Successful child sexual violence prevention efforts start with data: how the Violence Against Children and Youth Survey helped curb the tide of child sexual violence in 20 countries

By Laura Chiang, Stephanie Miedema, Janet Saul, James Mercy, Andrew Brooks, Alexander Butchart, Gretchen Bachman, Jennifer Hegle, Daniela Ligiero, Joseph Logan, Greta Massetti

Violence against children is a pervasive global public health and human rights issue, with 1 billion children experiencing at least one form of violence annually. Extensive scientific literature shows childhood adversity, including sexual violence, to be directly and indirectly associated with a host of health and social consequences with a dose–response effect, consequential intergenerational impacts, and sizeable economic ramifications. There is a dearth of population data on the prevalence of childhood sexual violence as well as its antecedents and health and social outcomes, which has hampered violence prevention and child protection efforts globally and locally. Population data are critical, alongside administrative data systems and statistical definitions and classification schemes, for governments to adequately begin addressing violence against children. The absence of national prevalence data has resulted in limited information to guide national policies and prevention strategies, monitor trends, and evaluate prevention efforts. Globally, lack of data on the epidemiological patterns of violence against children has resulted in deficient prioritisation for preventing and responding to this critical problem. Violence Against Children and Youth Surveys (VACS) collect comprehensive data on violence and have been implemented in over 23 countries in Africa, Asia, the Caribbean, Europe and Latin America since 2007. VACS have also been repeated in three countries: Zimbabwe (2011; 2017), Kenya (2010; 2019) and Eswatini (2007; 2022). VACS provide extensive data on the prevalence and contexts of all forms of violence, including sexual violence, therefore allowing for targeted prevention and response efforts. VACS further provide the global research community with data to examine the epidemiological patterns of childhood sexual violence across countries and regions. VACS data have raised awareness and improved understanding of childhood sexual violence in many countries worldwide, and thereby catalysed action. This article draws on VACS reports and empirical publications, to summarise and describe patterns in childhood sexual violence across countries that have completed VACS and shed light on the global prevalence of childhood sexual violence.

BMJ Paediatr Open, 2024. 3p.