Authors report that local CHWs assisted healthcare providers in targeting education sessions to community concerns; CHWs provided feedback to healthcare providers e.g. reported increased patient satisfaction
Authors report “travel distance & other commitments sometimes prevented CHWs from reminding patients about appointments and thus, follow-up rates were not as high as expected.”
Community reported that CHWs are trusted persons that survivors can approach for help
CHWs reported lacking confidence in history-taking and psychosocial care; ‘Lower cadres’ of CHWs were unhappy with some aspects of medical care & referrals, complained they already had too many responsibilities, had issues with maintaining confidentiality & had some safety concerns
Increased knowledge & skill; Occurrence of disclosures in the intervention group compared to no disclosures in the comparison group; satisfaction with programme; minimal cost of delivery
Feedback from victims report non-judgemental compassionate support by volunteers
Time taken to contact the volunteer & get them to the centre to offer support was long delaying care for survivors; Failure of recognition & acceptance by both the victim & professional healthcare workers
Increased community awareness with change of attitude towards child sexual abuse; Reduction in stigma & therefore increased acceptance & support for survivors; Reduced incidence of cases
Child abuse reportedly normative thus community workers not motivated to act initially
