From telling to receiving: the disclosure-and-services cascade after childhood sexual abuse across 15 low- and middle-income countries

Most children who experience sexual abuse in low- and middle-income countries never receive formal help, but few studies have followed survivors through the steps from telling someone to receiving services. In this pooled cross-sectional analysis, we combined 15 nationally representative Violence Against Children and Youth Surveys (VACS) fielded between 2013 and 2024 in sub-Saharan Africa, Latin America, and Eastern Europe to describe this disclosure-and-services cascade and the factors associated with each step. The analytic sample comprised 3,608 respondents aged 18-24 years who reported sex

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