1. Sexual Abuse – Prevention Strategies Dr.M.K.C.Nair Ph.D, MD, MBA, M.Med.Sc., MA, MA, DCH, FIAP, FIACAM PG Diploma in Counseling & Ultrasonology National President NNF – 2011-12 President, Adol Academy 2007-09 National President IndiaCLEN – 2005-07 National President IAP – 2004 Professor of Pediatrics & Epidemiology Editor, Illingworth’s Child Development Academic Editor, IAP Text Book of Pediatrics Founder Director, Child Development Centre

2. Definition of Sexual Assault Sexual assault includes: Penile/vaginal intercourse Contact between the genitals and mouth Contact between an anus and a penis Penetration of the vagina or anus with a foreign object, including a finger

3. Definition of Sexual Assault When one of the following conditions exist Force, even if there is no bruise or injury Fear, even if the victim didn’t fight back A person is disabled and cannot give consent A person is severely intoxicated or unconscious as a result of drugs or alcohol The victim is under the age of 18

4. Non-Physical Violence The threat of violence Threatening to tell that they had sex even if they didn’t Threatening to hurt self if they don’t have sex

5. Sex Crimes 75% Committed by Non-Strangers Who is a Non-Stranger? Boyfriend Co-worker/classmate Long time friend Relative Someone from the neighborhood Someone you just met

6. Child Molest A person of any age involved with a child under the age of 14 Or, if the victim is 14 or 15 and the suspect is 10 or more years older This crime occurs when an adult, 18 and older, has sexual intercourse with anyone under the age of eighteen (18)

7. Unlawful Sexual Intercourse If a 17-year old is having sex with a 14- year old, both are victims and suspects If the suspect is over 21 and the victim is under 16, this is a mandated reporting offense

8. Campus Sexual Harassment/Assault Prevention This type of behavior constitutes violations of acceptable campus codes of conduct. Will be subject to disciplinary actions from the College and/or the criminal justice system. With the possibility of suspension or dismissal from the college, whether or not criminal prosecution is pending.

9. What should one do if you are sexually or otherwise assaulted on campus? Get to a safe place as soon as you can. Contact police, family or friend (feed mobile) Try to preserve all physical evidence. Save clothing and undergarments. Do not shower, bathe or douche. Take services of a gynaecologist If needed, avail counseling services

10. Types of Hymens

11. Teenage Pregnancy Risk factors for pregnancy among unmarried Adols & Young Adults (n = 362) Logistic Regression - Variables OR 1. Lack of appropriate parental control9 2. Poor Intra family relationship7 3. Lack of SRH knowledge5 4. Problem Family4 5. Lack of engagement in activity4 6. Lack of knowledge on STI3 Sheelamoni.A, MKC Nair. Sheelamoni.A, MKC Nair. Pregnancy among Unmarried Adolescents and Young Adults. Ph.D Thesis, 2008

12. Emergency contraceptives Tab. Levonorgestrel 0.75mg 1 st dose within 24 hrs (max 36 hrs) 2 nd dose 12 hrs after first dose Medical abortion Day.1Tab. Mifepristone 200mg orally (Antiprogesterone – chorionic death) Day.3Tab. Prostaglandin E1- 400µg vaginally (cytotec, Mifegest) help separation and expulsion by uterine contraction

13. Adolescents Parents Teachers Health Workers Empowering All above Religious Heads Law Judge Police Abuse PreventionIndian Perspective

14. Empowering adolescents & youth Student code of conduct Security alerts Workshops, Seminars Orientation programs Discussion groups Film presentations Family Life Education class NK Arora

15. Oath “I am the custodian of my mind, body & spirit – I will protect, preserve & enhance it” Self reported sexual abuse among youth (15 – 24 yrs) UNFPA-CDC-DHS-CDC ARSH Study findings (n=4225) Girls = 10.2% Boys = 05.2% Sexual abuse Prevention

16. TRUE or FALSE Most rapists are psychopathic strangers? False – Most victims know their rapists. Approximately 68% of rapes are committed by assailants known to victims.

17. MYTH – Yes or No Only women can be sexually assaulted? Myth – Any male, regardless of age, disability or sexual orientation, can be the victim of sexual assault.

18. True or False When men become sexually aroused, they need to have sex, or they could suffer physical injuries ? FALSE – Men do not suffer physical consequences if they are not sexually stimulated once being aroused.

19. True or False When a woman says “no” she really means “maybe”. False – Men and women may both give and receive mixed messages. But remember that rape is a crime. If a woman says “no” believe her.

20. True or False If people are drunk at the time of the incident, no one can be accused of rape? False – Being drunk does not mean someone cannot be accused of and convicted of rape.

21. “Adults who care for children can act to stop sexual abuse”