Awareness about Child Abuse among Care Givers and Teachers in Selected Rural Schools at Mangalore

 

Savitha. A1, Nalini. M2, Roopalatha Shetty,3 Aruni. G3., Sukesh. P3

1Post Graduate Student, Department of Mental Health Nursing, NUINS, Nitte University, Mangaluru, Karnataka

2HOD and Associate Professor, Department of Mental Health Nursing, NUINS, Nitte University, Mangaluru, Karnataka

3Lecturer. Department of Mental Health Nursing, NUINS, Nitte University, Mangaluru, Karnataka

*Corresponding Author Email: nalini@nitte.edu.in, nalinipsychiatricnurse@gmail.com

 

ABSTRACT:

Abstract: children’s are the gift of god; as indian society concerned that children depict the innocence of god.  Around 27 million children are born in a year. Out of which two million of them do not live up to the age of five in india1. Child abuse is a terrible thing and most people are not aware about the child abuse. According to the world health organization (who), one in every four girls and one in every seven boys in the world are sexually abused.  Objectives of the study : to assess the level of awareness about child abuse among care givers and teachers in selected rural schools at Mangalore. To find the association between awareness about child abuse with selected demographic variables. Methods : a descriptive survey design was adapted for this study. Forty four teachers and forty four caregivers were selected by means of purposive sampling method. Demographic Performa and awareness questionnaire were used to collect the data from the subjects. The participants were asked to fill the demographic Performa and then proceed to awareness questionnaire. Results : data were analyzed using descriptive and inferential statistics. The study findings revealed that the out of forty four caregivers 2.3% (n=1) had poor awareness, 61.4% (n=27) had average awareness and 36.4% (n=16) had good awareness about child abuse. Out of forty four teachers 59% (n=26) had average awareness and 41% (n= 18) had good awareness and none of them had poor awareness about child abuse. Conclusion : forty four teachers and forty four caregivers had been assessed for their level of awareness about child abuse of these most of them had average [teachers = 26 (59.1%), caregivers = 27 (61.4%)] and good awareness [teachers = 18 (40.9%), caregivers = 16(36.4%)]. There was an association between awareness (caregivers) and education status at 5% level of significance

 

KEYWORDS: Child abuse, awareness, caregivers, teachers, information booklet.


 


INTRODUCTION:

Children’s are the gift of God; as Indian society concerned that children depict the  innocence of God. Around 27 million children are born in a year. Out of which two million of them do not live up to the age of five in India. Is children in India are in safe hands?  If so, to what extent it is. Safeguarding the children is everyone’s responsibility.

 

Largest Percentages of children are vulnerable to one or other form of abuses.1 Child sexual abuse is becoming the major social and ethical issues. This form of abuse is maximum inflicted by family members or other people residing in or visiting a child's home, people whom normally trusted by the children and their parents. Child abuse is a terrible thing and most people are not aware about the child abuse2 . According to the World Health Organization (WHO), one in every four girls and one in every seven boys in the world are sexually abused3. The “Breaking the Silence-Child Sexual Abuse in India 2013” reported that girls of 6-12years were abused by staff members, elder children of the organization, and outside visitors .Child line Mangalore, has received 67 calls seeking protection for child abuse from September 2012 to August   2013.4The world statistics shows that about 4 to 5 for every 10 children before attempting the age of 18 will be exposed to one or other form of sexual abuse. A study conducted by the Ministry of Women and Child development, UNICEF and save the children in 2007 in India results revealed that over 53 percent of children has faced some form of sexual abuse 5.

 

The sexual abuse is taking place regardless of economic status, rural or urban, home or school settings. Sexual abuse victim is prone to develop Physiological and psychological problems, these problems can be prevented by taking appropriate counseling sessions to the child and family members 6. A study conducted by NGO Arpan period between 2007 and 2011, results revealed that, 64 per cent of accused were father or stepfather. Most of the cases are not reported to police and some even are not coming into parent’s knowledge. It may be because of the child’s poor awareness about sexual abuse.7

 

There are some exceptional cases such as the girl was sexually abused by her uncle the incident came to light by dropping the letter in box which is installed by her school. The school promptly informed the matter to Child line and informed to her parents and lodged a police complaint. The accused was arrested and produced before  a court. Which shows that, how awareness and knowledge helped the Parents and teachers to identify the victim and prevent child abuse. Parents need to be more aware about child’s school and home environment. The education which given by the school was helped the girl to identify child abuse. In light of above facts investigator felt that there is a need to increase the awareness among parents, guardians and school teachers on prevention of child abuse, and stand in a unique position to educate and protect the children from becoming sexual victimization.

 

STATEMENT OF THE PROBLEM:

“Awareness about child abuse among care givers and teachers in selected rural schools at Mangalore .

 

OBJECTIVES OF THE STUDY:

1.    To assess the level of awareness about child abuse among care givers and   teachers in selected rural schools at Mangalore.

2.    To find the association between awareness about child abuse with Selected   demographic variables.

 

HYPOTHESES:

H1: There will be a significant association between awareness about child abuse with selected demographic variables.

 

METHODOLOGY:

Research Design: Descriptive survey approach and cross sectional design

Settings: The present study was conducted In selected rural schools in Mangalore

Population: In this study, the population consists of teachers and caregivers of 1 to 5h standard children

Sample: The sample comprised of 44 teachers and 44 caregivers of 1 to 5h standard children in selected rural schools at Mangalore.

 Sampling technique: In this study, out of 156 rural schools 7 schools were selected through simple random sampling. Non probability purposive sampling technique was used for selecting the subjects from the schools. 44 teachers and 44 caregivers of 1 to 5th standard children in selected rural schools at Mangalore were selected for the study.

 

Description of The Tool:

Demographic Performa of caregivers consists of 8 items, and teachers 7 items respectively. This gives basic information about caregivers and teachers. The questionnaire related to awareness was used same for both teachers and caregivers. The questionnaire had four sections and total of 33 items. First and second sections were true or false/ yes or no questions, third and fourth sections were multiple choice questions. A score value of 1 was allotted to every correct response and the wrong answers had 0 score. The maximum score was 33 and minimum score was 0 and scores were interpreted as follows.

 

The scores were categorized arbitrarily as follows:

Level of Awareness

Scores

Poor Awareness

<11

Average Awareness

12 – 22

Good Awareness

> 23

 

DATA COLLECTION PROCESS:

The   formal written permission was obtained from the Block Education Officer, list of rural schools situated around Mangalore were collected from BEO’s office, in which 7 schools were selected through simple random sampling. Data were  collected from November 10th 2014 to December 15th 2014. The investigator had given a brief introduction before collecting the data. An informed consent was taken from all the participants individually after explaining the objectives and purpose of the study. Teachers and caregivers were explained how to fill the demographic Performa and awareness questionnaire regarding child abuse.

RESULTS:

1. To assess the level of awareness about child abuse among teachers and  care givers in selected rural schools at Mangalore.

Table 1: Distribution of teachers according to their level of awareness about child abuse                                                                        n=44

Awareness (teachers)

Frequency

Percentage

Poor  (< 11)

--

--

Average (12 to 22)

26

59.1

Good (>23)

18

40.9

 

Minimum

Maximum

Mean

Standard Deviation

15

27

21.91

3.13

 

Forty four teachers were studied. of these 59% (n=26) had average awareness regarding child abuse and 41% (n= 18) had good awareness regarding child abuse. None of them had poor awareness.

 

Table 2: Distribution of caregivers according to their awareness level n=44

Awareness (Care Givers)

Frequency

Percentage

Poor (< 11)

1

2.3

Average (12to 22)

27

61.4

Good (>23)

16

36.4

 

 

Minimum

Maximum

Mean

Standard Deviation

11

28

20.79

4.21

 

Forty four caregivers were studied. Of these 2.3% (n=1) had poor awareness regarding child abuse, 61.4% (n=27) had average awareness regarding child abuse and 36.4% (n=16) had good awareness. The level of awareness is summarized in table no 7 and figure no 2.

 

Table 3: comparison of teachers and caregivers level of awareness about child abuse

Awareness

Teachers (in %)

Caregivers (in %)

Poor  (< 11)

0

1 (2)

Average (12to 22)

26 (59)

27 (61)

Good (>23)

18 (41)

16 (36)

 

Forty four teachers and 44 caregivers had been assessed for their level of awareness regarding child abuse of these most of them had average [teachers = 26 (59.1%), caregivers = 27 (61.4%)] and good awareness [teachers = 18 (40.9%), caregivers = 16(36.4%)].

 

2. To find the association between awareness about child abuse with Selected   demographic variables.

 

 


 

 

 

Table 4: Association between teacher’s level of awareness about child abuse and selected demographic variables                                n=44

Demographic characteristics

Average (< 21)

Good (>22)

Test statistic

P value

Gender

Male

2

1

0.442

(Fishers exact)

0.638

Female

24

17

Age

21 – 30

12

9

1.812

(Chi-square)

0.404

31 – 40

7

7

More than 40

7

2

Religion

Hindu

16

12

0.121

(Chi square)

0.728

 

Christian

10

6

Marital status

Single

7

9

2.79

(Chi square)

0.202

Married

18

9

Widow/widower

1

0

Experience in teaching

Less than 10

15

11

0.586

(Fishers exact)

0.830

11 to 20

6

5

More than 21

5

2

Awareness regarding CSA

Yes

25

18

0.591

(Fishers exact)

0.591

No

1

0

Informing child regarding  CSA

Yes

23

16

0.366

(Fishers exact)

0.675

No

3

2

 

 

 


The Chi-square value for age (calculated = 1.812 < table value = 5.991), religion (calculated= 0.121< table value = 3.841), marital status (calculated = 2.79 < table value = 5.991). Also the P values for these characteristics are more than 0.05. Hence these variables are not associated with the awareness at 5% level of significance.

 

Since the frequencies are  very small for gender, experience in teaching, awareness regarding child sexual abuse, informing child regarding child sexual abuse fisher’s exact test was used and the p values for these variables are more than 0.05 (table 7). Hence there is no association between awareness (teachers) and these demographic variables at 5% level of significance..


 

 

Table 5: Association between caregiver’s level of awareness about child abuse and selected demographic variable                                     n=44

Demographic Characteristics

Average (< 21)

Good (>22)

Fisher’s Exact Test

P Value

Age

18-28

3

7

3.152

 

0.203

29-39

13

11

Above 40

7

3

Gender

Male

5

1

0.1001

 

0.114

Female

18

20

Relationship with child

Mother

17

14

2.752

 

0.677

Father

2

1

Sister

1

3

Grandfather

1

-

Aunt

2

3

Education

Primary

7

--

13.626

 

0.001*

Secondary and higher secondary

11

6

Graduation and above

5

15

Monthly income

<10,000

14

7

3.395

 

0.171

10,000to20,000

8

12

>20,000

1

2

Marital status

Single

3

5

0.203

 

0.448

Married

20

16

Religion

Hindu

16

12

2.008

 

0.342

Muslim

1

--

Christian

6

9

Number of children at home

1

4

5

2.945

 

0.739

2

13

14

3

4

1

4

1

1

8

1

-

Type of family

Nuclear

14

12

0.382

 

0.918

Joint

5

4

Extended

4

5

Are you providing information regarding CSA to children

Yes

18

18

0.252

 

0.404

No

5

5

 

 


To find the association between age, gender, relationship with the child, education, monthly income, marital status, religion, number of children at home, type of family and providing information regarding child sexual abuse to children with awareness among caregivers, Fisher’s exact test was used.  The P values for these variables are more than 0.05 (table 3) except education status (P = 0.001). Hence there is an association between awareness (caregivers) and education status at 5% level of significance. All other selected demographic variables are not associated with the awareness of caregivers.

 

DISCUSSION:

Majority 88.6% (39) teachers were providing information regarding CSA to children, 11.4% (5) teachers were not providing information regarding CSA to children. A descriptive study conducted by Nadine AbrahamsKathleen Casey, to explore the teacher’s knowledge, attitudes, and beliefs about child abuse and its prevention. The results revealed that, majority of teachers confront child abuse among their students, they are provided insufficient education.8 the analyzed data showed that the majority 27 (61.4%) of caregivers had average awareness, 16 (36.4%) of caregivers had good awareness and 1 (2.3%) had poor awareness.

A study conducted in rural areas of dindugaul district in Tamilnadu, to assess the effectiveness of structured teaching program regarding child abuse among mothers with under five children. The findings revealed that, 82% of mother’s had inadequate knowledge and 18% of mother’s had adequate knowledge9.

 

A study conducted by Bilu Alice at Mangalore on assessing the awareness of mothers regarding child abuse. The findings revealed that majority of mothers (64%) had average level of awareness, 14% of mothers had good level of awareness and 22% of mothers had poor level of awareness10.On the basis of this present study finding no previous research findings were reported.

 

In present study Forty four caregivers were studied. Of these 2.3% (n=1) had poor awareness regarding CSA, 61.4% (n=27) had average awareness regarding CSA and 36.4% (n=16) had good awareness. Hence there is an association between awareness (caregivers) and education status at 5% level of significance.

 

The research findings were supported by a quantitative study was conducted in Perungudi, Chennai, to assess the awareness level of the mothers regarding child abuse and neglect. Findings revealed that, 4 (8%) women had adequate awareness, 13 (26%) women had moderately adequate awareness and 35 (70%) women had inadequate awareness11.

 

There was an association found between the knowledge level and educational status at 0.5 % level on chi square test. The awareness of the mother regarding child abuse and neglect is very low.

 

LIMITATIONS:

§  The present study was limited to teachers and caregivers of 1 to 5th standard children, who are willing to participate and are available during study in rural community setting.

§  A structured awareness questionnaire was used for data collection which restricts the amount of information that can be obtained from the respondents.

§  No standardized tool were used for the study

 

RECOMMENDATIONS:

§  A similar study can be under taken on large scale.

§  An interventional study can be conducted on child abuse among teachers.

§  An interventional study can be conducted to increase the awareness of school children about child abuse.

§  A descriptive study can be conducted to assess the need of child abuse awareness program at schools.

§  Longitudinal studies can be conducted to determine the constant effectiveness of awareness program over a period of time.

 

REFERENCES:

1.  Jing qi. Chen Michael P. Dumne. Ping Han. Prevention of child sexual abuse in China: Knowledge, attitudes, and communication practices of parents of elementary school children. Child abuse & neglect [internet]. 2007 [cited 2014 Jan]; 31(7): 747-55 Available from: http://www. sciencedirect.com/science/article/pii/S0145213407001408

2.  The child abuse. World Health Organization report on Child Abuse 2012  [internet] available from: http:// www. gits4u.com/chlcare/chlcare5.htm

3.  Seqal UA. Child abuse by the middle class? A study of professionals in India. Child abuse and neglect [internet]. 1995 [cited 2014 Oct 20]; 19 (2):217-231. available from: http://www.ncbi.nlm.nih.gov/pubmed

4.  Karuna B. A comparative study to assess the knowledge of rural urban mothers regarding child abuse in selected areas of Kolar with a view to develop an information booklet. [PG thesis]. Bangalore: RGUHS; 2012 [cited 2014 Dec 10] available from: RGUHS digital library.

5.  Ramya P. An experimental study to assess the effectiveness of structured teaching program on sexual harassment among urban high school girls in selected schools at Mysore. Karnataka. [PG thesis]. Bangalore: RGUHS; 2012 [cited 2014 Dec 10] available from: RGUHS digital library.

6.  Kerryann Walsh , Ben Mathews, Mehdi Rassafiani,  Ann Farrell,  Des Butler. Understanding teachers' reporting of child sexual abuse: Measurement methods matter. Children and Youth Services Review [internet]. 2012 [cited 2014 Oct 10]; (34)9:1937–1946. Available from http:// eprints. qut.edu.au/53080/1/

7.  Juliette D.G. Goldman. Primary school student - teachers’ knowledge and understandings of child sexual abuse and its mandatory reporting. International Journal of Educational Research [internet]. 2007 [cited 2014 Nov 15]; 46(6):368–381. Available from http://www.sciencedirect.com/ science/ article/pii/S0883035507000675

8.  Jan Rispens, André Aleman, Paul P. Goudena. Prevention of child sexual abuse victimization: A meta-analysis of school programs. Child Abuse & Neglect [internet]. 1997 [cited 2014 Nov 15]; 21(10):975–987. Available from http://www.sciencedirect.com/science/article/pii/S0145213497000586

9.  Carol Kleemeier, Carol Webb, Ann Hazzard.  Child sexual abuse prevention: Evaluation of a teacher training model. Child abuse and neglect [internet].  1988 [cited 2014 Aug 20]; 12(4) : 555–561. Available from http://www. sciencedirect.com/science/article/pii/0145213488900725

10.Bilu alice Abraham. A study on the awareness of mothers regarding child abuse in selected rural and urban areas in Mangalore Taluk [PG thesis]. Bangalore: RGUHS; 2006 [cited 2014 Dec 10] available from: RGUHS digital library.

11.Chithra M. Effectiveness of structured teaching program on child abuse in terms of knowledge and attitude among mothers of under fives in Dindugul. [PG thesis]. Tamilnaadu: TNMGRMU; 2010 [cited 2014 Dec 10] available from: TNMGRMU digital library.

 

 

 

 

Received on 14.12.2015                Modified on 25.12.2015

Accepted on 06.01.2016                © A&V Publications all right reserved

Asian J. Nur. Edu. and Research.2016; 6(4): 476-480.

DOI: 10.5958/2349-2996.2016.00089.6