Johns Hopkins University, Bloomberg School of Public Health, Paul H. Nitze School of Advanced International Studies, 615 N Wolfe Street, Baltimore, MD 21025, United States of America.
Bull World Health Organ. 2021 Jun 1;99(6):414-421. doi: 10.2471/BLT.19.247874. Epub 2021 Mar 21.
To determine the reasons for the lack of priority given to addressing violence against children, and to identify the challenges that proponents must address to improve prioritization of this issue.
We reviewed relevant literature to identify experts to interview. We carried out a thematic analysis of the literature and interview transcripts. We iteratively developed data coding on the many characteristics of violence against children, on the framing of the issue by proponents, and on the problem of governance - that is, how proponents organize themselves for collective action.
The analysis of our data sources reveals many obstacles for global prioritization of addressing violence against children, including the forms of violence considered, inadequate data to describe prevalence and a lack of evidence of the effectiveness of proposed solutions. There exists fundamental disagreement among proponents on the recently introduced frame of violence against children, including differences in the types of violence that should be prioritized and in the proposed solutions (e.g. prevention or remediation). On governance, competition between networks focused on specific forms of violence is hampering efforts to create strong governing institutions.
Despite the complex challenges identified, proponents have made some progress in global prioritization of addressing violence against children. To improve this prioritization further, proponents must resolve framing tensions and strengthen governance mechanisms to promote shared goals, while ensuring that networks focused on particular forms of violence are able to maintain their distinct identities.
确定对儿童暴力问题重视不足的原因，并找出倡议者必须解决的挑战，以提高对这一问题的重视程度。
我们回顾了相关文献，以确定需要采访的专家。我们对文献和访谈记录进行了主题分析。我们对儿童暴力的许多特征、倡议者对问题的框架以及治理问题（即倡议者如何为集体行动组织自己）进行了数据编码的迭代开发。
对我们的数据源进行分析后发现，全球对儿童暴力问题的重视存在许多障碍，包括所考虑的暴力形式、描述流行程度的数据不足以及缺乏拟议解决方案有效性的证据。倡议者对最近提出的儿童暴力框架存在根本分歧，包括应优先考虑的暴力类型以及拟议的解决方案（例如预防或补救）存在差异。在治理方面，针对特定形式暴力的网络之间的竞争阻碍了建立强有力的治理机构的努力。
尽管存在复杂的挑战，但倡议者在全球对儿童暴力问题的重视方面已经取得了一些进展。为了进一步提高这一优先级，倡议者必须解决框架紧张局势并加强治理机制，以促进共同目标，同时确保针对特定形式暴力的网络能够保持其独特身份。
