This study assesses the feasibility of using a screening tool to proactively identify child survivors of sexual violence in Kenyan primary school and health facility settings, and to refer such survivors to care. A mixed-methods design was employed, involving quantitative screening tool data, as well as service data from 497 girls and boys in two primary schools (in standards six to eight) and one hospital site (11–17-year-olds) and qualitative data (in the form of field notes) generated during the screening process. Results point to the feasibility of this screening intervention, as evidenced by the proportion of children in the school and health facility sites combined: 97 per cent were willing to be screened for sexual violence, 45 per cent disclosed lifetime sexual violence and 75 per cent received care subsequent to disclosing lifetime experiences of sexual violence. Further, the qualitative results ‘give voice’ to child survivors and their parents, demonstrating the acceptability of, and demand for, the intervention among these populations. Findings from this study suggest that screening for sexual violence against children is feasible in both school and health facility settings. Such screening also holds potential for expanding child survivors' access to care.

中文翻译：

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如果我们问，他们会告诉吗？（然后，什么？）：筛查肯尼亚针对儿童的性暴力

本研究评估了在肯尼亚小学和卫生机构中使用筛查工具主动识别性暴力儿童幸存者并将这些幸存者转诊的可行性。采用混合方法设计，包括定量筛选工具数据，以及来自两所小学（标准六至八年级）和一个医院站点（11-17 岁）的 497 名女孩和男孩的服务数据和定性数据。筛选过程中生成的数据（以现场注释的形式）。结果表明了这种筛查干预的可行性，学校和卫生设施场所的儿童比例加起来证明了这一点：97% 的人愿意接受性暴力筛查，45% 披露了终生性暴力，75% 在披露终生性暴力经历后接受了护理。此外，定性结果向儿童幸存者及其父母“发出声音”，表明这些人群中干预的可接受性和需求。这项研究的结果表明，筛查针对儿童的性暴力在学校和医疗机构中都是可行的。这种筛查也有可能扩大儿童幸存者获得护理的机会。这项研究的结果表明，筛查针对儿童的性暴力在学校和医疗机构中都是可行的。这种筛查也有可能扩大儿童幸存者获得护理的机会。这项研究的结果表明，筛查针对儿童的性暴力在学校和医疗机构中都是可行的。这种筛查也有可能扩大儿童幸存者获得护理的机会。