Child sexual abuse (rape) in Anambra state: South Eastern Nigeria


  • Obinna C. Ajaegbu Ntasi Sexual Assault Referral Center Enugwu-Ukwu, Anambra state, Nigeria
  • Chinelo N. Madubuike Department of Paediatrics, General Hospital Ekwulobia, Anambra state, Nigeria
  • Bertila U. Ezeonwu Department of Paediatrics, Federal Medical Centre, Asaba, Nigeria
  • Bernadette U. Uchendu Ntasi Sexual Assault Referral Center Enugwu-Ukwu, Anambra state, Nigeria
  • Afam Obidike Department of Anaesthesia, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra state, Nigeria
  • Faith N. Ajaegbu Department of Obstetrics and Gynecology, Federal Medical Centre, Onitsha, Anambra state, Nigeria



Child, Sexual, Abuse, Rape


Background: Child sexual abuse (CSA) which is an infringement of the child’s fundamental human right has assumed a public health importance due to increasing prevalence globally and Nigeria in particular. This problem not only possess immediate complications like unwanted pregnancy, sexually transmitted infections (STI) and others, but the long term impact on the child’s mental-health is enormous. This study is aimed at documenting the burden of this problem in Anambra state and interventions to mitigate it.

Methods: This was a prospective study of all the children who presented to the Ntasi Sexual Assault Reference Center (SARC), Anambra State with history of sexual abuse from September 2019 to August 2020.

Results: A total of 820 children were seen during the study period, 81 (9.8%) were diagnosed to have been sexually abused. There were 69 (85.3%) female and 12 (14.8%) male giving a female to male ratio of 5:1. The incidence of the abuse increased with increasing age of the subjects and peaks at those aged 11-15 years, 28 (34.6%). Sixty-nine (85.2%) were abused once while 12 (14.8%) were abused multiple times. Most of the abuse took place in the perpetrators home 47 (38.8%) followed by uncompleted building 14 (11.6%). Vaginal penetration 69 (85.2%) was the commonest form of sexual abuse seen followed by anal penetration 12 (14.8).

Conclusions: Child sexual abuse remains a major public health problem with high rate of under-reporting. Heath education, free medical care to victims and government strong political will are needed in curbing this menace.


World Health Organization. Violence & Health in the WHO African Region. Brazzaville: World Health Organization Regional Office for Africa. 2010. Available at: http://www.afro.who. int/sites/default/ files/2017-06/mvi-violence-health-15-04-11.pdf. Accessed on 10 October 2023.

Martin E K, Silverstone PH. How Much Child Sexual Abuse Is “Below the Surface,” and Can We Help Adults Identify It Early? Front Psychiatry. 2013;4:58.

Selengia V, Thuy HNT, Mushi D. Prevalence and Patterns of Child Sexual Abuse in Selected Countries of Asia and Africa: A Review of Literature. Open J Soc Sci. 2020;8:146-60.

Singh MM, Parsekar SS, Nair SN. An Epidemiological Overview of Child Sexual Abuse. J Fam Med Prim Care. 2014;3:430-5.

Chan KL, Yan E, Brownridge DA, Ip P. Associating Child Sexual Abuse with Child Victimization in China. J Pediatrics. 2013;162:1028-34.

Martin, EK, Silverstone, PH. How Much Child Sexual Abuse Is “Below the Surface,” and Can We Help Adults Identify It Early? Front Psychiatry. 2013;4:58.

Sonkor MD, Gosa E. Sexually Transmitted Infections. Durban, Health System Trust. 2003. Available at: upload/files/sti/pdf accessed15/11/2010. Accessed on 10 October 2023.

Wasserheit JN. Epidemiological Synergy, Inter Relationships between Human Immunodeficiency Virus Infection and other Sexually Transmitted Diseases. Sex Transm Dis. 1992;19:61-77.

Jewkes R, Sen P, Garcia-moreno C. Sexual Violence. In: Krug EG, Dalilberg LL, Mercy JA, Zwi AB, Lozano R, Editors. World Report on Violence and Health Geneva. World Health Organization. 2002;147-82.

Reza A, Breiding MJ, Gulaid J, Mercy JA, Blanton C, Mthethwa Z. Sexual Violence and its Health Consequences for Female children in Swaiziland: A cluster survey Study. Lancet. 2009;373:1966-72.

Jewkes R, Levin J, Mbananga N. Rape of Girls in South Africa. Lancet. 2002;359:319-20.

Finkelhor D. The International Epidemiology of Child Sexual Abuse. Child Abuse and Neglect. 1994;18:409-17.

Pereda N, Guilera G, Forns M, Gomez-Benito J. The International Epidemiology of Child Sexual Abuse: A Continuation of Finkelhor (1994). Child Abuse and Neglect. 2009;33:331-42.

Stoltenborgh M, van IJzendoorn MH, Euser EM, Bakermans-Kranenburg MJ. A Global Perspective on Child Sexual Abuse: Meta-Analysis of Prevalence around the World. Child Maltreatment. 2011;16:79-101.

Johnson CF. Child sexual abuse. Lancet. 2004;364-70.

Jewkes R, Levin J, Mbananga N. Rape of Girls in South Africa. Lancet. 2002;359:319-20.

Casey EA, Nurius PS. Trauma Exposure and Sexual revictimization risk Comparisons Across Single, Multiple Incidents and Multiple Perpetrators Victimization. Violence Against Women. 2005;11:505-30.

Lema VW. Sexual Abuse of Minors: Emerging Medical and Social Problem in Malawi. East Afr Med J. 1997;74(11):743-6.

Amowitz LL, Reis C, Lyons KH, Vann B, Mansaray B, Akinsulure-Smith AM, et al. Prevalence of war-related sexual violence and other human rights abuses among internally displaced persons in Sierra Leone. JAMA. 2002;287(4):513-21.

Kerimova J, Posner SF, Brown YT, Hillis S, Meikle S, Duerr A. High prevalence of self-reported forced sexual intercourse among internally displaced women in Azerbaijan. Am J Public Health. 2003; 93 (7):1067–70.

Chen J, Dunne MP, Han P. Child Sexual Abuse in China: A Study of Adolescents in four Provinces. Child Abuse Negl. 2004;28(11):1171-86.

Jewkes R, Levin J, Mbananga N. Rape of Girls in South Africa. Lancet. 2002;359:319-20.

Bugaje MA, Ogunrinde GO, Faruk JA. Child sexual abuse in Zaria, North western Nigeria. Niger J Paed. 2012;39(3):110-4.

Ikechebelu JI, Udigwe GO, Ezechukwu CC, Ndundi AG, Joe-Ikechebulu NN. Sexual Abuse among Juvenile Female Street Hawkers in Anambra State, Nigeria. Afr J Reprod Health. 2008;12(2):111-9.

Ajuwon AJ, Olaleye A, Faromoju B, Ladipo O. Sexual Behaviour and Experience of Sexual Coercion among Secondary School Students in Three States in North Eastern Nigeria. BMC Public Health. 2006;6:310.

Audu B, Geidam A, Jarman H. Child labour and sexual assault among girls in Maiduguri, Nigeria. Int J Gynaecol Obstet. 2009;104(1):64-7.

Finkelhor D. Current Information on the Scope and Nature of Child Sexual Abuse. Future of Children. 1994;4(2):46-8.

Choo WY, Dunne MP, Marret MJ, Fleming M, Wong YL. Victimization Experiences of Adolescents in Malaysia. J Adolescent Health. 2011;49:627-34.

Choudhry V, Dayal R., Pillai D, Kalokhe AS, Beier K, Patel V. Child Sexual Abuse in India: A Systematic Review. PLoS One. 2018;13:e0205086.

Chinawa JM, Ibekwe RC, Ibekwe MU, Obi E, Mouneke VU, Obu DC, et al. Prevalence and pattern of sexual abuse among children attending Ebonyi State University Teaching Hospital, Abakiliki, Ebonyi State. Niger J Paed. 2013;40(3):227-31.

Grossin C, Sibille I, Lorin dr la Grandmaison G, Banasr A, Brion F, Durigon M. Analysis of 418 cases of sexual assault. Forensic Sci Int. 2003;131(2-3):125-30.

Omorodion FI. Child sexual abuse in Benin-city, Edo state, Nigeria. A sociological analysis. Issues Compr Pediatr Nurs. 1994;17:29-36.

Bugaje MA Ogunrinde GO Faruk JA. Child sexual abuse in Zaria, Northwestern Nigeria. Niger J Paed. 2012;39(3):110-4.




How to Cite

Ajaegbu, O. C., Madubuike, C. N., Ezeonwu, B. U., Uchendu, B. U., Obidike, A., & Ajaegbu, F. N. (2023). Child sexual abuse (rape) in Anambra state: South Eastern Nigeria. International Journal Of Community Medicine And Public Health, 10(12), 4644–4648.



Original Research Articles