Child Sexual Abuse in Zimbabwe

Although child sexual abuse is a significant public health problem globally, its incidence, prevention, and management is less well described in resource-poor settings. In poorer settings prevention initiatives assume even more importance since resources for managing abused children are severely limited. This article examines the current status of policy and practice related to the prevention of child sexual abuse in Zimbabwe. It identifies implementation challenges and highlights opportunities that could be embraced to reduce CSA in Zimbabwe, based on evidence synthesized from recent work. Although Zimbabwe has a well-established legal and regulatory framework to protect children from child sexual abuse, implementation of existing policies is weak. Financial, human, and material resource constraints are frequently cited to explain limited prevention activity. Effective strategies for the prevention of child sexual abuse should focus on implementing existing legislation, targeting schoolchildren, and getting community involvement. A dedicated budget would help entrench these strategies, but gains can be achieved even in the absence of this.     

健康教育和减轻应激训练对慢性乙型肝炎患者应激水平的影响比较

目的：比较健康教育与减轻应激训练对慢性乙型肝炎（简称慢性乙肝）患者应激水平的影响。方法：将120名门诊慢性乙肝患者随机分成对照组、健康教育组、减轻应激训练组,每组30名,在对照组接受门诊医护人员的一般信息咨询和处理的基础上,健康教育组和减轻应激训练组分别进行为期4个月的健康教育和减轻应激训练,在干预前后,采用乙肝应激量表（PSSH）评定三组患者的应激水平。结果：干预前后对照组PSSH得分差异无统计学意义（P〉0．05）,健康教育组和减轻应激训练组PSSH得分差异有统计学意义（P〈0．01）;减轻应激训练组的实验处理效果优于健康教育组的,差异具有统计学意义（P〈0．01）。结论：对于降低慢性乙肝患者的应激水平,减轻应激训练比健康教育效果更佳。