documentation, recording, and reporting of child abuse instances.
Conclusions:
- Pediatricians must approach suspected child harm with the same diligence as life-threatening conditions.
- Effective management post-disclosure is critical to prevent further psychological harm to victims.
- Prioritizing the child's best interest, pediatricians should believe, support, treat, and ensure rehabilitation.
Justification:
Pediatricians are usually the first point of contact of children with the health system. Studies worldwide have shown that there is insufficient knowledge about child abuse recognition and management among health workers. Presently no uniform guidelines exist in India for pediatricians regarding the appropriate response to child abuse.
Process:
As part of the Child Rights and Protection Programme (CRPP) under IAP VISION 2007 of Indian Academy of Pediatrics, a Training of Trainers Workshop on Child Rights and Protection was held in Mumbai in January 2007. It was attended by participants from all over the country. The workshop recommended developing country-specific teaching and training material. A Task force of IAP CRPP was formed and it developed a module for Training of Trainers Workshops for Pediatricians. A National Consultative Meet was held in October, 2007 at New Delhi, where the program was discussed and ratified.
Objectives:
To train pediatricians to: recognize and respond to child abuse; engage in a multidisciplinary networking mode to deal with child abuse; and, document, record and report instances of child abuse.
Recommendations:
Guidelines for recognition and management of child abuse are presented. All pediatricians should assess suspected harm with the same thoroughness and attention as they would do with a life threatening condition. Poor management after disclosure can increase psychological damage. Pediatrician should believe, support, reassure, treat and ensure rehabilitation of victims of child abuse, keeping the best interest of the child as the primary goal.
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