In child sexual abuse, focus on healing the survivor
This article argues that the response to child sexual abuse must prioritize the survivor's medical and psychological healing over the criminal justice process. It emphasizes that immediate healthcare interventions are critical, regardless of the status of legal proceedings.
Why it matters
It shifts the focus of public health policy toward survivor-centric care, highlighting the necessity of integrated medical and psychological support.
Approximately one in eight girls/women, experienced rape or sexual assault before turning 18, according to UNICEF 2024 estimates. Global estimates have also documented substantial sexual abuse among boys. Child sexual abuse is predominantly seen as a social evil and crime against humanity, but it is equally a serious public health problem. Yet our response understandably revolves around the perpetrator. Was the crime reported? Has the accused been arrested? Will the prosecution succeed? What punishment will follow?
For the young person or child, however, punishment of the offender does not reverse what has happened. There may be physical injuries to treat, infections to prevent, pregnancy to consider and psychological wounds that may surface immediately or years later. Healthcare must begin even if justice is delayed.
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