Trauma and sexual abuse in children—Epidemiology, challenges, management strategies and prevention in lower- and middle-income countries

In brief

This article examines the epidemiology and management of pediatric trauma and sexual abuse in low- and middle-income countries, where resource constraints and systemic barriers complicate care delivery. The authors discuss evidence-based prevention strategies and clinical approaches tailored to LMIC healthcare settings.

• Child trauma and sexual abuse prevalence is higher in LMICs due to limited resources, weak child protection systems, and underreporting.
• Early recognition requires high clinical suspicion; many cases present with non-specific symptoms or delayed disclosure.
• Multidisciplinary management teams (medical, social work, legal) improve outcomes and reduce secondary trauma to victims.
• Prevention strategies must address cultural barriers, strengthen community education, and establish mandatory reporting protocols.
• Healthcare providers need trauma-informed care training to appropriately assess and manage suspected abuse cases in resource-limited settings.

Written by the GCMD Library team from the article.