SAFP CPD Program: CPD Article
A brief overview of managing prepubertal children who have experienced sexual abuse
Submitted: 20 October 2025 | Published: 08 June 2026
About the author(s)
Marianne Kotzé, Forensic Medicine, Independent Clinical Forensic Consultant, Cape Town, South AfricaChika 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.
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