Difficulties ENCOUNTERED BY COUNSELORS INVOLVED IN COUNSELING SURVIVORS OF CHILD SEXUAL ABUSE: A STUDY OF THE NAIROBI W

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CHALLENGES ENCOUNTERED BY COUNSELORS INVOLVED IN COUNSELING SURVIVORS OF CHILD SEXUAL ABUSE: A STUDY OF THE NAIROBI WOMENS HOSPITAL, KENYA BY Peninah Irungu and G.P. Pokhariyal School of External Studies and School of Mathematics, University of Nairobi

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Key Words: Child Sexual Abuse (CSA) Post Traumatic Stress Disorder (PTSD) Gender Based Violence (GBV) Sexual brokenness Counseling process Caregivers/Key sources

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Introduction In the later past, there has been an expansion in assault cases in Kenya. Insights demonstrate that like clockwork a lady or youngster, whether kid or young lady is assaulted some place. Sexual manhandle among minors has likewise been accounted for to be on the expansion particularly in the Nairobi city ghetto ranges of Kibera, Kawangware, Mathare and Mukuru.

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Forms of sexual manhandle among kids Penetration of the vagina ( pollution or interbreeding) Sodomy ( entrance of the butt either in the young men and young ladies) Insertion of articles to the vagina/rear-end e.g. broken containers, fingers, firearms and so on Oral sex Indecent strike or undesirable sexual touches ( likewise stroking) i.e. addresses bosoms, bum, private parts. Youngster prostitution. Savagery (utilizing a tyke to engage in sexual relations with creatures).

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Effects of Child Sexual Abuse Short term Shock Fear Vulnerability Long term Anxiety Depression Sexual clutters/dysfunctions Low self-regard Depression Regressive practices PTSD, Suicidal considerations and inclinations

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What is directing? Advising is a piece of any constructive, solid, human communication where individuals discuss themselves, their worries, what's keeping them down while others listen and reacts in a way that empowers some determination to be found. It might last numerous years. What is the significance of guiding? Advising mediation helps a youngster to be free of mastery of traumatic considerations through opening their emotions. N.B If not done, the traumatic impacts overflow into the youthful and in the long run grown-up part of a tyke's life. It is in this manner imperative to examine the requirements confronting the advising procedure of survivors of tyke sexual manhandle by advisors

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About Nairobi Womens Hospital, GVRC Program The Nairobi Womens' Hospital is a clinic that tries to give comprehensive care to ladies and kids; men likewise advantage from the wellbeing administrations. As a method for offering back to the general public, Nairobi ladies' healing facility in March 2001 set up the Gender Violence Recovery Center (GVRC) as a non-benefit making, non-divided, altruistic trust of the Hospital whose primary design is to give FREE restorative treatment and psychosocial support to survivors of sexual orientation based savagery. The middle gets a normal of 230 survivors for every month, with roughly 45% being youngsters, 49% ladies and 6% men. The most youthful survivor of sexual savagery was a month old child young lady while the most established is a 105 years of age lady.

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Material and Methods The objective populace in the study was basically the advisors who took care of CSA survivors. Guardians/parental figures and instructors who had in the past given instances of CSA were additionally met to know their part in helping the youngster recoup. The study was for the most part subjective The site was picked on the grounds that it had the important records required for this exploration. It additionally had qualified guides and amazing offices expected to advise sexual mishandle cases. Information was gathered through; Personal Interview manage Key witness talk with Case concentrate Direct Observation technique

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Results and Conclusions Six advocates and nineteen key sources were met. The conjugal status, age circulation, sex, training level and wellsprings of pay of the respondents were recorded. Elements that affected and upgraded positive results of a CSA survivor's guiding session were recognized and sorted into different emanant topics. They were; Relationship between instructive level and productivity of the instructor Level of experience of an advocate and simplicity in successfully taking care of instances of CSA

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Scatter outline demonstrating relapse of proficiency on training From the discoveries, it can be watched that the connection coefficient is =0.66 recommending a modestly solid positive connection.

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Scatter graph on years of experience versus execution From the discoveries it can be watched that the relationship coefficient is =0.87 proposing an exceptionally solid positive connection.

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Other elements impeding… Lack of support from guardians, Threats from culprits, Incest Poverty Domestic savagery and broken families Premature introduction of survivors by media

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Areas of recorded change in the wake of directing Self picture and self-assurance Self expression Reduced dread Change in Sleep Patterns School execution Suicidal propensities

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Discussion It is watched that the inclusion and support of parental figures is critical and a key viewpoint in youngster guiding. Youngsters who had been helped through directing were observed to have the capacity to investigate their torment and turn out with a superior significance and comprehension of the occasion as per their age. The administration ought to play a main part in attempting to lessen these cases. More sharpening ought to be done to the law authorities and legal framework on viable treatment of these cases.

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Case study A five year old young lady was doing a reversal home after school in the organization of her four companions. In transit home, a moderately aged man (LK) rose up out of a maize ranch and pursued the young ladies. Sadly, this young lady stumbled and fell. The man got the young lady and kept running back to the manor. One of alternate young ladies perceived the man as a homestead hand to the neighbor and they went to report the episode to the guardians promptly. An area caution was raised and the all went to property where they found the man in a compromising position polluting the young lady. The young lady was taken to healing center and after clinical mediation and one guiding session, retreated to class. She saw that her companions were no longer inspired by playing with her and on inquisitive, the companions just said that they had been cautioned against playing or interfacing with her in any capacity by their folks and instructors since she was LK's better half. The young lady's state of mind towards school changed contrarily.

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