Child abuse is quite common in East Africa. It is happening at home, at school, or - in the case of child labourers - in the workplace. In addition, children who live in child care institutions are often victims of abuse. With this programme we focus on the forms of child abuse that have the most serious consequences: sexual abuse and violence. This includes child abuse based on traditional and cultural grounds, such as child marriage and Female Genital Mutilation (FGM).
Poverty is a major cause of child abuse and violence against children in East Africa, besides restrictive gender roles and the lack of educational opportunities. The prevailing discrimination against girls and women in the region and cultural traditions also play an important role. This leads to girls specifically being subjected to FGM and child marriage, where very young girls are forced to marry much older men. In many countries in East Africa perpetrators rarely face repercussions. This is due to gaps in legislature, as well as the lack of technical and staff capacity within governments, coupled with limited budgets to enact existing legislation.
Girls often drop out of school as a result of child marriage and teenage pregnancies. Moreover, young girls are at greater risk of experiencing dangerous complications in pregnancy and childbirth, since they are physically not ready for early childbearing. They also run a high risk of getting infected with HIV. Furthermore, many girls are left with depression and posttraumatic stress caused by child marriage and FGM.
To eliminate child abuse in East Africa, we mainly focus on girls between 12 and 18 years old. At the same time, we do not exclude boys, since they can also be victims of sexual abuse and violence.
What we do
In our programme, we closely cooperate with local communities, the governments of both countries and with law enforcement agencies, such as police and public prosecutors.
We implement our programme by:
Removing children from situations of abuse and violence. We help them with temporary shelter, medical and psychosocial care and legal assistance.
Strengthening the formal and informal child protection systems within communities.
Advocating governments for the application and observance of child-friendly procedures. Together with the authorities we develop better systems for identifying and treating victims.
Teaming up with for example companies, so that they can fight sexual violence and abuse.
Training of police and judiciary to help them improving the application of applicable laws. We also train them in child friendly procedures when dealing with victims, for example during interrogations.
Preventing the unnecessary institutionalisation of children in child care institutions. We promote the provision of alternative care, such as placing children with relatives or in foster families.
Addressing root causes
We can help children who are victims of sexual abuse and violence, but if we do not address the root causes of child abuse our efforts will not be sustainable. That is why we lobby for the elimination of child marriage, FGM, sexual violence and teenage pregnancies. To this end, we involve community leaders in our work since they are the custodians of these cultural traditions; if they change their attitudes and behaviours, then other community members will follow. At the same time, we work on improving the resilience of girls. We empower them with life skills and support them to go (back) to school.
Some of the results of our work against child abuse in East Africa from April to July 2016:
165 children (95 girls, 70 boys) safeguarded from various forms of child abuse
67 victims and vulnerable girls helped to go (back) to school
34 victims assisted with legal aid (all girls)
97 households supported with income generating activities
48,197 people reached with awareness campaigns
37 child protection committees supported, consisting of 210 members
403 government officials trained in child rights and child protection
The 2018 Geuzenpenning (Beggars' medal) was awarded to Girls Not Brides: The Global Partnership to End Child Marriage. This was announced by the Geuzenpenning foundation on Friday. Princess Mabel of Orange, chairwoman of Girls Not Brides, and executive director Lakshmi Sundaram will receive the award.
In 2016, Terre des Hommes Netherlands helped 21,413 children in our four East African focus countries Ethiopia, Kenya, Tanzania and Uganda. One in five was a victim of child exploitation: 1,374 children were rescued from child trafficking, 374 children were withdrawn from sexual exploitation, 2,156 were saved from child abuse, and 416 were helped to stop with child labour.
The annual report of 2016 is finalised. It was a special year: that of our fiftieth anniversary. This anniversary causes mixed feelings. On one hand we are thankful for the trust and support we have been receiving from donors and others for so long. On the other hand however, it is quite confrontational to realise that our work is still needed.
Health practitioners at all levels can and should play a key role in recognising victims of child abuse and exploitation. In addition, health practitioners should ensure that children are protected at all times while getting health services. Terre des Hommes Netherlands has been lobbying for these two issues during the Africa Health Agenda 2017 International Conference (AHAIC 2017).