Knowledge of Mandatory Reporting Laws and Recording of Clients' Abuse Data: Effects of a Sexual Health Curriculum Training for Health Students in Tanzania

Tanzania mandated reporting laws aim to identify and address child abuse, yet healthcare students' awareness and reporting are limited. This study assessed training's impact on their knowledge of reporting laws and handling confidential child abuse data. The study involved 412 medical and nursing students in a randomized controlled trial (RCT), with 206 participants receiving sexual health training and a waitlist control group of equal size receiving no intervention. Baseline and 3-month follow-up assessments evaluated knowledge of mandatory reporting laws and recording practices. At the 3-month follow-up, the control group showed minimal knowledge improvement (+7.5% for item 1, -6% for item 2), whereas the intervention group showed significant gains (23.7% for item 1, 0.7% for item 2). Additionally, notable disparity in total scores for reporting and recording between the groups emerged from baseline to follow-up (t = -3.682, p < .001, Cohen's d = 0.365). The intervention group (M = 0.527, SD = 1.630) had a larger mean difference score than the control group (M = -0.044, SD = 1.499). Therefore, the training significantly improved students' knowledge of mandatory reporting laws and the recording of clients' confidential information.