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Indicators for monitoring child abuse
                                         and neglect
                                         Core indicators
                                         Policy goal           Indicator and            Definition, measure, period and data source
                                                               reason for use
                                         Reduce the            Type 1 Indicator:        Definition & Measure: Proportion of children in
                                         number of             Child Status             households experiencing the following:
                                         children living in    Child poverty            • Living in a household that has a household equivalent
                                         poverty.              Reason for use: Child       income below R10 189 per annum (2006 value);
                                                               poverty is associated    • Living in a household without a refrigerator;
                                                               with the widest range    • Living in a household with neither a TV nor a radio.
                                                               of insults to child      Sources: Census and other household surveys (Statistics
                                                               survival, health and     South Africa); provincial poverty data.
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                                                               development.             Period: Every 10 years
                                                               Appropriate for          Notes: This measure is used in the Provincial Indices of
                                                               national and             Multiple Deprivation (PIMD) developed by Noble, Babita
                                                               international            et al. (2006). See Chapter 3 in this volume.1
                                                               reporting: State of      A PIMD for children (PIMDC) will be available once this
                                                               the World’s Children;    volume is published and should be seriously considered
                                                               Millennium               for these purposes as it will permit description of areas
                                                               Development Goals.       below provincial level and will take into account a range of
                                                                                        deprivations experienced by children in poverty.
                                         Protect children      Type 1 & 3               Definition: Violent crimes to children as defined in the
                                         from all forms of     Indicators: Child        Common Law and other Statutes: murder, common
                                         violence, abuse and   Status and               assault, assault with intent to do grievous bodily harm and
                                         neglect, and make     Neighbourhood &          ill-treatment of a child reported to the South African
                                         neighbourhoods        Surrounding              Police Services (SAPS).
                                         safe for children.    Environment              Stratify by gender and age (0–17; 0–12; 13–17).
                                                               Children’s               Measures: The proportion of children in each province
                                                               vulnerability to         and in each SAPS zone and precinct who are victims of all
                                                               violent crime.           violent crime (treated per crime category and as a total
                                                               Neighbourhood            score based on the sum across all crime categories) per
                                                               vulnerability of         year.
                                                               children.                Source: SAPS
                                                               Reason for use:          Period: Annual
                                                               Identify areas in        Note: Age and gender disaggregation is not available in
                                                               which the risk is        annual SAPS reports or website statistics. These statistics
                                                               high.                    should be provided by the provincial commissioner on a
                                                               To monitor children’s    routine basis each year to aid service planning in the
                                                               exposure to violent      province and the districts.
                                                               crime and monitor
                                                               children’s rights to
                                                               safety and protection.                                                                  ➔

                                                                core indicators for monitoring child abuse and neglect • 469
Policy goal    Indicator and             Definition, measure, period and data source
                                                            reason for use
                                         ➔                  Type 1 & 3                Definitions: 1. Kidnapping: Use the SAPS definition in
                                                            Indicators: Child            terms of the relevant Statutes; only count children
                                                            Status and                   (adults may also be kidnapped).
                                                            Neighbourhood &           2. Abduction: Use the SAPS definition in terms of the
                                                            Surrounding                  relevant statutes (only children may be classified as
                                                            Environment                  having been abducted in terms of the law).
                                                            Abducted, kidnapped       3. Missing children: Reports of missing children to each
                                                            and missing children.        SAPS precinct who are not recovered within 48 hours
                                                            Neighbourhood                and for whom a case of kidnapping or abduction has
                                                            vulnerability of             not been opened.
                                                            children.                 Stratify all by gender and age.
                                                            Reason for use: To        Measure: The proportion of children who are victims of
                                                            monitor areas to          abduction and kidnapping in each province and in each
                                                            establish the risk of     SAPS zone and precinct per year.
                                                            kidnapping and            Source: SAPS
                                                            abduction of children     Period: Annual
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                                                            (and also missing         Note: Age and gender disaggregation is not available in
                                                            children).                annual SAPS reports or website statistics. These statistics
                                                            To monitor children’s     should be provided by the provincial commissioner on a
                                                            rights to safety and      routine basis each year to aid service planning in the
                                                            protection.               province and the districts.
                                                            Identify areas in
                                                            which the risk is
                                                            high.
                                                            Type 1 & 3 Indicators:    Definition: Sexual crimes to children as defined in the
                                                            Child Status and          Common Law and other statutes: indecent assault, rape,
                                                            Neighbourhood &           ‘statutory rape’, attempted rape, exposure to pornography,
                                                            Surrounding               and commercial sexual exploitation reported to the SAPS.
                                                            Environment               Stratify by gender and age (0–17; 0–12; 13–17).
                                                            Children’s                Measure: The proportion of children in each province and
                                                            vulnerability to          in each SAPS zone and precinct who are victims of sexual
                                                            sexual crime.             crimes (per sexual crime category and as a total score
                                                            Neighbourhood             based on the sum across all sexual crime categories) per
                                                            vulnerability of          year.
                                                            children.                 Source: SAPS
                                                            Reason for use:           Period: Annual
                                                            Identify areas in         Note: Age and gender disaggregation is not available in
                                                            which the risk is high.   annual SAPS reports or website statistics. These statistics
                                                            To monitor children’s     should be provided by the provincial commissioner on a
                                                            exposure to sexual        routine basis each year to aid service planning in the
                                                            assault.                  province and the districts.
                                                            To monitor children’s
                                                            rights to safety and
                                                            protection.



                                             470 • monitoring child well-being
Policy goal          Indicator and            Definition, measure, period and data source
                                                              reason for use
                                         Make schools safe Type 1 Indicator:           Definition: Acts of physical and sexual violence (including
                                         for children.        Child Status             bullying) on a learner (by another learner or an educator)
                                         Monitor the          1. Learner-on-learner    while under the jurisdiction of the school.
                                         incidence of            violence and sexual   All data to be stratified by gender and age (<13 years and
                                         violence in schools.    abuse.                >13 years).
                                                              2. Educator-on-          Note: These data are likely to be very coarse given
                                                                 learner violence      problems with reporting and variations in disciplinary
                                                                 and sexual abuse.     procedures across the country. Further, in the case of
                                                              Type 5 Indicator:        educator-on-learner abuse, none of the data below are
                                                              Service Quality          likely to be an accurate reflection of the situation.
                                                              Reasons for use: To      Measure 1: The proportion of learners in each province
                                                              monitor children’s       and in each Education Management Development Centre
                                                              exposure to violence     district who are disciplined by their school for violence to
                                                              by other children at     another learner in a reporting year.
                                                              school. To monitor       Source: Provincial departments of education (DoEs)
                                                              children’s exposure to   Period: Annual
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                                                              violence by educators    Measure 2: The proportion of learners in each province
                                                              at school.               who report physical and sexual violence (including
                                                              To monitor children’s    bullying) by a learner while under the jurisdiction of the
                                                              rights to safety and     school using measures designed for the UN Study on
                                                              protection – bullying    Violence to Children,2 or another reliable violence
                                                              is a form of abuse in    exposure measure.
                                                              the Children’s Act.      Source: Current sources are academic studies only; survey
                                                              Monitor                  needed.
                                                              implementation of        Period: Every 5 years
                                                              the Schools Act (No.     Measure 3: The proportion of learners in each province
                                                              56 of 1996).             who call a Safe Schools call centre and allege physical and
                                                                                       sexual abuse and the unlawful administration of corporal
                                                                                       punishment in school.
                                                                                       Source: Safe Schools programmes in each province (DoE)
                                                                                       Period: Annual
                                                                                       Measure 4: Educators in each province disciplined for
                                                                                       assaults on learners.
                                                                                       Source: Labour Relations data (DoE)
                                                                                       Period: Annual
                                                                                       Measure 5: The proportion of learners in each province
                                                                                       who report physical and sexual abuse and the unlawful
                                                                                       administration of corporal punishment in a specific victim
                                                                                       survey using measures designed for the UN Study on
                                                                                       Violence to children (see endnote 2), or another reliable
                                                                                       violence exposure measure.
                                                                                       Source: Current sources are academic studies only.
                                                                                       Period: Surveys required every 5 years.




                                                               core indicators for monitoring child abuse and neglect • 471
Policy goal       Indicator and             Definition, measure, period and data source
                                                           reason for use
                                         Establish child   Type 4 & 5                Definitions: The CPR is established in terms of the
                                         protection        Indicators: Service       Regulations to the Child Care Act (No. 74 of 1983) and the
                                         information       Access and                new Children’s Act to record data on incidents of child
                                         systems in        Service Quality           abuse and neglect and to track children’s movement
                                         compliance with   Computerised Child        through the services system.
                                         policy.           Protection Registers      All the following conditions must be fulfilled within a time
                                                           (CPRs) are                frame set by the department:
                                                           established and are       • Reporters and districts use the same form to capture
                                                           functioning at district      cases (as prescribed in the regulations), are trained in its
                                                           level in each                use, and receive annual feedback from district offices on
                                                           province.                    how the data are used;
                                                           Reason for use:           • Forms used by services and district staff include the
                                                           Provincial level CPR         definitions of abuse and neglect categories listed in the
                                                           systems require              CPR manual;
                                                           sound district level      • Districts have the appropriate training, support,
                                                           CPR functioning and          equipment and staff to enter CPR data;
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                                                           data collection in        • Raw data for the CPR are no longer sent to head office
                                                           terms of policy.             for capture;
                                                                                     • Online system functions so that data captured at district
                                                           To monitor
                                                                                        level is available to head office;
                                                           compliance with the
                                                                                     • All district CPR systems must receive reports from
                                                           CPR manual and the
                                                                                        children’s courts, welfare services, SAPS and other
                                                           Children’s Act.
                                                                                        relevant sources to update the register on a regular basis;
                                                                                     • All cases, substantiated or otherwise, must be entered
                                                                                        (CPR manual must be followed);
                                                                                     • All cases that are not substantiated must be removed
                                                                                        (Parts A & B);
                                                                                     • Data from service providers in the district are captured
                                                                                        regularly on the district CPR;
                                                                                     • Data from the district CPR are used for protective
                                                                                        services planning at district level;
                                                                                     • Districts have access to the CPR manual; cases are
                                                                                        recorded accurately in terms of the definitions of abuse
                                                                                        contained in the manual;
                                                                                     • Districts have dedicated data capture staff sufficient to
                                                                                        process forms within one week;
                                                                                     • Security arrangements for storage and data capture are
                                                                                        in place;
                                                                                     • All districts have the necessary Information Technology
                                                                                        (IT) in place (data lines of sufficient capacity for the task).
                                                                                     Measure: The proportion of districts in each province that
                                                                                     have a fully functional CPR in place in terms of the above
                                                                                     criteria.
                                                                                     Source: Provincial Departments of Social Development
                                                                                     (DoSDs) based on an audit of the CPR in each district.
                                                                                     Period: Immediately and then every 5 years to monitor
                                                                                     progress.                                                          ➔

                                         472 • monitoring child well-being
Policy goal   Indicator and            Definition, measure, period and data source
                                                           reason for use
                                         ➔                 Type 4 & 5 Indicators:   Definitions: The CPR is established in terms to record
                                                           Service Access and       data on incidents of child abuse and neglect and to track
                                                           Service Quality          children’s movement through the services system.
                                                           Computerised CPRs        All the following conditions must be fulfilled within a time
                                                           are established at       frame set by the department:
                                                           provincial level.        • Each provincial CPR has the appropriate equipment and
                                                           Reason for use: Each        staff to generate reports from the CPR and alter
                                                           province requires the       contents where necessary;
                                                           CPR for service          • Staff have the appropriate security clearance to generate
                                                           planning and for            reports;
                                                           reporting to national    • Each provincial CPR has the appropriate equipment and
                                                           level.                      staff to generate reports for each district on an annual
                                                           Part B of the register      basis and to generate information on an ad hoc basis for
                                                           is required for             provincial and national government;
                                                           checking childcare       • Each provincial CPR is used for service planning and
                                                           personnel against           budgetary allocations at provincial and district level for
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                                                           perpetrator                 child protective services;
                                                           information.             • Until district offices are functional, the provincial head
                                                           To monitor                  office has sufficient staff to capture forms within one
                                                           compliance with             week of receipt;
                                                           regulations and the      • All security arrangements contained in the CPR manual,
                                                           Children’s Act.             including secure storage space and private space for data
                                                                                       capturers, are in place at head office;
                                                                                    • All provincial offices have the necessary IT in place,
                                                                                       including data lines of sufficient capacity for the task;
                                                                                    • In each province, all head offices provide annual reports to
                                                                                       each district for purposes of service planning at district level.
                                                                                    Measure: The number of provinces that have a fully
                                                                                    functional CPR in place in terms of the above criteria.
                                                                                    Source: National DoSD based on an audit of the CPR in
                                                                                    each province.
                                                                                    Period: Immediately and then every 5 years to monitor
                                                                                    progress.
                                                           Type 4 & 5               Definitions: The CPR is established in terms of the
                                                           Indicators: Service      standard provincial protocol to record data on incidents of
                                                           Access and               child abuse and neglect, and permits tracking of children
                                                           Service Quality          across the country.
                                                           A computerised CPR       Measure: The national CPR is established and receives
                                                           is established and       data regularly (according to the protocol) from all
                                                           operational at           provinces.
                                                           national level.          Source: DoSD
                                                           Reason for use: To       Period: Not applicable
                                                           monitor compliance
                                                           with the Children’s
                                                           Act.


                                                            core indicators for monitoring child abuse and neglect • 473
Policy goal            Indicator and              Definition, measure, period and data source
                                                                reason for use
                                         Ensure that all        Type 5 Indicator:          Definitions: PCPCs are required to be established in each
                                         provinces have co-     Service Quality            province to provide plans for the investigation, prevention
                                         ordinated child        Provincial and             and treatment of child abuse and neglect in terms of
                                         protective services.   district child             policy. Further roles and responsibilities are defined in
                                         Co-ordination of       protection structures      terms of national and provincial policy.
                                         system resources is    and staff are in place:    LCPCs co-ordinate plans for the investigation, prevention
                                         in accordance with     • District child           and treatment of child abuse and neglect at local level.
                                         national and              protection officers     Further roles and responsibilities are defined in terms of
                                         provincial policy         are in place in         national and provincial policy.
                                         frameworks for            every district and      District child protection officers oversee local functions.
                                         prevention of child       have the necessary      Further roles and responsibilities are defined in terms of
                                         abuse, neglect and        staff to fulfil their   national and provincial policy.
                                         exploitation.             functions;              Measures: All apply.
                                                                • Provincial, district     1. A provincial child protective services plan is in place.
                                                                   and local child         2. The PCPC is established and meets at least quarterly
                                                                   protection                 (attendance of each sector should be recorded).
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                                                                   committees in           3. District child protection committees are established in
                                                                   place and                  every district and meet at least quarterly (attendance of
                                                                   operational;               each sector should be recorded).
                                                                • Provincial child         4. The number of districts with child protection officers
                                                                   protection                 and the necessary support staff in posts to support local
                                                                   committee (PCPC)           committees, reporting functions in terms of the CPR, as
                                                                   plans are in place;        well as oversight of all district services (including 24-
                                                                • Local child                 hour services).
                                                                   protection              5. The number of LCPCs established in each district that
                                                                   committee (LCPC)           meets as determined by the district child protection
                                                                   plans are in place;        officer.
                                                                • Local services are       6. The number of districts with child protective services
                                                                   based on PCPC              based on PCPC and LCPC plans.
                                                                   and LCPC plans.         Source: DoSD in each province
                                                                Reason for use: To         Period: Immediately and then every 5 years to monitor
                                                                monitor the extent to      progress.
                                                                which policy is
                                                                implemented and
                                                                whether child
                                                                protective services
                                                                are co-ordinated at
                                                                all levels of service
                                                                provision.




                                         474 • monitoring child well-being
Policy goal         Indicator and             Definition, measure, period and data source
                                                             reason for use
                                         Improve access to   Type 4 Indicator:         Definition: Each social services district in each province
                                         child protective    Service Access            has standardised 24-hour child protective services
                                         services.           Access to a 24-hour       available within one hour’s travel from the child’s place of
                                                             child protection          residence (this principle draws on the ‘golden hour’
                                                             service.                  principle for medical emergency services).
                                                             Reason for use:           Measure: The proportion of DoSD districts that have a 24-
                                                             To monitor the            hour service situated so that all children in the province
                                                             implementation of         would be able to access the service within one hour’s travel
                                                             child protection          time (the measure would be based on the road matrix of
                                                             policy.                   the district).
                                                             Rapid services access     Sources: Provincial DoSDs; district offices.
                                                             is a requirement of       Period: Immediately and then every 5 years to monitor
                                                             child protection          progress.
                                                             policy and necessary
                                                             if the child is to
                                                             receive attention as
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                                                             soon as possible after
                                                             the incident.
                                                             Type 4 Indicator:         Definitions: The FCS is a specialised SAPS unit that,
                                                             Service Access            among other duties, investigates reports of sexual and
                                                             1. Family Violence,       other violent crimes to children and prepares matters for
                                                                Child Protection       criminal prosecution. Staffing should comply with
                                                                and Sexual             departmental caseload norms for this service of less than
                                                                Offences Units         51 cases per officer (see below).
                                                                (FCSs) are             Measures: 1. The number of FCS units established in high-
                                                                established in areas      risk areas for violent crime to and abuse and neglect of
                                                                identified as high        children, as identified by the provincial and district child
                                                                risk for violence to      protection committees in collaboration with SAPS (on
                                                                women and                 the basis of FCS data) and the Department of Social
                                                                children.                 Services and Poverty Alleviation (on the basis of
                                                             2. The units comply          Department of Justice [DoJ] children’s court inquiry
                                                                with recommended          data) – for each DoSD district.
                                                                caseload norms.        2. The number of FCS units that have staffing levels that
                                                             Reason for use: To be        meet the caseload norm.
                                                             able to respond to        Sources: SAPS; DoJ; DoSD in each province.
                                                             areas of greatest need    Note: This practice does not currently exist and could be
                                                             and investigate cases     the responsibility of the PCPCs to implement.
                                                             effectively.              Period: Immediately and then every 5 years to monitor
                                                             To monitor the            progress.
                                                             implementation of
                                                             child protection
                                                             policy, and relevant
                                                             legislation (e.g. the
                                                             Children’s Act).
                                                                                                                                                         ➔


                                                              core indicators for monitoring child abuse and neglect • 475
Policy goal    Indicator and            Definition, measure, period and data source
                                                            reason for use
                                         ➔                  Type 5 Indicator:        Definitions: Norms for social workers working on child
                                                            Service Quality          abuse and neglect cases are not set. A recommended norm
                                                            1. Social worker         is 1:20 for acute cases of abuse (recommended in the draft
                                                               caseloads for child   national policy framework for child abuse and neglect
                                                               abuse and neglect     [DoSD, 2004a]).
                                                               are within the        Norms for FCS officer caseloads are not currently
                                                               norm.                 established. A recommended norm is: 1 officer to 50 cases
                                                            2. FCS officer           (including current investigations and matters before the
                                                               caseloads are         court – based on consultations with FCS staff).
                                                               within the norm.      Measures: 1. Norms are established for social worker and
                                                            3. Precincts are            FCS officer caseloads in each province.
                                                               equipped to deal      2. The proportion of district level social workers in each
                                                               with child abuse at      province with a caseload of less than 21 acute cases of
                                                               all times.               child abuse and/or neglect at any one time.
                                                            Reasons for use: To      3. The proportion of FCS officers in each province who
                                                            monitor resourcing          have a caseload of less than 51 at any one time.
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                                                            on key services for      4. The proportion of precincts in each province that have
                                                            child protective            at least 1 officer trained to deal with child abuse and
                                                            services.                   neglect on duty (or on call) at all times.
                                                            To prevent further       Sources: DoSD in each province; SAPS.
                                                            traumatisation of        Note: These data need to be collected annually by the
                                                            abused children.         relevant department as a normal administrative function.
                                                                                     Period: Annual




                                             476 • monitoring child well-being
Policy goal        Indicator and           Definition, measure, period and data source
                                                            reason for use
                                         Ensure access to   Type 4 Indicator:       Definitions: Sexually abused children who have been
                                         therapeutic        Service Access          raped and who have received Post-Exposure Prophylaxis
                                         services for       Access to therapeutic   (PEP) to prevent HIV transmission.
                                         physically and     services for abused     Physically and sexually abused children who are referred
                                         sexually abused    children.               for psychological therapy (counselling by a social worker,
                                         children.          Reason for use: To      psychologist or psychiatrist) and medical intervention.
                                                            monitor access to       Measures: 1. The number of children in each province
                                                            therapeutic services       who presented at a rape survivor centre as a result of
                                                            for abused children.       sexual assault, in a health department reporting period.
                                                                                    2. The proportion of sexually assaulted children in each
                                                                                       province who presented at a rape survivor centre as a
                                                                                       result of sexual assault, and who received PEP, in a health
                                                                                       department reporting period.
                                                                                    3. The number of children who present at specialist
                                                                                       tertiary trauma units in each province as a result of
                                                                                       physical and sexual abuse in a health department
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                                                                                       reporting period.
                                                                                    4. The number of children who present at specialist
                                                                                       tertiary trauma units in each province as a result of
                                                                                       physical and sexual abuse and who are referred for social
                                                                                       services and/or psychological therapy in a health
                                                                                       department reporting period.
                                                                                    Sources: Primary and secondary facility data: Department
                                                                                    of Health (DoH) (based on data from the clinical forensic
                                                                                    surgeons at rape survivor centres).
                                                                                    Notes: Currently, these data are only stratified by children
                                                                                    <14 years, and all other patients. This stratification should
                                                                                    be altered by the DoH so that all cases <18 can be
                                                                                    counted.
                                                                                    Tertiary data: trauma unit data at tertiary hospitals
                                                                                    This data is only available on request from the relevant
                                                                                    facility. It should be routinely incorporated in the
                                                                                    proposed child protection information unit.
                                                                                    The CPR
                                                                                    The CPR has the capacity to generate relevant medical,
                                                                                    social and psychological
                                                                                    services information. Each provincial CPR should be
                                                                                    assessed to establish whether or not the system is
                                                                                    functioning as it should.
                                                                                    Child abuse and neglect service quality audits could be
                                                                                    conducted for a child abuse and neglect incidence study.
                                                                                    Period: All annual




                                                             core indicators for monitoring child abuse and neglect • 477
Policy goal          Indicator and           Definition, measure, period and data source
                                                              reason for use
                                         Roll out effective   Type 4 & 5              Definition: A separate children’s waiting area should be
                                         child-friendly       Indicators: Service     available for child witnesses at Sexual Offences Courts, and
                                         courts in the DoJ    Access and Service      other criminal courts where children are required to give
                                         as provided for in   Quality                 evidence in cases where they are the complainant.
                                         various Acts, the    Child-friendly courts   Anatomical dolls should be available for child witnesses at
                                         Children’s Act and   in place                Sexual Offences Courts. Closed-circuit television or other
                                         regulations.         Reason for use:         appropriate facilities should be available for child
                                                              Availability of these   witnesses at all courts where children are required to give
                                                              services is likely to   evidence. Intermediary services for child witnesses should
                                                              improve the quality     be available at all courts. Facilities for disabled children
                                                              of child testimony,     should be available at all courts.
                                                              reduce the trauma       The DoJ Policy on Court Services for Children specifies
                                                              of court appearance,    the services that should be provided, as does the Children’s
                                                              and improve the         Act. The Criminal Procedures Act makes provision for
                                                              conviction rate.        intermediary and other services at the presiding officer’s
                                                              To comply with          discretion.
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                                                              Section 42 of the       The criterion is fulfilled if measures 1, 4 and 5 are met
                                                              Children’s Act, which   immediately. Other conditions should be progressively met
                                                              provides guidelines     over a specified period (recommended – 5 years).
                                                              for hearings            Measures: 1. Proportion of courts in each province with
                                                              involving children.        properly equipped waiting areas for child witnesses.
                                                                                      2. Proportion of courts in each province with facilities for
                                                                                         the disabled child witness.
                                                                                      3. Proportion of Sexual Offences Courts in each province
                                                                                         with anatomical dolls available for child abuse cases.
                                                                                      4. Proportion of courts in each province with closed-
                                                                                         circuit television or other equally appropriate facilities.
                                                                                      5. Proportion of courts in each province with
                                                                                         intermediaries.
                                                                                      Source: DoJ
                                                                                      Period: Immediately and then every 5 years to monitor
                                                                                      progress.




                                         478 • monitoring child well-being
Policy goal          Indicator and             Definition, measure, period and data source
                                                              reason for use
                                         Monitor the          Type 1 & 3 Indicators:    Definitions: CSA has two basic elements that must be
                                         incidence of abuse   Child Status and          present to make the classification:
                                         and neglect.         Neighbourhood &           • Sexual activity involving a child;
                                                              Surrounding               • Abusive conditions: the child’s partner has a large age or
                                                              Environment                  maturational advantage over her/him; or is in a position
                                                              Child Sexual Abuse           of authority or is in a caretaking relationship with the
                                                              (CSA) incidence              child; or the activities are carried out against the child
                                                              Household and area           using force or deception.
                                                              risks for sexual abuse.   Household and area risks would be obtained by
                                                              Reason for use: To        stratifications of the data to determine whether or not the
                                                              monitor children’s        abuse occurred in the household or not and in which
                                                              exposure to sexual        social services district it occurred (based on the CPR).
                                                              abuse and to monitor      Two types of CSA should be monitored:
                                                              children’s rights to      Contact abuse: penetration, including penile, digital and
                                                              safety, protection and    object penetration of the vagina, mouth or anus, and non-
                                                              social security.          penetration, including fondling of sexual organs, sexual
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                                                              Identify areas in         kissing, or the child touching sexual parts of a partner’s
                                                              which sexual abuse is     body.
                                                              prevalent.                Non-contact abuse: exhibitionism, voyeurism, exposure to
                                                              To monitor the            pornography, verbal sexual propositions.
                                                              implementation of         All data to be stratified by gender and age (0–17; 0–12;
                                                              child protection          13–17).
                                                              policy.                   Measures: 1. The proportion of children in each province
                                                              Basic requirement of         and in each DoSD district reported to the CPR as
                                                              a CSA surveillance           having been sexually abused in a specific year (no
                                                              system to monitor            duplicate children). Disaggregate by contact and non-
                                                              children’s right to          contact abuse types and by gender. Report per 100 000
                                                              safety and protection        of the population within each age stratification.
                                                              from abuse.               2. The proportion of children in each province and in each
                                                                                           DoSD district reported to the CPR and substantiated as
                                                                                           having been sexually abused in a specific year (no
                                                                                           duplicate children). Disaggregate by contact and non-
                                                                                           contact abuse types and by gender. Report per 100 000
                                                                                           of the population within each age stratification.
                                                                                        3. Proportions of children abused in selected localities
                                                                                           (including the home and the suburb).
                                                                                        Area risks would be obtained by stratifications of the data
                                                                                        to determine whether or not the abuse occurred in the
                                                                                        household or not and in which social services district it
                                                                                        occurred (based on the CPR).
                                                                                        Source: The CPR (if operational)
                                                                                        Note: As the CPR system is not rolled out and functioning
                                                                                        in most areas, a child abuse and neglect incidence study is
                                                                                        urgently required for baseline data.
                                                                                        Period: Annual if the CPR is used; every 10 years if a
                                                                                        surveillance study is used.                                   ➔

                                                               core indicators for monitoring child abuse and neglect • 479
Policy goal    Indicator and    Definition, measure, period and data source
                                                            reason for use
                                         ➔                                   4. Number of children found in need of care due to sexual
                                                                                abuse: record of commissioner’s findings at children’s
                                                                                court inquiries.
                                                                             Source: DoJ records for each children’s court in each
                                                                             province.
                                                                             Period: Annual
                                                                             5. Number of children reported to all FCS units in each
                                                                                province for investigation of CSA stratified by SAPS area
                                                                                (each of the 13 FCS units submits weekly and monthly
                                                                                statistics to its area office).
                                                                             Source: SAPS
                                                                             Period: Annual
                                                                             Note: The anti-rape strategy form can provide statistics
                                                                             on the number of rape cases reported at identified police
                                                                             stations and the number of rape victims referred to the
                                                                             victim support programme; the number of cases referred
Free download from www.hsrcpress.ac.za




                                                                             to court; the number of offenders arrested; and the
                                                                             conviction rate. However, a serious limitation is that none
                                                                             of this information is disaggregated by age and gender. It
                                                                             is therefore not possible to use these data to obtain figures
                                                                             on children unless the system is altered. However, victim
                                                                             empowerment programme statistics, submitted monthly
                                                                             to the provincial social crime office, are disaggregated by
                                                                             age and gender.
                                                                             Age and gender disaggregation is not available in annual
                                                                             SAPS reports or website statistics. The provincial
                                                                             commissioner should provide these data on a routine basis
                                                                             each year to aid service planning in provinces and the
                                                                             districts.                                                    ➔




                                             480 • monitoring child well-being
Policy goal   Indicator and            Definition, measure, period and data source
                                                           reason for use
                                         ➔                 Type 1 & 3               Definition: CPA inflicted on a child by a person who is in
                                                           Indicators: Child        a position of responsibility, trust or power in relation to
                                                           Status and               the child (DoSD, 2004), and reported to the CPR (or based
                                                           Neighbourhood &          on data collected in an incidence study).
                                                           Surrounding              All data to be stratified by gender and age (0–17; 0–12;
                                                           Environment              13–17).
                                                           Child Physical Abuse     Household and area risks would be obtained by
                                                           (CPA) incidence.         stratifications of the data to determine whether or not the
                                                           Household and area       abuse occurred in the household or not and in which
                                                           risks for physical       social services district it occurred (based on the CPR).
                                                           abuse.                   Measures: 1. Proportion of children in each province and
                                                           Reason for use: To          in each district reported to the CPR as having been
                                                           monitor children’s          physically abused in a specific year (no duplicate
                                                           exposure to physical        children). Report per 100 000 of the population within
                                                           abuse and to monitor        each age stratification.
                                                           children’s rights to     2. Proportions of children abused in selected localities
Free download from www.hsrcpress.ac.za




                                                           safety, protection and      (including the home and the suburb).
                                                           social security.         Source: The CPR (if operational)
                                                           Identify areas in        Note: As the CPR system is not rolled out and functioning
                                                           which physical abuse     in most areas, a child abuse and neglect incidence study is
                                                           is prevalent.            urgently required for baseline data.
                                                           To monitor the           Period: Annual if the CPR is used; every 10 years if a
                                                           implementation of        surveillance study is used.
                                                           child protection         3. Number of children found in need of care due to
                                                           policy.                     physical abuse: record of commissioner’s findings at
                                                           Identify areas in           children’s court inquiries.
                                                           which abuse and          Source: DoJ records for each children’s court in the
                                                           neglect is prevalent     province
                                                           for planning             Period: Annual
                                                           purposes.                4. Number of children reported to all FCS units in the
                                                                                       province for investigation of CPA stratified by SAPS area
                                                                                       (each of the 13 FCS units submits weekly and monthly
                                                                                       statistics to its area office).
                                                                                    Source: SAPS
                                                                                    Period: Annual
                                                                                    Note: Age and gender disaggregation is not available in
                                                                                    annual SAPS reports or website statistics. The Department
                                                                                    of Social Services and Poverty Alleviation should request
                                                                                    that these statistics be provided by the provincial
                                                                                    commissioner on a routine basis each year to aid service
                                                                                    planning in the province and the districts.                  ➔




                                                            core indicators for monitoring child abuse and neglect • 481
Policy goal    Indicator and            Definition, measure, period and data source
                                                            reason for use
                                         ➔                  Type 1 & 3               Definitions: 1. Non-circumstantial neglect of a child occurs
                                                            Indicators: Child           when those responsible for the child fail to meet his/her
                                                            Status and                  essential needs despite having the means to do so (DoSD,
                                                            Neighbourhood &             2004a). Household and area risks would be obtained by
                                                            Surrounding                 stratifications of the data to determine whether or not the
                                                            Environment                 abuse occurred in the household and in which social
                                                            1. Non-                     services district it occurred (based on the CPR).
                                                               circumstantial           All data to be stratified by gender and age (0–17; 0–12;
                                                               child neglect            13–17 (with the exception of abandonment).
                                                               incidence.            2. Abandonment is the unlawful and intentional exposure
                                                            2. Child                    and abandonment of an infant in a place or in such
                                                               abandonment.             circumstances that death from exposure is likely to result
                                                            3. Household and            (DoSD, 2004a).
                                                               area risks for        Measures: 1. Proportion of children substantiated as having
                                                               neglect.                 been neglected in the above manner in a specific year
                                                            Reason for use: To          (no duplicate children) as recorded on the CPR (if
Free download from www.hsrcpress.ac.za




                                                            monitor children’s          operational).
                                                            exposure to neglect      2. Number of children under the age of 3 years to have been
                                                            and to monitor              abandoned in a specific year, based on the record of
                                                            children’s rights to        commissioner’s findings at children’s court inquiries.
                                                            safety, protection and   Source: DoJ (for each children’s court in the province)
                                                            social security.         3. Proportions of children abused in selected localities
                                                            Identify areas in           (including the home and the suburb).
                                                            which abuse and          Sources: CPR (not possible at this stage); DoJ (for each
                                                            neglect is prevalent     children’s court in each province).
                                                            for planning             Period: Annual for all types
                                                            purposes.                Notes: As the CPR system is not rolled out and functioning
                                                                                     in most areas at this time, the children’s court data is advised.
                                                                                     A national child abuse and neglect incidence study is urgently
                                                                                     required for baseline data.                                       ➔




                                             482 • monitoring child well-being
Policy goal            Indicator and              Definition, measure, period and data source
                                                                reason for use
                                                                Type 1 & 3                Definition: A children’s court inquiry is held before a
                                                                Indicators: Child         children’s commissioner to determine whether or not an
                                                                Status and                order of court is to be made to protect the child from
                                                                Neighbourhood             abuse and neglect.
                                                                & Surrounding             Measures: 1. Number of children’s court inquiries per
                                                                Environment                  magisterial district in a reporting year.
                                                                Children referred         2. Number of children’s court inquiries in each DoJ
                                                                to a children’s court        district and plotted against the DoSD district in which
                                                                inquiry.                     the court is located. This is a proxy measure of the level
                                                                Children referred            of risk of all forms of abuse in the DoSD district.
                                                                to a children’s court     Source: DoJ (for each children’s court in each province)
                                                                inquiry in each social    Period: Annual
                                                                services district.
                                                                Reason for use:
                                                                Identify areas in
                                                                which abuse and
Free download from www.hsrcpress.ac.za




                                                                neglect are prevalent.
                                         Notes:
                                         1 See also <http://www.statssa.gov.za/census01/html/C2001Deprivation.asp>.
                                         2 UN Study on Violence to Children, <www.crin.org>.




                                                                  core indicators for monitoring child abuse and neglect • 483
Additional indicators
                                         Policy goal           Indicator and           Definition, measure, period and data source
                                                               reason for use
                                         Protect children      Type 1 Indicator:       Definition: A child perpetrator of CSA is <18 years of age
                                         from all forms of     Child Status            and commits a sexual act with a child: i) against the child’s
                                         violence, abuse and   Sexual abuse            will, ii) without the child’s true consent, or iii) in an
                                         neglect.              perpetrated by          aggressive, exploitive, or threatening manner.
                                                               children.               Abusive conditions exist when the perpetrator is at least
                                                               Reason for use: To      3 years older than the victim; the victim is pre-pubertal
                                                               assess the extent to    and the perpetrator is sexually mature.
                                                               which children are      Measures: 1. The proportion of CSA perpetrators <18
                                                               responsible for            years of age on the CPR for each province.
                                                               perpetration of CSA.    2. The proportion of CSA perpetrators <18 years of age on
                                                                                          the CPR where the case has been substantiated (no
                                                                                          duplicate children) for each province.
                                                                                       Source: CPR
                                                                                       3. Proportion of sexual offenders who are <18 years
Free download from www.hsrcpress.ac.za




                                                                                          (diverted and convicted) in each province.
                                                                                       Source: DoJ
                                                                                       Period: Annual for all
                                                                                       Note: As the CPR system is not rolled out and functioning
                                                                                       in most areas, a national child abuse and neglect incidence
                                                                                       study is urgently required for baseline data.
                                         Ensure access to      Type 4 Indicator:       Definition: Abused children who receive medical and
                                         therapeutic           Service Access          psychological services.
                                         services for          Access to therapeutic   Measure: The proportion of abused children who are both
                                         sexually and          services for abused     reported to child protection services and who receive a
                                         physically abused     children.               therapeutic service in each province.
                                         children.             Reason for use: To      Source: To be developed for specific child abuse and
                                                               monitor access to       neglect services quality audits; could be assessed in a
                                                               therapeutic services    national child abuse and neglect incidence study.
                                                               for children in need.   Period: Every 10 years
                                         Ensure access to      Type 4 Indicator:       Definition: Abused children who receive PEP.
                                         HIV/AIDS              Service Access          Measure: The proportion of children in each province
                                         prophylaxis for       Extent of access to     who have been raped and reported to child protection
                                         sexually abused       PEP for sexually        services and who receive PEP.
                                         children.             abused children.        Source: DoH (based on data from the clinical forensic
                                                               Reason for use: To      surgeons at rape survivor centres).
                                                               monitor the child’s     Period: Annual
                                                               right to access to
                                                               PEP.




                                         484 • monitoring child well-being
Policy goal            Indicator and           Definition, measure, period and data source
                                                                reason for use
                                         Goals for court       Type 5 Indicator:        Definition: Finalisation refers to the closure of the case
                                         case finalisation set Service Quality          following investigation and court findings (where
                                         by the DoJ are met. Timeous processing         applicable).
                                                               of criminal cases        Measure: The proportion of new cases in each province
                                                               involving child abuse.   finalised within 6 months.
                                                               Reason for use: To       Source: DoJ. To be developed for specific child abuse and
                                                               monitor the efficacy     neglect services quality audits.
                                                               of the justice system    Period: Every 5 years
                                                               in matters affecting
                                                               abused and neglected
                                                               children.
                                                               Cases that endure for
                                                               long periods cause
                                                               distress to children
                                                               and families; they are
                                                               more susceptible to
Free download from www.hsrcpress.ac.za




                                                               intimidation by
                                                               perpetrators.
                                         Conduct a national     Type 5 Indicator:       It is recommended that a study along the lines of the
                                         child abuse and        Service Quality         Canadian National Incidence Study of child abuse and
                                         neglect incidence      The national DoSD       neglect be undertaken.
                                         study in order         has commissioned a      The study should include an investigation of:
                                         to establish           national incidence      • Failure to supervise or protect leading to physical harm;
                                         baseline data on       and service quality     • Physical neglect;
                                         substantiated child    audit.                  • Failure to thrive;
                                         abuse and neglect,     Reason for use: In      • Medical neglect (including mental health neglect);
                                         as well as a service   order to provide        • Educational neglect;
                                         audit to monitor       more accurate           • Emotional neglect;
                                         all social work,       incidence data than     The study should evaluate access to and quality of social
                                         police and judicial    presently available     work, police and judicial services for affected children.
                                         services for           and to track            Period: Every 10 years
                                         affected children.     incidence over time;
                                                                to provide data on
                                                                case loads, service
                                                                levels, and to inform
                                                                service planning.




                                                       additional indicators for monitoring child abuse and neglect • 485
Policy goal           Indicator and            Definition, measure, period and data source
                                                               reason for use
                                         Protect children      Type 2 Indicator:        Definition: Children in households in which parents who
                                         from all forms of     Family & Household       participated in a survey admitted to partner violence in
                                         violence, abuse and   Environment              the past year.
                                         neglect in the        Exposure to domestic     Measure: The proportion of parents with children at
                                         home.                 violence                 home, who admitted to perpetrating or being victims of
                                         Strengthen families   Reason for use: To       partner violence in the past year (the number of children
                                         in need of support.   monitor the extent of    in the household should be used to indicate the probable
                                                               children’s exposure to   numbers of children in each province likely to be exposed
                                                               domestic violence.       to domestic violence).
                                                                                        Sources: Human Sciences Research Council (HSRC) South
                                                                                        African Social Attitudes Survey (SASAS) (most recent
                                                                                        2003); other partner violence surveys that may be
                                                                                        available.
                                                                                        Alternatively, a retrospective survey of adults on their
                                                                                        childhood experiences using measures designed for the
                                                                                        UN Study on Violence to Children (see endnote 2 above),
Free download from www.hsrcpress.ac.za




                                                                                        or another reliable violence exposure measure.
                                                                                        Period: Every 5 years if feasible.

                                                               Type 1 Indicator:        Definitions: 1. Adults who report being smacked or beaten
                                                               Child Status                at home in childhood in a retrospective survey (using
                                                               Children exposed to         measures designed for the UN Study on Violence to
                                                               physical punishment         Children or another reliable violence exposure
                                                               at home.                    measure).
                                                               Type 2 Indicator:        2. Children who report being smacked or beaten at home
                                                               Family & Household          (using measures designed for the UN Study on Violence
                                                               Environment                 to Children or another reliable violence exposure
                                                               Caregivers who              measure).
                                                               approve of physical      3. The proportion of adults, with children, who i) support
                                                               punishment.                 the use of physical punishment at home, and ii) use
                                                               Caregivers who use          physical punishment.
                                                               physical punishment.     Measures: 1.&2. The proportion of children who report
                                                               Reason for use: To          being smacked or beaten at home (child or adult
                                                               monitor the extent of       retrospective survey).
                                                               children’s exposure to   3. The proportion of adults with children who i) support
                                                               domestic violence.          the use of physical punishment at home, and ii) use
                                                                                           physical punishment.
                                                                                        Sources: Adult attitudes and behaviour: HSRC SASAS
                                                                                        (most recent 2003); children and retrospective reports:
                                                                                        specific studies such as the UN study (not available for
                                                                                        South Africa).
                                                                                        Period: Every 5 years if feasible; a baseline children’s study
                                                                                        is needed as no representative data currently exist.




                                         486 • monitoring child well-being

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Indicators For Monitoring Child Abuse And Neglect

  • 1. Indicators for monitoring child abuse and neglect Core indicators Policy goal Indicator and Definition, measure, period and data source reason for use Reduce the Type 1 Indicator: Definition & Measure: Proportion of children in number of Child Status households experiencing the following: children living in Child poverty • Living in a household that has a household equivalent poverty. Reason for use: Child income below R10 189 per annum (2006 value); poverty is associated • Living in a household without a refrigerator; with the widest range • Living in a household with neither a TV nor a radio. of insults to child Sources: Census and other household surveys (Statistics survival, health and South Africa); provincial poverty data. Free download from www.hsrcpress.ac.za development. Period: Every 10 years Appropriate for Notes: This measure is used in the Provincial Indices of national and Multiple Deprivation (PIMD) developed by Noble, Babita international et al. (2006). See Chapter 3 in this volume.1 reporting: State of A PIMD for children (PIMDC) will be available once this the World’s Children; volume is published and should be seriously considered Millennium for these purposes as it will permit description of areas Development Goals. below provincial level and will take into account a range of deprivations experienced by children in poverty. Protect children Type 1 & 3 Definition: Violent crimes to children as defined in the from all forms of Indicators: Child Common Law and other Statutes: murder, common violence, abuse and Status and assault, assault with intent to do grievous bodily harm and neglect, and make Neighbourhood & ill-treatment of a child reported to the South African neighbourhoods Surrounding Police Services (SAPS). safe for children. Environment Stratify by gender and age (0–17; 0–12; 13–17). Children’s Measures: The proportion of children in each province vulnerability to and in each SAPS zone and precinct who are victims of all violent crime. violent crime (treated per crime category and as a total Neighbourhood score based on the sum across all crime categories) per vulnerability of year. children. Source: SAPS Reason for use: Period: Annual Identify areas in Note: Age and gender disaggregation is not available in which the risk is annual SAPS reports or website statistics. These statistics high. should be provided by the provincial commissioner on a To monitor children’s routine basis each year to aid service planning in the exposure to violent province and the districts. crime and monitor children’s rights to safety and protection. ➔ core indicators for monitoring child abuse and neglect • 469
  • 2. Policy goal Indicator and Definition, measure, period and data source reason for use ➔ Type 1 & 3 Definitions: 1. Kidnapping: Use the SAPS definition in Indicators: Child terms of the relevant Statutes; only count children Status and (adults may also be kidnapped). Neighbourhood & 2. Abduction: Use the SAPS definition in terms of the Surrounding relevant statutes (only children may be classified as Environment having been abducted in terms of the law). Abducted, kidnapped 3. Missing children: Reports of missing children to each and missing children. SAPS precinct who are not recovered within 48 hours Neighbourhood and for whom a case of kidnapping or abduction has vulnerability of not been opened. children. Stratify all by gender and age. Reason for use: To Measure: The proportion of children who are victims of monitor areas to abduction and kidnapping in each province and in each establish the risk of SAPS zone and precinct per year. kidnapping and Source: SAPS abduction of children Period: Annual Free download from www.hsrcpress.ac.za (and also missing Note: Age and gender disaggregation is not available in children). annual SAPS reports or website statistics. These statistics To monitor children’s should be provided by the provincial commissioner on a rights to safety and routine basis each year to aid service planning in the protection. province and the districts. Identify areas in which the risk is high. Type 1 & 3 Indicators: Definition: Sexual crimes to children as defined in the Child Status and Common Law and other statutes: indecent assault, rape, Neighbourhood & ‘statutory rape’, attempted rape, exposure to pornography, Surrounding and commercial sexual exploitation reported to the SAPS. Environment Stratify by gender and age (0–17; 0–12; 13–17). Children’s Measure: The proportion of children in each province and vulnerability to in each SAPS zone and precinct who are victims of sexual sexual crime. crimes (per sexual crime category and as a total score Neighbourhood based on the sum across all sexual crime categories) per vulnerability of year. children. Source: SAPS Reason for use: Period: Annual Identify areas in Note: Age and gender disaggregation is not available in which the risk is high. annual SAPS reports or website statistics. These statistics To monitor children’s should be provided by the provincial commissioner on a exposure to sexual routine basis each year to aid service planning in the assault. province and the districts. To monitor children’s rights to safety and protection. 470 • monitoring child well-being
  • 3. Policy goal Indicator and Definition, measure, period and data source reason for use Make schools safe Type 1 Indicator: Definition: Acts of physical and sexual violence (including for children. Child Status bullying) on a learner (by another learner or an educator) Monitor the 1. Learner-on-learner while under the jurisdiction of the school. incidence of violence and sexual All data to be stratified by gender and age (<13 years and violence in schools. abuse. >13 years). 2. Educator-on- Note: These data are likely to be very coarse given learner violence problems with reporting and variations in disciplinary and sexual abuse. procedures across the country. Further, in the case of Type 5 Indicator: educator-on-learner abuse, none of the data below are Service Quality likely to be an accurate reflection of the situation. Reasons for use: To Measure 1: The proportion of learners in each province monitor children’s and in each Education Management Development Centre exposure to violence district who are disciplined by their school for violence to by other children at another learner in a reporting year. school. To monitor Source: Provincial departments of education (DoEs) children’s exposure to Period: Annual Free download from www.hsrcpress.ac.za violence by educators Measure 2: The proportion of learners in each province at school. who report physical and sexual violence (including To monitor children’s bullying) by a learner while under the jurisdiction of the rights to safety and school using measures designed for the UN Study on protection – bullying Violence to Children,2 or another reliable violence is a form of abuse in exposure measure. the Children’s Act. Source: Current sources are academic studies only; survey Monitor needed. implementation of Period: Every 5 years the Schools Act (No. Measure 3: The proportion of learners in each province 56 of 1996). who call a Safe Schools call centre and allege physical and sexual abuse and the unlawful administration of corporal punishment in school. Source: Safe Schools programmes in each province (DoE) Period: Annual Measure 4: Educators in each province disciplined for assaults on learners. Source: Labour Relations data (DoE) Period: Annual Measure 5: The proportion of learners in each province who report physical and sexual abuse and the unlawful administration of corporal punishment in a specific victim survey using measures designed for the UN Study on Violence to children (see endnote 2), or another reliable violence exposure measure. Source: Current sources are academic studies only. Period: Surveys required every 5 years. core indicators for monitoring child abuse and neglect • 471
  • 4. Policy goal Indicator and Definition, measure, period and data source reason for use Establish child Type 4 & 5 Definitions: The CPR is established in terms of the protection Indicators: Service Regulations to the Child Care Act (No. 74 of 1983) and the information Access and new Children’s Act to record data on incidents of child systems in Service Quality abuse and neglect and to track children’s movement compliance with Computerised Child through the services system. policy. Protection Registers All the following conditions must be fulfilled within a time (CPRs) are frame set by the department: established and are • Reporters and districts use the same form to capture functioning at district cases (as prescribed in the regulations), are trained in its level in each use, and receive annual feedback from district offices on province. how the data are used; Reason for use: • Forms used by services and district staff include the Provincial level CPR definitions of abuse and neglect categories listed in the systems require CPR manual; sound district level • Districts have the appropriate training, support, CPR functioning and equipment and staff to enter CPR data; Free download from www.hsrcpress.ac.za data collection in • Raw data for the CPR are no longer sent to head office terms of policy. for capture; • Online system functions so that data captured at district To monitor level is available to head office; compliance with the • All district CPR systems must receive reports from CPR manual and the children’s courts, welfare services, SAPS and other Children’s Act. relevant sources to update the register on a regular basis; • All cases, substantiated or otherwise, must be entered (CPR manual must be followed); • All cases that are not substantiated must be removed (Parts A & B); • Data from service providers in the district are captured regularly on the district CPR; • Data from the district CPR are used for protective services planning at district level; • Districts have access to the CPR manual; cases are recorded accurately in terms of the definitions of abuse contained in the manual; • Districts have dedicated data capture staff sufficient to process forms within one week; • Security arrangements for storage and data capture are in place; • All districts have the necessary Information Technology (IT) in place (data lines of sufficient capacity for the task). Measure: The proportion of districts in each province that have a fully functional CPR in place in terms of the above criteria. Source: Provincial Departments of Social Development (DoSDs) based on an audit of the CPR in each district. Period: Immediately and then every 5 years to monitor progress. ➔ 472 • monitoring child well-being
  • 5. Policy goal Indicator and Definition, measure, period and data source reason for use ➔ Type 4 & 5 Indicators: Definitions: The CPR is established in terms to record Service Access and data on incidents of child abuse and neglect and to track Service Quality children’s movement through the services system. Computerised CPRs All the following conditions must be fulfilled within a time are established at frame set by the department: provincial level. • Each provincial CPR has the appropriate equipment and Reason for use: Each staff to generate reports from the CPR and alter province requires the contents where necessary; CPR for service • Staff have the appropriate security clearance to generate planning and for reports; reporting to national • Each provincial CPR has the appropriate equipment and level. staff to generate reports for each district on an annual Part B of the register basis and to generate information on an ad hoc basis for is required for provincial and national government; checking childcare • Each provincial CPR is used for service planning and personnel against budgetary allocations at provincial and district level for Free download from www.hsrcpress.ac.za perpetrator child protective services; information. • Until district offices are functional, the provincial head To monitor office has sufficient staff to capture forms within one compliance with week of receipt; regulations and the • All security arrangements contained in the CPR manual, Children’s Act. including secure storage space and private space for data capturers, are in place at head office; • All provincial offices have the necessary IT in place, including data lines of sufficient capacity for the task; • In each province, all head offices provide annual reports to each district for purposes of service planning at district level. Measure: The number of provinces that have a fully functional CPR in place in terms of the above criteria. Source: National DoSD based on an audit of the CPR in each province. Period: Immediately and then every 5 years to monitor progress. Type 4 & 5 Definitions: The CPR is established in terms of the Indicators: Service standard provincial protocol to record data on incidents of Access and child abuse and neglect, and permits tracking of children Service Quality across the country. A computerised CPR Measure: The national CPR is established and receives is established and data regularly (according to the protocol) from all operational at provinces. national level. Source: DoSD Reason for use: To Period: Not applicable monitor compliance with the Children’s Act. core indicators for monitoring child abuse and neglect • 473
  • 6. Policy goal Indicator and Definition, measure, period and data source reason for use Ensure that all Type 5 Indicator: Definitions: PCPCs are required to be established in each provinces have co- Service Quality province to provide plans for the investigation, prevention ordinated child Provincial and and treatment of child abuse and neglect in terms of protective services. district child policy. Further roles and responsibilities are defined in Co-ordination of protection structures terms of national and provincial policy. system resources is and staff are in place: LCPCs co-ordinate plans for the investigation, prevention in accordance with • District child and treatment of child abuse and neglect at local level. national and protection officers Further roles and responsibilities are defined in terms of provincial policy are in place in national and provincial policy. frameworks for every district and District child protection officers oversee local functions. prevention of child have the necessary Further roles and responsibilities are defined in terms of abuse, neglect and staff to fulfil their national and provincial policy. exploitation. functions; Measures: All apply. • Provincial, district 1. A provincial child protective services plan is in place. and local child 2. The PCPC is established and meets at least quarterly protection (attendance of each sector should be recorded). Free download from www.hsrcpress.ac.za committees in 3. District child protection committees are established in place and every district and meet at least quarterly (attendance of operational; each sector should be recorded). • Provincial child 4. The number of districts with child protection officers protection and the necessary support staff in posts to support local committee (PCPC) committees, reporting functions in terms of the CPR, as plans are in place; well as oversight of all district services (including 24- • Local child hour services). protection 5. The number of LCPCs established in each district that committee (LCPC) meets as determined by the district child protection plans are in place; officer. • Local services are 6. The number of districts with child protective services based on PCPC based on PCPC and LCPC plans. and LCPC plans. Source: DoSD in each province Reason for use: To Period: Immediately and then every 5 years to monitor monitor the extent to progress. which policy is implemented and whether child protective services are co-ordinated at all levels of service provision. 474 • monitoring child well-being
  • 7. Policy goal Indicator and Definition, measure, period and data source reason for use Improve access to Type 4 Indicator: Definition: Each social services district in each province child protective Service Access has standardised 24-hour child protective services services. Access to a 24-hour available within one hour’s travel from the child’s place of child protection residence (this principle draws on the ‘golden hour’ service. principle for medical emergency services). Reason for use: Measure: The proportion of DoSD districts that have a 24- To monitor the hour service situated so that all children in the province implementation of would be able to access the service within one hour’s travel child protection time (the measure would be based on the road matrix of policy. the district). Rapid services access Sources: Provincial DoSDs; district offices. is a requirement of Period: Immediately and then every 5 years to monitor child protection progress. policy and necessary if the child is to receive attention as Free download from www.hsrcpress.ac.za soon as possible after the incident. Type 4 Indicator: Definitions: The FCS is a specialised SAPS unit that, Service Access among other duties, investigates reports of sexual and 1. Family Violence, other violent crimes to children and prepares matters for Child Protection criminal prosecution. Staffing should comply with and Sexual departmental caseload norms for this service of less than Offences Units 51 cases per officer (see below). (FCSs) are Measures: 1. The number of FCS units established in high- established in areas risk areas for violent crime to and abuse and neglect of identified as high children, as identified by the provincial and district child risk for violence to protection committees in collaboration with SAPS (on women and the basis of FCS data) and the Department of Social children. Services and Poverty Alleviation (on the basis of 2. The units comply Department of Justice [DoJ] children’s court inquiry with recommended data) – for each DoSD district. caseload norms. 2. The number of FCS units that have staffing levels that Reason for use: To be meet the caseload norm. able to respond to Sources: SAPS; DoJ; DoSD in each province. areas of greatest need Note: This practice does not currently exist and could be and investigate cases the responsibility of the PCPCs to implement. effectively. Period: Immediately and then every 5 years to monitor To monitor the progress. implementation of child protection policy, and relevant legislation (e.g. the Children’s Act). ➔ core indicators for monitoring child abuse and neglect • 475
  • 8. Policy goal Indicator and Definition, measure, period and data source reason for use ➔ Type 5 Indicator: Definitions: Norms for social workers working on child Service Quality abuse and neglect cases are not set. A recommended norm 1. Social worker is 1:20 for acute cases of abuse (recommended in the draft caseloads for child national policy framework for child abuse and neglect abuse and neglect [DoSD, 2004a]). are within the Norms for FCS officer caseloads are not currently norm. established. A recommended norm is: 1 officer to 50 cases 2. FCS officer (including current investigations and matters before the caseloads are court – based on consultations with FCS staff). within the norm. Measures: 1. Norms are established for social worker and 3. Precincts are FCS officer caseloads in each province. equipped to deal 2. The proportion of district level social workers in each with child abuse at province with a caseload of less than 21 acute cases of all times. child abuse and/or neglect at any one time. Reasons for use: To 3. The proportion of FCS officers in each province who monitor resourcing have a caseload of less than 51 at any one time. Free download from www.hsrcpress.ac.za on key services for 4. The proportion of precincts in each province that have child protective at least 1 officer trained to deal with child abuse and services. neglect on duty (or on call) at all times. To prevent further Sources: DoSD in each province; SAPS. traumatisation of Note: These data need to be collected annually by the abused children. relevant department as a normal administrative function. Period: Annual 476 • monitoring child well-being
  • 9. Policy goal Indicator and Definition, measure, period and data source reason for use Ensure access to Type 4 Indicator: Definitions: Sexually abused children who have been therapeutic Service Access raped and who have received Post-Exposure Prophylaxis services for Access to therapeutic (PEP) to prevent HIV transmission. physically and services for abused Physically and sexually abused children who are referred sexually abused children. for psychological therapy (counselling by a social worker, children. Reason for use: To psychologist or psychiatrist) and medical intervention. monitor access to Measures: 1. The number of children in each province therapeutic services who presented at a rape survivor centre as a result of for abused children. sexual assault, in a health department reporting period. 2. The proportion of sexually assaulted children in each province who presented at a rape survivor centre as a result of sexual assault, and who received PEP, in a health department reporting period. 3. The number of children who present at specialist tertiary trauma units in each province as a result of physical and sexual abuse in a health department Free download from www.hsrcpress.ac.za reporting period. 4. The number of children who present at specialist tertiary trauma units in each province as a result of physical and sexual abuse and who are referred for social services and/or psychological therapy in a health department reporting period. Sources: Primary and secondary facility data: Department of Health (DoH) (based on data from the clinical forensic surgeons at rape survivor centres). Notes: Currently, these data are only stratified by children <14 years, and all other patients. This stratification should be altered by the DoH so that all cases <18 can be counted. Tertiary data: trauma unit data at tertiary hospitals This data is only available on request from the relevant facility. It should be routinely incorporated in the proposed child protection information unit. The CPR The CPR has the capacity to generate relevant medical, social and psychological services information. Each provincial CPR should be assessed to establish whether or not the system is functioning as it should. Child abuse and neglect service quality audits could be conducted for a child abuse and neglect incidence study. Period: All annual core indicators for monitoring child abuse and neglect • 477
  • 10. Policy goal Indicator and Definition, measure, period and data source reason for use Roll out effective Type 4 & 5 Definition: A separate children’s waiting area should be child-friendly Indicators: Service available for child witnesses at Sexual Offences Courts, and courts in the DoJ Access and Service other criminal courts where children are required to give as provided for in Quality evidence in cases where they are the complainant. various Acts, the Child-friendly courts Anatomical dolls should be available for child witnesses at Children’s Act and in place Sexual Offences Courts. Closed-circuit television or other regulations. Reason for use: appropriate facilities should be available for child Availability of these witnesses at all courts where children are required to give services is likely to evidence. Intermediary services for child witnesses should improve the quality be available at all courts. Facilities for disabled children of child testimony, should be available at all courts. reduce the trauma The DoJ Policy on Court Services for Children specifies of court appearance, the services that should be provided, as does the Children’s and improve the Act. The Criminal Procedures Act makes provision for conviction rate. intermediary and other services at the presiding officer’s To comply with discretion. Free download from www.hsrcpress.ac.za Section 42 of the The criterion is fulfilled if measures 1, 4 and 5 are met Children’s Act, which immediately. Other conditions should be progressively met provides guidelines over a specified period (recommended – 5 years). for hearings Measures: 1. Proportion of courts in each province with involving children. properly equipped waiting areas for child witnesses. 2. Proportion of courts in each province with facilities for the disabled child witness. 3. Proportion of Sexual Offences Courts in each province with anatomical dolls available for child abuse cases. 4. Proportion of courts in each province with closed- circuit television or other equally appropriate facilities. 5. Proportion of courts in each province with intermediaries. Source: DoJ Period: Immediately and then every 5 years to monitor progress. 478 • monitoring child well-being
  • 11. Policy goal Indicator and Definition, measure, period and data source reason for use Monitor the Type 1 & 3 Indicators: Definitions: CSA has two basic elements that must be incidence of abuse Child Status and present to make the classification: and neglect. Neighbourhood & • Sexual activity involving a child; Surrounding • Abusive conditions: the child’s partner has a large age or Environment maturational advantage over her/him; or is in a position Child Sexual Abuse of authority or is in a caretaking relationship with the (CSA) incidence child; or the activities are carried out against the child Household and area using force or deception. risks for sexual abuse. Household and area risks would be obtained by Reason for use: To stratifications of the data to determine whether or not the monitor children’s abuse occurred in the household or not and in which exposure to sexual social services district it occurred (based on the CPR). abuse and to monitor Two types of CSA should be monitored: children’s rights to Contact abuse: penetration, including penile, digital and safety, protection and object penetration of the vagina, mouth or anus, and non- social security. penetration, including fondling of sexual organs, sexual Free download from www.hsrcpress.ac.za Identify areas in kissing, or the child touching sexual parts of a partner’s which sexual abuse is body. prevalent. Non-contact abuse: exhibitionism, voyeurism, exposure to To monitor the pornography, verbal sexual propositions. implementation of All data to be stratified by gender and age (0–17; 0–12; child protection 13–17). policy. Measures: 1. The proportion of children in each province Basic requirement of and in each DoSD district reported to the CPR as a CSA surveillance having been sexually abused in a specific year (no system to monitor duplicate children). Disaggregate by contact and non- children’s right to contact abuse types and by gender. Report per 100 000 safety and protection of the population within each age stratification. from abuse. 2. The proportion of children in each province and in each DoSD district reported to the CPR and substantiated as having been sexually abused in a specific year (no duplicate children). Disaggregate by contact and non- contact abuse types and by gender. Report per 100 000 of the population within each age stratification. 3. Proportions of children abused in selected localities (including the home and the suburb). Area risks would be obtained by stratifications of the data to determine whether or not the abuse occurred in the household or not and in which social services district it occurred (based on the CPR). Source: The CPR (if operational) Note: As the CPR system is not rolled out and functioning in most areas, a child abuse and neglect incidence study is urgently required for baseline data. Period: Annual if the CPR is used; every 10 years if a surveillance study is used. ➔ core indicators for monitoring child abuse and neglect • 479
  • 12. Policy goal Indicator and Definition, measure, period and data source reason for use ➔ 4. Number of children found in need of care due to sexual abuse: record of commissioner’s findings at children’s court inquiries. Source: DoJ records for each children’s court in each province. Period: Annual 5. Number of children reported to all FCS units in each province for investigation of CSA stratified by SAPS area (each of the 13 FCS units submits weekly and monthly statistics to its area office). Source: SAPS Period: Annual Note: The anti-rape strategy form can provide statistics on the number of rape cases reported at identified police stations and the number of rape victims referred to the victim support programme; the number of cases referred Free download from www.hsrcpress.ac.za to court; the number of offenders arrested; and the conviction rate. However, a serious limitation is that none of this information is disaggregated by age and gender. It is therefore not possible to use these data to obtain figures on children unless the system is altered. However, victim empowerment programme statistics, submitted monthly to the provincial social crime office, are disaggregated by age and gender. Age and gender disaggregation is not available in annual SAPS reports or website statistics. The provincial commissioner should provide these data on a routine basis each year to aid service planning in provinces and the districts. ➔ 480 • monitoring child well-being
  • 13. Policy goal Indicator and Definition, measure, period and data source reason for use ➔ Type 1 & 3 Definition: CPA inflicted on a child by a person who is in Indicators: Child a position of responsibility, trust or power in relation to Status and the child (DoSD, 2004), and reported to the CPR (or based Neighbourhood & on data collected in an incidence study). Surrounding All data to be stratified by gender and age (0–17; 0–12; Environment 13–17). Child Physical Abuse Household and area risks would be obtained by (CPA) incidence. stratifications of the data to determine whether or not the Household and area abuse occurred in the household or not and in which risks for physical social services district it occurred (based on the CPR). abuse. Measures: 1. Proportion of children in each province and Reason for use: To in each district reported to the CPR as having been monitor children’s physically abused in a specific year (no duplicate exposure to physical children). Report per 100 000 of the population within abuse and to monitor each age stratification. children’s rights to 2. Proportions of children abused in selected localities Free download from www.hsrcpress.ac.za safety, protection and (including the home and the suburb). social security. Source: The CPR (if operational) Identify areas in Note: As the CPR system is not rolled out and functioning which physical abuse in most areas, a child abuse and neglect incidence study is is prevalent. urgently required for baseline data. To monitor the Period: Annual if the CPR is used; every 10 years if a implementation of surveillance study is used. child protection 3. Number of children found in need of care due to policy. physical abuse: record of commissioner’s findings at Identify areas in children’s court inquiries. which abuse and Source: DoJ records for each children’s court in the neglect is prevalent province for planning Period: Annual purposes. 4. Number of children reported to all FCS units in the province for investigation of CPA stratified by SAPS area (each of the 13 FCS units submits weekly and monthly statistics to its area office). Source: SAPS Period: Annual Note: Age and gender disaggregation is not available in annual SAPS reports or website statistics. The Department of Social Services and Poverty Alleviation should request that these statistics be provided by the provincial commissioner on a routine basis each year to aid service planning in the province and the districts. ➔ core indicators for monitoring child abuse and neglect • 481
  • 14. Policy goal Indicator and Definition, measure, period and data source reason for use ➔ Type 1 & 3 Definitions: 1. Non-circumstantial neglect of a child occurs Indicators: Child when those responsible for the child fail to meet his/her Status and essential needs despite having the means to do so (DoSD, Neighbourhood & 2004a). Household and area risks would be obtained by Surrounding stratifications of the data to determine whether or not the Environment abuse occurred in the household and in which social 1. Non- services district it occurred (based on the CPR). circumstantial All data to be stratified by gender and age (0–17; 0–12; child neglect 13–17 (with the exception of abandonment). incidence. 2. Abandonment is the unlawful and intentional exposure 2. Child and abandonment of an infant in a place or in such abandonment. circumstances that death from exposure is likely to result 3. Household and (DoSD, 2004a). area risks for Measures: 1. Proportion of children substantiated as having neglect. been neglected in the above manner in a specific year Reason for use: To (no duplicate children) as recorded on the CPR (if Free download from www.hsrcpress.ac.za monitor children’s operational). exposure to neglect 2. Number of children under the age of 3 years to have been and to monitor abandoned in a specific year, based on the record of children’s rights to commissioner’s findings at children’s court inquiries. safety, protection and Source: DoJ (for each children’s court in the province) social security. 3. Proportions of children abused in selected localities Identify areas in (including the home and the suburb). which abuse and Sources: CPR (not possible at this stage); DoJ (for each neglect is prevalent children’s court in each province). for planning Period: Annual for all types purposes. Notes: As the CPR system is not rolled out and functioning in most areas at this time, the children’s court data is advised. A national child abuse and neglect incidence study is urgently required for baseline data. ➔ 482 • monitoring child well-being
  • 15. Policy goal Indicator and Definition, measure, period and data source reason for use Type 1 & 3 Definition: A children’s court inquiry is held before a Indicators: Child children’s commissioner to determine whether or not an Status and order of court is to be made to protect the child from Neighbourhood abuse and neglect. & Surrounding Measures: 1. Number of children’s court inquiries per Environment magisterial district in a reporting year. Children referred 2. Number of children’s court inquiries in each DoJ to a children’s court district and plotted against the DoSD district in which inquiry. the court is located. This is a proxy measure of the level Children referred of risk of all forms of abuse in the DoSD district. to a children’s court Source: DoJ (for each children’s court in each province) inquiry in each social Period: Annual services district. Reason for use: Identify areas in which abuse and Free download from www.hsrcpress.ac.za neglect are prevalent. Notes: 1 See also <http://www.statssa.gov.za/census01/html/C2001Deprivation.asp>. 2 UN Study on Violence to Children, <www.crin.org>. core indicators for monitoring child abuse and neglect • 483
  • 16. Additional indicators Policy goal Indicator and Definition, measure, period and data source reason for use Protect children Type 1 Indicator: Definition: A child perpetrator of CSA is <18 years of age from all forms of Child Status and commits a sexual act with a child: i) against the child’s violence, abuse and Sexual abuse will, ii) without the child’s true consent, or iii) in an neglect. perpetrated by aggressive, exploitive, or threatening manner. children. Abusive conditions exist when the perpetrator is at least Reason for use: To 3 years older than the victim; the victim is pre-pubertal assess the extent to and the perpetrator is sexually mature. which children are Measures: 1. The proportion of CSA perpetrators <18 responsible for years of age on the CPR for each province. perpetration of CSA. 2. The proportion of CSA perpetrators <18 years of age on the CPR where the case has been substantiated (no duplicate children) for each province. Source: CPR 3. Proportion of sexual offenders who are <18 years Free download from www.hsrcpress.ac.za (diverted and convicted) in each province. Source: DoJ Period: Annual for all Note: As the CPR system is not rolled out and functioning in most areas, a national child abuse and neglect incidence study is urgently required for baseline data. Ensure access to Type 4 Indicator: Definition: Abused children who receive medical and therapeutic Service Access psychological services. services for Access to therapeutic Measure: The proportion of abused children who are both sexually and services for abused reported to child protection services and who receive a physically abused children. therapeutic service in each province. children. Reason for use: To Source: To be developed for specific child abuse and monitor access to neglect services quality audits; could be assessed in a therapeutic services national child abuse and neglect incidence study. for children in need. Period: Every 10 years Ensure access to Type 4 Indicator: Definition: Abused children who receive PEP. HIV/AIDS Service Access Measure: The proportion of children in each province prophylaxis for Extent of access to who have been raped and reported to child protection sexually abused PEP for sexually services and who receive PEP. children. abused children. Source: DoH (based on data from the clinical forensic Reason for use: To surgeons at rape survivor centres). monitor the child’s Period: Annual right to access to PEP. 484 • monitoring child well-being
  • 17. Policy goal Indicator and Definition, measure, period and data source reason for use Goals for court Type 5 Indicator: Definition: Finalisation refers to the closure of the case case finalisation set Service Quality following investigation and court findings (where by the DoJ are met. Timeous processing applicable). of criminal cases Measure: The proportion of new cases in each province involving child abuse. finalised within 6 months. Reason for use: To Source: DoJ. To be developed for specific child abuse and monitor the efficacy neglect services quality audits. of the justice system Period: Every 5 years in matters affecting abused and neglected children. Cases that endure for long periods cause distress to children and families; they are more susceptible to Free download from www.hsrcpress.ac.za intimidation by perpetrators. Conduct a national Type 5 Indicator: It is recommended that a study along the lines of the child abuse and Service Quality Canadian National Incidence Study of child abuse and neglect incidence The national DoSD neglect be undertaken. study in order has commissioned a The study should include an investigation of: to establish national incidence • Failure to supervise or protect leading to physical harm; baseline data on and service quality • Physical neglect; substantiated child audit. • Failure to thrive; abuse and neglect, Reason for use: In • Medical neglect (including mental health neglect); as well as a service order to provide • Educational neglect; audit to monitor more accurate • Emotional neglect; all social work, incidence data than The study should evaluate access to and quality of social police and judicial presently available work, police and judicial services for affected children. services for and to track Period: Every 10 years affected children. incidence over time; to provide data on case loads, service levels, and to inform service planning. additional indicators for monitoring child abuse and neglect • 485
  • 18. Policy goal Indicator and Definition, measure, period and data source reason for use Protect children Type 2 Indicator: Definition: Children in households in which parents who from all forms of Family & Household participated in a survey admitted to partner violence in violence, abuse and Environment the past year. neglect in the Exposure to domestic Measure: The proportion of parents with children at home. violence home, who admitted to perpetrating or being victims of Strengthen families Reason for use: To partner violence in the past year (the number of children in need of support. monitor the extent of in the household should be used to indicate the probable children’s exposure to numbers of children in each province likely to be exposed domestic violence. to domestic violence). Sources: Human Sciences Research Council (HSRC) South African Social Attitudes Survey (SASAS) (most recent 2003); other partner violence surveys that may be available. Alternatively, a retrospective survey of adults on their childhood experiences using measures designed for the UN Study on Violence to Children (see endnote 2 above), Free download from www.hsrcpress.ac.za or another reliable violence exposure measure. Period: Every 5 years if feasible. Type 1 Indicator: Definitions: 1. Adults who report being smacked or beaten Child Status at home in childhood in a retrospective survey (using Children exposed to measures designed for the UN Study on Violence to physical punishment Children or another reliable violence exposure at home. measure). Type 2 Indicator: 2. Children who report being smacked or beaten at home Family & Household (using measures designed for the UN Study on Violence Environment to Children or another reliable violence exposure Caregivers who measure). approve of physical 3. The proportion of adults, with children, who i) support punishment. the use of physical punishment at home, and ii) use Caregivers who use physical punishment. physical punishment. Measures: 1.&2. The proportion of children who report Reason for use: To being smacked or beaten at home (child or adult monitor the extent of retrospective survey). children’s exposure to 3. The proportion of adults with children who i) support domestic violence. the use of physical punishment at home, and ii) use physical punishment. Sources: Adult attitudes and behaviour: HSRC SASAS (most recent 2003); children and retrospective reports: specific studies such as the UN study (not available for South Africa). Period: Every 5 years if feasible; a baseline children’s study is needed as no representative data currently exist. 486 • monitoring child well-being