# Comparative Analysis of Child Sexual Abuse Survivors During the Lockdown and Pre-lockdown Periods of COVID-19 at a Tertiary Care Centre in North East India

## TL;DR

This study found a significant increase in child sexual abuse cases during the COVID-19 lockdown in North East India compared to the pre-lockdown period.

## Contribution

The paper provides new insights into the impact of the pandemic on child sexual abuse reporting and patterns.

## Key findings

- There was a 53.7% increase in abuse cases during the lockdown period.
- Reporting delays increased, with most cases reported 48-72 hours post-incident during lockdown.
- The proportion of victims aged zero to six years rose to 12.3% during the lockdown.

## Abstract

Background: Child sexual abuse is an issue of global concern, adversely affecting a child’s normal maturation and development. The COVID-19 pandemic caused a health and economic crisis, confinement of the masses, and sexual exploitation.

Purpose: This was a comparative analysis of the survivors under the POCSO Act (Protection of Children from Sexual Offences Act, 2012, Amdt.2019) between the lockdown and pre-lockdown periods of the same duration, in terms of number of cases, demographic details, reporting time, and patterns of injuries.

Methods: Hospital-based descriptive epidemiological study using secondary data of child sexual abuse survivors from 25/03/2017 to 14/02/2019 and from 25/03/2020 to 14/02/2022. Data distribution was represented in terms of frequencies and percentages. Association and effect size between the various input variables were analyzed using Cliff's delta method and chi-square test, considering a p-value of less than 0.05 to be statistically significant.

Results: There was a 53.7% increase in cases in the lockdown period. Consent rate for medical examination dropped from 70.9% to 63.1% during the lockdown. 96.7% and 97.9% were females in the lockdown and pre-lockdown periods, respectively. The highest number of cases was reported in 24-48 hours in the pre-lockdown period as compared to 48-72 hours in the lockdown period. The pre-lockdown period showed rural preponderance. There was a rise in survivors in the age group of zero to six years to 12.3% in the lockdown period. Known faces dominated as perpetrators in both periods.

Conclusion: The study revealed an alarming rise in child sexual abuse during COVID-19, calling for strict interventions. It is the duty of society to protect children's basic rights for a better and prosperous future.