– A MAJOR PUBLIC HEALTH ISSUE
Background
Whenever researchers have studied child maltreatment in different societies and communities across the world, it has been found to be alarmingly common (WHO, 2006).
Maltreatment of children by adults within the family is one of the least visible forms, much taking place in the privacy of domestic life, but has been found to be prevalent in all societies that have been studied (WHO, 2006).
While the nature and severity of maltreatment and its consequences vary widely, child maltreatment is associated with significant ill health (Felitti et al,
1998), and occasionally the death of a child.
The consequences of child maltreatment today will have a great impact both
socially …show more content…
Public Health model to prevent child maltreatment
The Public Health approach involves considering host factors (in this case children), agents of the disease (e.g. parental or carer behaviour) and interventions to tackle the problem (e.g. parenting or welfare programmes); in the case of child maltreatment, both agent factors and interventions are complex and multi-layered as will be discussed later.
Definitions
In a Public Health approach, definitions of the problem are essential to be able to describe the problem, monitor progress and plan and deliver strategy; they also enable valid comparison of changes over time and with other jurisdictions. Until recently, attempts to control child maltreatment have been hampered by lack of a Public Health definition, so that terms have been used in different ways and different terms have been used to describe the same acts; not surprisingly, this has contributed to varied conclusions about the size of the child abuse and neglect issue.
Child maltreatment is defined as any act or series of acts of commission or omission by a parent or other care-giver that results in harm, potential …show more content…
Acts of commission are deliberate and intentional; however, harm to a child may or may not be the intended consequence. Intentionality only applies to the care-givers' acts, not the consequences of those acts.
For example, a care-giver may intend to hit a child as punishment (i.e. hitting the child is not accidental or unintentional), but not intend to cause the child to have a head injury, break a bone or develop conduct and emotional problems.
The following types of maltreatment involve acts of commission:
• Physical abuse
• Sexual abuse
• Psychological abuse
Acts of Omission (Child Neglect)
The failure to provide for a child's basic physical, emotional or educational needs or the failure to protect a child from harm or potential harm.
Like acts of commission, harm to a child may or may not be the intended consequence. The following types of maltreatment involve acts of omission:
• Failure to provide
− Physical neglect
− Emotional neglect
− Medical/dental neglect
− Educational neglect
• Failure to supervise
− Inadequate supervision
− Exposure to violent environments
The World Health Organisation consider that one definition of child