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47 Cornell Int'l L.J. 233 (2014)
Child Sex Abuse within the Family in Sub-Saharan Africa: Challenges and Change in Current Legal and Mental Health Responses

handle is hein.journals/cintl47 and id is 245 raw text is: Child Sex Abuse Within the Family in
Sub-Saharan Africa: Challenges and
Change in Current Legal and
Mental Health Responses
Cynthia Grant Bowmant & Elizabeth Brundigetl
Child sex abtise within the family is extremely prevalent yet vastly
underreported in sub-Saharan Africa. Until recently, state responses were
deeply inadequate, characterized by outdated laws and legal procedures
and scarce mental health services. In the past decade, however, many Afri-
can countries have undertaken significant efforts, often informed by inter-
national law, to change their legal and mental health systems in order to
respond more effectively to incest and other forms of child sex abuse. After
discussing the risk factors for incest and the ways in which state responses
have fallen short, this Article describes and evaluates a variety of legal and
mental health reforms that African countries have adopted in recent years.
While recognizing the importance of these reforms, the Article argues that
these efforts must be strengthened and broadened. Efforts to bring offend-
ers to justice and provide treatment for child victims must form part of a
multidimensional approach that involves state and non-state actors, differ-
ent professions, and the community at large, as well as include a focus on
prevention. The Article concludes by setting forth some guidelines to
inform the development of preventive measures and a more comprehensive
and effective response to intra-familial child sex abuse.
Introduction  .....................................................  234
I. Prevalance/Incidence of Incest ............................ 237
A.  The  Lack  of Solid  Data ................................  237
B.  Under-reporting  .......................................  244
II. Risk Factors for Child Sex Abuse Within the Family ...... 247
A. Socio-Economic Risk Factors .......................... 247
B.  Sex  Inequality  ........................................  248
C. Myths about Male Sexuality ........................... 250
D. Status and Socialization of African Children ........... 250
f Dorothea S. Clarke Professor of Law, Cornell University. This Article grew out
of a presentation by Professor Bowman to the Annual Meeting of the International
Association of Law and Mental Health, in Padua, Italy, on June 25, 2007. Professor
Bowman is grateful to Joanna Foster and Muna Ndulo for their comments on an early
draft of this Article.
ft Executive Director of the Avon Global Center for Women & Justice and Visiting
Assistant Clinical Professor of Law, Cornell University.
47 CORNELL INT'L .J. 233 (2014)

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