Department of Community Paediatrics, South Western Sydney Local Health District, University of New South Wales, Sydney, Australia; International Society for Social Pediatrics & Child Health, Switzerland.
International Society for Prevention of Child Abuse & Neglect, United States; Child Rights Committee, Pakistan Pediatric Association, Pakistan.
Child Abuse Negl. 2021 Sep;119(Pt 1):104733. doi: 10.1016/j.chiabu.2020.104733. Epub 2020 Sep 22.
Globally, the range, scale and burden of all forms of violence against children (VAC) have visibly increased. Yet VAC as a physical, mental, public and social health concern is only recently gaining the prominence it deserves. Addressing VAC is critical. Violence experienced early in life can result in short, medium, long-lasting, and/or even inter-generational negative health outcomes. Ample evidence shows that VAC is widespread and the most common forms are usually perpetrated by people with whom children interact every day in their homes, schools and communities. We report on an innovative collaboration between global agencies, led by the International Society for Social Pediatrics and Child Health (ISSOP), the International Society for Prevention of Child Abuse and Neglect (ISPCAN), and the International Pediatric Association (IPA), who were galvanized to respond to VAC using a child-rights and public health lens. This collaboration led to a position statement on VAC with an implementation plan. The strength of the position statement was the explicit incorporation of a rights-based expansive understanding of VAC, with a description of typologies of violence pertinent to children globally, including child labor, children in armed conflict, trafficking of children and gender-based violence; and the identification of strategies both in preventing violence from occurring and ameliorating the effects in its aftermath. We report on the challenges and successes of our collaborative action at regional and supra-national levels, including opportunistic action.
在全球范围内,各种形式的针对儿童的暴力(VAC)的范围、规模和负担明显增加。然而,作为一个身体、心理、公共和社会健康问题,VAC 直到最近才得到应有的重视。解决 VAC 问题至关重要。儿童早期经历的暴力可能导致短期、中期、长期甚至代际的负面健康后果。大量证据表明,VAC 普遍存在,最常见的形式通常是儿童在家庭、学校和社区中每天与之互动的人实施的。我们报告了一个由全球机构之间的创新合作,由国际社会儿科学和儿童健康学会(ISSOP)、国际防止儿童虐待和忽视学会(ISPCAN)和国际儿科学会(IPA)领导,他们受到激励,从儿童权利和公共卫生的角度来应对 VAC。这次合作产生了一份关于 VAC 的立场声明和实施计划。该立场声明的优势在于明确纳入了一种基于权利的广泛的 VAC 理解,并描述了全球范围内与儿童有关的各种暴力类型,包括童工、武装冲突中的儿童、儿童贩卖和基于性别的暴力;并确定了预防暴力发生和减轻其后果的策略。我们报告了我们在区域和超国家各级合作行动的挑战和成功,包括机会主义行动。