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IIMA UNICEF Initiative on Child Sexual Abuse


IIMA UNICEF Initiative on Child Sexual Abuse

 

IMA UNICEF Initiative on Child Sexual Abuse

Introduction

India is home to the largest child population in the world, with almost 42 per cent of the total population under eighteen years of age, and the health and security of the country’s children is integral to any vision for its progress and development. However, there has been a steady increase in sexual crimes against children, with over half of the children surveyed for a 2007 Report of the Ministry of Women and Child Development having faced some form of sexual abuse. 
Experience of sexual violence in childhood can have adverse consequences for the child’s physical, mental, and social development. However, doctors, nurses, and other health sector professionals are in an unparalleled position to prevent, detect and treat sexual violence against children. 

IMA does regular Training of Trainers for Doctors on Child Sexual Abuse. Doctors can apply for the training aif they meet the following criteria:
1.  Age: 30 years  to 65 years 
2.  Qualification: MBBS (essential); additional qualifications in Mental Health, OB/GYN, Paediatrics, or Forensics (desirable).
3.  Work Experience: Five Years (minimum)
4.  Willingness to travel
5.  Knowledge of local language 


In addition, they are required to answer a short questionnaire that will help us to identify suitable candidates for the training:
1.   Your designation in your current place of employment
2.   Any teaching experience you may have
3.   Any experience you may have as a trainer 
4.   Languages that you are proficient in 
5.   Please tell us why you are interested in applying for this training
6.   Please tell us briefly how you feel you would be able to contribute to the objectives of this training by further disseminating the knowledge you will be receiving therein.


Key Objectives of Training for Doctors 

1.    To understand sexual development and age-appropriate sexual behaviour in children

2.    To understand the definition and meaning of child sexual abuse

3.    To understand the risk factors, grooming, and patterns of abuse.

4.    To have a better understanding of the short-term and long-term consequences of child sexual abuse.

5.    To understand the behavioural and physical indicators of child sexual abuse

6.    To be able to interview the child regarding the possible sexual abuse and to learn to obtain an accurate medical history after a disclosure of sexual abuse

7.    To be able to conduct an accurate, complete and first contact medical examination

8.    To understand the myths and misconceptions about the physical exam and its limitations in "proving" that sexual abuse occurred

9.    To be able to document findings from the medical examination of a child 

10.    To understand and apply the different physical treatments available

11.    To identify the most suitable mental health therapies for each child and make timely referrals for counseling 

12.    To formulate and implement a suitable follow-up regimen for each child 

 

Key Messages for Doctors and Medical Professionals 

1.    CSA is a widespread phenomenon and a major public health concern. CSA takes place in all settings: at home, school, in the community etc. Perpetrators are usually people that the child knows, and he usually builds trust with the child to prevent disclosure. At times, threats are used to ensure silence is maintained.
2.    CSA has lifelong consequences on the physical and mental health of the child.  However, if timely medical care and mental support are provided a child can heal and lead a healthy life.

3.    Medical professionals play a dual role:
a.    Prevention: Informing parents about good and bad touch and to talk to children; teaching children how to protect themselves.
b.    Response: Detecting and confirming abuse through medical history and examination and providing treatment and counseling 

4.    Reporting of abuse is mandatory for medical professionals under POCSO Act. It is not compulsory to inform the child and family of the reporting but it is good practice.

5.    Emergency medical care is to be provided to an abused child under POCSO.

6.    Medical examination requires:
a.    Medical history
b.    Medical check up to detect signs of abuse
c.    Mental health support to conduct the interview in a sensitive manner that does not traumatize the child
d.    The child’s (if under 12) or the parent/guardian’s consent. 

7.    Forensic examination needs to be conducted within 96 hours and requires evidence collection such as blood, semen, sperm, hair etc. linking to perpetrator.

8.    Diagnosis of CSA is not always possible through physical signs. Sometimes signs will not be visible. The medical history and interview are key.

9.    Often the child will not disclose abuse easily. Disclosure is associated with fear and shame.

10.    Mental health professionals play a key role in supporting the early phase of detection, as well as the catharsis and normalization of behaviors.


LIST OF MEMBERS OF NATIONAL ADVISORY GROUP (NAG)

DR. A. MARTHANDA PILLAI, NATIONAL PRESIDENT, IMA
DR. K.K. AGGARWAL, HONY. SECRETARY GENERAL, IMA
DR. RAJEEV SETH, CONVENER, 9811509460, sethrajeev@gmail.com
DR. R.N. TANDON, CONVENER, 9810089490, tnramen@yahoo.co.in
MS. DORA GIUSTI, INDIA REPRESENTATIVE, CHILD PROTECTION, UNICEF, 9899586308,  dgiusti@unicef.org
DR. VIDYA REDDY, CHENNAI, NAG MEMBER, 09840050768, tulircphcsa@yahoo.co.in
DR. JAGDESSHAN, PROF OF FORENSIC MEDICINE, BANGALORE, NAG MEMBER, 09845311220,  forensicjagadeesh@gmail.com
DR. RAJESH SAGAR, NAG MEMBER, 9810575310, rsagar29@gmail.com
MS. HAMSA VIJAYARAGHAVAN, TECHNICAL CONSULTANT, 9650550638,  hamsa.vraghavan@gmail.com
DR. SHEKHAR SHESHADRI, 09845130639, shekhar.nimhans@nic.in, shekhar@nimhans.kar.nic.in
DR. SHAIBYA SALDANHA, BANGALORE,  09844112391, shoiba65@gmail.com
DR. SANGEETA SAKSENA,  09845020277,  sangeeta@enfoldindia.org
IMA CONTACT : MR. V.K. VERMA, TECHNICAL ASSISTANT, CSA PROJECT & ACCOUNTANT, 9212139298, imacontraceptive@gmail.com

IMA Faculty on Vhild Sexual Abuse
Dr Munish Aggarwal,    Physician, Chandigarh, 9814109203, drmunish2028@gmail.com, munish30181@yahoo.co.in
Dr. Keerti Malaviya, Delhi,                   9810229718, keertimalaviya@gmail.com
Dr. Rajiv Kumar Jain, Delhi,                  9717630532, rajivkjain57@rediffmail.com
Dr. Rajiv Garg, Delhi,                                    drrajivgarg@yahoo.com
Dr. Vijay Kansal, Delhi,                      9810055655, kansalvijay@gmail.com
Dr. Kiran Aggarwal, Delhi,                                agarwalkiran1@gmail.com
Dr. Wg. Cdr Rajkumar Delhi                    8826570077  dr.tanujaraj@gmail.com   
Dr (Col) V K Wadia Delhi                      9891152777  vkwadia@gmail.com
Dr. Suresh Dagar Mbbs Delhi                   9311149224  drsureshdagar@gmail.com

 Dr. Ragweshwar Jyoti Gynaecologist H.P.                               9418159410            drjyoti1973@yahoo.com

 Dr. Yogita Dogra Gynaecologist H.P.                                     9418200033        gitu_22@yahoo.com

 Dr. Gopal Beri State Prog. Officer H.P.                                 9818013888           gopal.beri@gmail.com

 Dr. Sudha Gupta Paeditrician H.P.                                       9816899966          drmohitg@gmail.com

 Dr. Rajesh Thakur State Aids Controller H.P.                       9816032406            drrajeshthakur@gmail.com

Dr. Ravi Kant Dogra H.P.                                                  8091065978            drravikantdogra@yahoo.com

 Dr. Ramesh Kumar Goyal M.D. Paed. Haryana                 9810146249            goyal_dr@hotmail.com

 Dr. Reenu Bhatia Haryana                                       9811867165            drdkbhatia@yahoo.co.in

 Dr. Sunita Manchanda D.C.H,Pgd-Ap Haryana       9873723279            s_manchanda04@yahoo.co.in

 Dr. Premalatha Krishnan M.D., D.C.H.Pgdap Haryana            9818323822            premakrsh@yahoo.co.in

 Dr. Yogeshwar Sood Punjab                                   9814043646            dr.yogeshwarsood@yahoo.com

 Dr. Arun Kakkar Punjab                                         9815304948            arunkakkar11@gmail.com

 Dr. Diwan Singh Bhullar Punjab                             9814543131            drdsbhullar@yahoo.in

 Dr. Narjit Kaur Punjab                                            9872099698            didarhospital@gmail.com

 Dr. Amitabh Srivastav Mbbs, Dgo U.P.                  9897756294            lionindia128@gmail.com

 Dr. Anand Prakash U.P.                                          8979210011            anandprakash1966@gmail.com

Dr. Yogesh Goel U.P.                                              9412220100            goelyogesh23@gmail.com

Dr. Vipin Mehra Physician Uttranchal                     9837026216            drvipin_mehra@yahoo.com

 Dr. Sandhya Sharma Obst. & Gynae. Uttranchal     9412070773           haridwarivf@gmail.com

 Dr. Annu Dhir Obst. & Gynae. Uttranchal                              9897060050           annudhir@yahoo.com

 Dr. Sandhya Bhatnagar Pediatrics Uttranchal          9760011798           jm.sandhya@gmail.com

 Dr. E. Prabhavathi, M.B.B.S., P.G. A.P.                  9848053978            dreprabhavathi@gmail.com

 Dr.Pasumarthy, Pulla Rao, M.B.B.S., P.G. A.P.       9848034519           drpullarao@yahoo.com

 

Dr. Sreelatha Reddy Obst. & Gynae. A.P.                                9848766431            pn_sreelatha@yahoo.com

 Dr. V. Rama Narsimha Reddy Paediatrician A.P.    9849072556

Dr. Vijay Kumar Paediatrician A.P.                          9849883029            gudurukumar00@gmail.com

 

Dr. Prabhakar Korada Psychiatrist A.P.                   9848023347            p_korada@yahoo.com

 Dr. Ram Reddy Forensic Medicine A.P.                  9908515209

Dr. Harisha Delathabettu Prof & Hod

Of Psychiatric Karnataka                                         9844028852            drharishad@gmail.com

 Dr. Dharmaraya Ingale Prof & Hod

Forensic Medicine Karnataka                                   9448406117           dharmarayaingale@yahoo.com

 Dr. S.N. Kiran Kumar Psychiatrist Karnataka         9448068583            drnirupamakiran@gmail.com

 Dr. H.L. Premalatha Asst.Prof.Of

Obst.& Gyne. Karnataka                                          9448413914            premalatha.gowda@yahoo.com

 Dr. M. Venkatachalapathy Paediatrician Karnataka 9448985567            drmvchalapathy@gmail.com

 Dr. Ashok Kumar P. Kerala                                    9895284830           dr_ashokkumar@yahoo.com

 Dr. Beena Johnson Consultant In

 Child & Adol. Guidance Kerala                                              9847219390            jiacam@gmail.com

 Dr. T.V. Padmanabhan Kerala                                                9847400201            pappandr@rocketmail.com

 Dr. Venkiteswaran M.N. Swc Member,

Ima North Paravur Br. Kerala                                  9846094804            mnveswar@yahoo.co.in

 Dr. Jayasree C. Consultant In Neurology Kerala     9495979074            jayasreejk@hotmail.com

 Dr. Mahesh Prasad Mohanta M.D., Pediatrics Orissa              9439332561           mpmohanta@gmail.com

 Dr. Braja Kishore Dash Md., Forensic Medicine Orissa 9437034888     brajadash9@gmail.com

 Dr. Sachndananda Mohanty Md.,

Forensic Medicine Orissa                                        9437260015            sachimohanty69@yahoo.in

sachimonty@rediffmail.com

Dr. Surjeet Sahoo M.D. Psychiatry Orissa                               9437080574            surjeetsahoo@gmail.com

 Dr. A. Manikanda Jothi Consultant

 Pediatrician Puducherry                                          9443335009            senthilhospitals@gmail.com

 Dr. Nithya Mani Dgo, Pgdhm,

Gynaecologist Puducherry                                       9543995009           drnittymani@yahoo.co.in

 

Dr. S. Yoganandan Tamilandu                                                 9444438424            yoganandans@yahoo.com

dryoganandan@gmail.com

Dr. M. Balasubramanian M.D., D.V. Tamilandu      9444007046           drmbalu@yahoo.co.in

 Dr. Anburajan Tamilandu                                       9442612138            anburajandoctor@gmail.com

Dr. C.N. Raja Tamilandu                                          9842727277           cnrajaent@gmail.com

 Dr. Padma Chandrasekar Tamilandu                       9176261857           padmachan@gmail.com

 Dr. V. Sivaprakasam Tamilandu                                             9843029768            vsiva_pr@yahoo.co.in

 Dr. Narmadha Ashok Tamilandu                            9443098899            dr.narmadhaashok@gmail.com