Article section
Sexual Violence in Adolescent Girls: A Systematic Review of Risks and Protective Factors in Southern Africa
Abstract
Child sexual violence is a global public health concern as pauses significant effects on their mental health and HIV still disproportionately affects adolescents in the Southern African region where, 83% of new infections occur among adolescents aged between 10 and 19 years. This calls for questioning the underlying drivers of susceptibility, particularly among adolescent girls. In accordance with PRISMA principles, we conducted a systematic review looking through academic databases for peer-reviewed publications from 2015 to 2025. This review examined protective factors, risk factors, and interventions related to sexual violence against AG in the Southern African region. 10 studies from an initial 1213 records found were included from six Southern African countries. Poor legal systems, substance abuse, and poverty were among the common risk factors identified from the reviewed literature. Family support, mentorship, and educational efforts were protective factors identified while empowerment-based training to integrated sexual and reproductive health services and multi-sectoral accelerators like DREAMS were interventions employed. Southern African nations confront significant gaps in survivor-centered systems, structural reforms, and longitudinal evidence despite encouraging measures. The examined literature suggests potentially positive interventions. Their cross-sectional design however, constrains our understanding of their effectiveness. Addressing the complex interplay of risk and protective factors underlying sexual violence against adolescent girls in Southern Africa requires a multifaceted approach that strengthens legal protections, promotes education and mentorship, and scales up effective interventions.
Keywords:
Adolescent Girls Risk Factors Sexual Violence Southern Africa Systematic Review Protective Factors
Article information
Journal
Journal of Life Science and Public Health
Volume (Issue)
1(1), (2025)
Pages
40-47
Published
Copyright
Copyright (c) 2025 Choongo Mulungu, Tshepang Ditoro, Chedu Mbakile Matshara (Author)
Open access

This work is licensed under a Creative Commons Attribution 4.0 International License.
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References
Aboagye, R. G., Donkoh, I. E., Okyere, J., Seidu, A. A., Ahinkorah, B. O., & Yaya, S. (2024). Association between sexual violence and multiple high-risk fertility behaviours among women of reproductive age in sub-Saharan Africa. BMC public health, 24(1), 432. https://doi.org/10.1186/s12889-023-17444-3
Ajayi, A. I., & Ezegbe, H. C. (2020). Association between sexual violence and unintended pregnancy among adolescent girls and young women in South Africa. BMC public health, 20(1), 1370. https://doi.org/10.1186/s12889-020-09488-6.
Ajayi, A. I., Mudefi, E., & Owolabi, E. O. (2021). Prevalence and correlates of sexual violence among adolescent girls and young women: findings from a cross-sectional study in a South African university. BMC women's health, 21(1), 299. https://doi.org/10.1186/s12905-021-01445-8.
Amponsah, E. B., Abdullah, A., Eltigani, B., & Cluver, L. D. (2024). Risk and Protective Factors of Commercial Sexual Exploitation of Children and Adolescents in sub-Saharan Africa: A Systematic Review. Trauma, Violence, & Abuse, 25(4), 3177-3190. https://doi.org/10.1177/15248380241241021
Burzynska, K., & Contreras, G. (2020). Gendered effects of school closures during the COVID-19 pandemic. The Lancet, 395(10242), 1968.
Cagney, J., Spencer, C., Flor, L., Herbert, M., Khalil, M., O'Connell, E., ... & Gakidou, E. (2025). Prevalence of sexual violence against children and age at first exposure: a global analysis by location, age, and sex (1990–2023). The Lancet, 405(10492), 1817-1836. https://doi.org/10.1016/S0140-6736(25)00311-3.
Cantor, D,, Fisher, B., & Chibnall, S. (2019). Report on the AAU Campus Climate Survey on Sexual Assault and Misconduct. Association of American Universities. https://www.aau.edu/sites/default/files/AAU-Files/Key-Issues/Campus-Safety/Revised-Full-Report-2019.pdf
CDC. (2022). Preventing sexual violence. https://www.cdc.gov/violenceprevention/sexualviolence/index.html.
Cluver, L., Jochim, J., Sidloyi, L., Armstrong, A., Gulaid, L., Banougnin, B., ... & Toska, E. (2025). Accelerators for improved health among adolescent mothers in South Africa: HIV and violence prevention, sexual reproductive health and education success. BMJ Global Health, 10(6). https://doi.org/10.1136/bmjgh-2024-017614.
Decker, M. R., Wood, S. N., Ndinda, E., Yenokyan, G., Sinclair, J., Maksud, N., ... & Ndirangu, M. (2018). Sexual violence among adolescent girls and young women in Malawi: a cluster-randomized controlled implementation trial of empowerment self-defense training. BMC public health, 18(1), 1341. https://doi.org/10.1186/s12889-018-6220-0.
Dzinamarira, T., & Moyo, E. (2024). Adolescents and young people in sub-Saharan Africa: overcoming challenges and seizing opportunities to achieve HIV epidemic control. Frontiers in Public Health, 12, 1321068. https://doi.org/10.3389/fpubh.2024.1321068
Ferguson, B. J. (2021). Assessing the vulnerability and risks of adolescent girls and young women in Eastern and Southern Africa. UNICEF Report. https://www.childrenandaids.org/media/2091/file.
Ferguson, J., Mathur, S., & Armstrong, A. (2021). Assessing the vulnerability and risks of adolescent girls and young women in East and Southern Africa: a preliminary review of the tools in use. Tropical Medicine and Infectious Disease, 6(3), 133. https://doi.org/10.3390/tropicalmed6030133.
Finkelhor, D., Shattuck, A., Turner, H., & Hamby, S. (2014). The lifetime prevalence of child sexual abuse and sexual assault. Child Abuse & Neglect, 41, 1–11. https://doi.org/10.1016/j.chiabu.2014.07.005.
Govender, K., Masebo, W. G., Nyamaruze, P., Cowden, R. G., Schunter, B. T., & Bains, A. (2018). HIV prevention in adolescents and young people in the Eastern and Southern African region: A review of key challenges impeding actions for an effective response. The open AIDS journal, 12, 53–67. https://doi.org/10.2174/1874613601812010053.
Hertzog, L., Makate, M., Chipanta, D., Banougnin, B., Mchenga, M., Pereira, G., ... & Hanigan, I. C. (2025). Extreme drought and sexual violence against adolescent girls and young women: A multi-country population-based study. PLOS Global Public Health, 5(6), e0004752. https://doi.org/10.1371/journal.pgph.0004752.
Li, L., Shen, X., Zeng, G., Huang, H., Chen, Z., Yang, J., ... & Li, H. (2023). Sexual violence against women remains problematic and highly prevalent around the world. BMC women's health, 23(1), 196. https://doi.org/10.1186/s12905-023-02338-8
Little, M. T., Hertzog, L., Rudgard, W. E., Toska, E., Banougnin, B., Yates, R., ... & Cluver, L. (2025). Accelerators to reduce violence, HIV risk, and early pregnancy among adolescents and young people in Namibia: A cross-sectional analysis of the Violence Against Children & Youth Survey. PLOS Global Public Health, 5(5), e0004633. https://doi.org/10.1371/journal.pgph.0004633.
Marape, M. (2015). Sexual violence among orphaned children in Botswana. Annals of Global Health, 81, 119. https://doi.org/10.1016/j.aogh.2015.02.774.
Mathews, B., Finkelhor, D., Pacella, R., Scott, J. G., Higgins, D. J., Meinck, F., ... & Collin-Vézina, D. (2024). Child sexual abuse by different classes and types of perpetrator: Prevalence and trends from an Australian national survey. Child Abuse & Neglect, 147, 106562. https://doi.org/10.1016/j.chiabu.2023.106562.
Mchenga, M., Maughan-Brown, B., Yates, R., Hertzog, L., Hamed Banougnin, B., Dzumbunu, S., ... & Toska, E. (2025). Accelerating the prevention of HIV and violence in adolescent girls and young women in Zimbabwe through multi-sectoral programming: Cross-sectional analysis of the 2017 violence against children survey. Global Public Health, 20(1), 2537698. https://doi.org/10.1080/17441692.2025.2537698.
Mercera, G., Kooijmans, R., Leijdesdorff, S., Heynen, E., & van Amelsvoort, T. (2024). Risk and protective factors for sexual exploitation in male and female youth from a cross-cultural perspective: A systematic review. Trauma, Violence, & Abuse, 25(3), 1966-1984. https://doi.org/10.1177/15248380231201815.
Mukanga, B., Dlamini, S. B., Mwanabute, N., & Taylor, M. (2024). Adolescents' risky sexual behaviors and practices: Implications for sexuality education implementation in Zambia. African Journal of Primary Health Care & Family Medicine, 16(1), 1-11.
Mukanga, B., Dlamini, S. B., Mwanabute, N., & Taylor, M. (2024). Adolescents' risky sexual behaviours and practices: Implications for sexuality education implementation in Zambia. African Journal of Primary Health Care & Family Medicine, 16(1), 1-11. https://doi.org/10.4102/phcfm.v16i1.4476.
Ngoma-Hazemba, A., Chavula, M. P., Sichula, N., et al. (2024). Barriers to SRH, HIV and GBV services in Zambia. BMC Public Health, 24, 2191. https://doi.org/10.1186/s12889-024-19663-8.
Nguyen, H. H., To, K. G., Hoang, V. T., Gram, L., & Yount, K. M. (2025). The effectiveness of gender-based violence prevention among adolescents aged 10 to 19 years in Southeast Asia: a systematic review. International Journal for Equity in Health, 24(1), 222. https://doi.org/10.1101/2025.02.17.25322431
Nwafor, J. A., Chamdimba, E., Ajayi, A. I., Ushie, B. A., Munthali, A. C., Thakwalakwa, C., & Kabiru, C. W. (2023). Correlates of intimate partner violence among pregnant and parenting adolescents: a cross-sectional household survey in Blantyre District, Malawi. Reproductive health, 20(1), 60. https://doi.org/10.1186/s12978-023-01606-y.
Qu, X., Shen, X., Xia, R., Wu, J., Lao, Y., Chen, M., ... & Jiang, C. (2022). The prevalence of sexual violence against female children: A systematic review and meta-analysis. Child abuse & neglect, 131, 105764. https://doi.org/10.1016/j.chiabu.2022.105764.
Radford, L., Allnock, D., Hynes, P., & Shorrock, S. (2020). Action to End Child Sexual Abuse and Exploitation and A Review of the Evidence 2020. New York: UNICEF and End Violence Against Children.
Radford, L., Corral, S., Bradley, C., Fisher, H., Bassett, C., Howat, N., & Collishaw, S. (2011). Child abuse and neglect in the UK today. NSPCC Report. https://learning.nspcc.org.uk/research-resources/pre-2019/child-abuse-neglect-uk-today.
Roca, E., Melgar, P., Gairal-Casadó, R., & Pulido-Rodríguez, M. A. (2020). Schools that ‘open doors’ to prevent child abuse in confinement by COVID-19. Sustainability, 12(11), 4685.
Sardinha, L., Yüksel-Kaptanoğlu, I., Maheu-Giroux, M., & García-Moreno, C. (2024). Intimate partner violence against adolescent girls: Regional and national prevalence estimates and associated country-level factors. The Lancet Child & Adolescent Health, 8(9), 636–646. https://doi.org/10.1016/S2352-4642(24)00145-7.
Sarnquist, C., Friedberg, R., Rosenman, E. T., Amuyunzu-Nyamongo, M., Nyairo, G., & Baiocchi, M. (2024). Sexual assault among young adolescents in informal settlements in Nairobi, Kenya: findings from the impower and SOS Cluster-Randomized controlled trial. Prevention science, 25(4), 578-589. https://doi.org/10.1007/s11121-023-01595-1
Silmi, K., Said, N., Kingori, C., Bianco, J., Pavey, L., Jamu, L., & Marape, M. (2015). Sexual violence among orphaned children in Botswana: identifying risk and protective factors for effective prevention and response. Annals of Global Health, 81(1), 119-119. https://doi.org/10.1016/j.aogh.2015.02.774.
Together for girls. (2024). Break the Record: Global estimates on childhood sexual violence. https://www.togetherforgirls.org/en/resources/break-the-record.
UNAIDS Women and HIV. (2019). A Spotlight on Adolescent Girls and Young Women. Available online: https://www.unaids.org/sites/default/files/media_asset/2019_women-and-hiv_en.pdf.
Unicef. (2024). When Numbers Demand Action: Confronting the global scale of sexual violence against children. https://www.unicef.org/press-releases/over-370-million-girls-and-women-globally-subjected-rape-or-sexual-assault-children.
Unicef. (2025). Sexual violence – UNICEF DATA. https://data.unicef.org/topic/child-protection/violence/sexual-violence/.
UN Women. (2023). Global Database on Violence against Women and Girls. https://data.unwomen.org/global-database-on-violence-against-women.
van Schalkwyk, C., Mahy, M., Johnson, L. F., & Imai-Eaton, J. W. (2024). Updated data and methods for the 2023 UNAIDS HIV estimates. JAIDS Journal of Acquired Immune Deficiency Syndromes, 95(1S), e1-e4. https://doi.org/10.1097/QAI.0000000000003344
WHO. (2016). INSPIRE: Seven strategies for ending violence against children. https://www.who.int/publications/i/item/inspire-seven-strategies.
WHO. (2023). Global status report on preventing violence against children. https://www.who.int/publications/i/item/9789240067518.
World Health Organization. (2020). Global status report on violence prevention 2020. World Health Organization.
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