Conference Papers

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This collection contains abstracts of conference papers, presented at local and international conferences by the staff of the Faculty of Medicine

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    Knowledge and attitudes regarding child abuse and child rights among Sri Lankan school children
    (Sri Lanka Medical Association, 2012) Mettananda, S.; de Silva, D.G.H.; Perera, T.; Pathmeswaran, A.
    AIMS: To describe knowledge and attitudes regarding child abuse and child rights among school children in 3 districts in Sri Lanka. METHODS: A descriptive study was conducted in Anuradapura, Monaragala and Kandy districts in 2011. Five schools were randomly selected from each district. Three classes of grades 9-11 were randomly selected and all students in selected classes were recruited into the study after obtaining informed consent. A self-administered questionnaire given under examination conditions was used to gather data. The questionnaire contained questions to assess knowledge/attitudes regarding child abuse and rights. Subjects were assigned a mark (range 0-5) on their answers to questions in different aspects of child abuse and higher marks signify better knowledge. RESULTS: The study population comprised 1091 adolescents (Anuradapura-30%, Moneragala-35%, Kandy-34%). Mean age was 14.2 (SD±1.23) years and 48% were males. The majority of boys (85%) and girls (78%) were unaware of the child rights convention. A higher percentage of girls (10.1%) than boys (5.2%) answered the question on child rights satisfactorily [p=0.003]. Corporal punishment in schools was recommended by 38%, whereas 42% suggested positive disciplinary methods. On other's request, 29% boys and 6% girls would do life-endangering tasks. Marks for the question regarding ability to handle/avoid sexual abuse were- 0 in 7%, 1-3 in 51% and 4-5 in 42%. Girls scored significantly higher than boys [p<0.001]. CONCLUSIONS: Knowledge regarding child rights among Sri Lankan children was unsatisfactory. A high proportion acknowledged corporal punishment as a disciplinary method. Girls had a better knowledge regarding child rights and are better aware of how to handle situations of sexual abuse.
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    Experience of abuse among Sri Lankan school children
    (Sri Lanka Medical Association, 2012) Mettananda, S.; de Silva, D.G.H.; Perera, T.; Pathmeswaran, A.
    AIMS: To describe the experiences of abuse and maltreatment among children and adolescents in 3 districts in Sri Lanka. METHODS: A descriptive study was conducted in Anuradapura, Monaragala and Kandy districts in January-March 2011. Five schools were randomly selected from each district. Two primary classes [grade 4-5 [children)] and 3 senior classes [grades 9-11 [adolescents]] were randomly selected and all students in selected classes were recruited into the study after obtaining informed consent from students and staff. A self administered questionnaire given under examination conditions was used to gather data. The questionnaire contained questions regarding experiences of physical, emotional and sexual abuse. Results: The study population comprised 739 children [Anuradapura-279, Moneragala-207, Kandy-253) and 1091 adolescents [Anuradapura-327, Moneragala-387, Kandy-377). Male; female ratio was 49:51. 75% children and 91% adolescents claimed that they are physically punished when they misbehave in school, whereas 79% and 97% respectively, agreed that they are shouted at. 28% adolescents [MaIe-49%, Female-10%) had performed life endangering tasks, and in 43% the caretaker/adult had requested it of them. Part-time child labour was reported by 2.7% children and 1.6% adolescents. 2.6% children [Male-3.6%, Female-1.7%) and 1.7% adolescents [Male-2%, Female-1.4%) had experienced incidents of sexual abuse. 14% children and 7% adolescents were staying alone at home whereas 37% children and 49% adolescents travelled alone. CONCLUSIONS: Corporal punishment, although banned, is still being widely used as a disciplinary method. About 2% of school children had experienced sexual abuse. Significant proportions of school children were either living alone or going out alone, and are therefore at risk of abuse.