SAFP CPD Program: CPD Article

A brief overview of managing prepubertal children who have experienced sexual abuse

Marianne Kotzé, Chika K. Egenasi, Mathew O. Benedict
South African Family Practice | Vol 68, No 1 : Part 3| a6254 | DOI: https://doi.org/10.4102/safp.v68i1.6254 | © 2026 Marianne Kotzé, Chika K. Egenasi, Mathew O. Benedict | This work is licensed under CC Attribution 4.0
Submitted: 20 October 2025 | Published: 08 June 2026

About the author(s)

Marianne Kotzé, Forensic Medicine, Independent Clinical Forensic Consultant, Cape Town, South Africa
Chika K. Egenasi, Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Mathew O. Benedict, Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa

Abstract

In South Africa, undergraduate medical teaching does not prepare medical and nursing practitioners adequately for the clinical forensic management of patients who have experienced child sexual abuse. Clinicians might be apprehensive when confronted with children who may have experienced sexual abuse. Their insecurities arise from a perceived lack of knowledge and the time-consuming nature of the legal procedures. The high prevalence of the sexual abuse of children demands the involvement of the medical profession. This article aims to allay uncertainty and address the unnecessary barriers to the provision of service and support to vulnerable pre-pubertal children who are victims of abuse.


Keywords

children; sexual abuse; examination; forensic; position

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