Medical for Quality Healthcare in Zambia (MQHZ) has raised concern over the rampant child defilement cases in Zambia, warning that the trend is placing thousands of children at heightened risk of HIV, sexually transmitted infections (STIs), and lifelong physical and psychological trauma.
Speaking in an interview with Zambian Business Times (ZBT), MQHZ Director General Dr. Quince Mwabu described child sexual abuse as a serious violation of children’s rights and a growing public health emergency that demands urgent national intervention.
Mwabu cited Zambia Police Service figures showing that 4,978 defilement cases were recorded between 2021 and 2025, a situation he said reflects the persistent burden of child sexual violence in the country.
He explained that children subjected to sexual abuse face increased vulnerability to HIV infection, STIs, and other severe health complications, particularly when cases are reported late. Mwabu noted that delayed reporting, especially in rural and remote communities, continues to limit access to critical emergency healthcare services such as post-exposure prophylaxis (PEP), STI treatment, and psychosocial support.
“Timely access to care within the first 72 hours after abuse is crucial in preventing HIV infection and reducing long-term health risks,” Mwabu said.
He further expressed concern over existing systemic challenges, including stigma, low public awareness, weak reporting systems, and inadequate child-friendly healthcare services, which continue to hinder effective response efforts.
Mwabu observed that many abuse cases occur within homes and communities where children should ordinarily be protected, emphasizing the urgent need to strengthen child protection systems, improve early detection, and ensure swift intervention.
He called for stronger enforcement of child protection laws and better coordination among healthcare providers, social welfare institutions, law enforcement agencies, and communities.
Mwabu stressed that all forms of child sexual violence affecting both girls and boys must be addressed with equal urgency. He also urged government and stakeholders to intensify public awareness campaigns aimed at preventing abuse, promoting early reporting, and ensuring survivors have access to comprehensive healthcare, including HIV prevention, STI screening, treatment, and psychosocial support.
Mwabu appealed to parents, guardians, and community members to report suspected or confirmed abuse cases immediately and seek urgent medical and legal assistance. He said protecting children from sexual violence requires collective responsibility, stronger systems, and sustained national commitment.
Article by Karen Ngulube
