The rapid expansion of digital technologies has fundamentally transformed children’s social environments, creating new and complex risks for online child sexual abuse and exploitation (CSA). This systematic literature review examines effective strategies for preventing and responding to online CSA, with particular attention to low- and middle-income contexts, including Zimbabwe. Drawing on peer-reviewed research, international policy documents, and grey literature published between 2010 and 2024, the review synthesises evidence on pathways to exploitation, risk factors, prevention approaches, law enforcement responses, and survivor support mechanisms. Guided by PRISMA principles, the study employs a thematic synthesis to identify recurring patterns and systemic gaps across global and regional literature. Findings indicate that online CSA is most commonly facilitated through grooming on social media, messaging platforms, gaming environments, and livestreaming services, often exploiting children’s emotional vulnerabilities, limited digital literacy, and unsupervised internet access. Structural risk factors—such as poverty, caregiver absence, disability, and weak child protection systems—further heighten vulnerability in the Global South. Preventive education and digital literacy initiatives are shown to be effective when embedded within broader child protection frameworks and supported by parental and institutional engagement. However, access to such programmes remains uneven. Law enforcement responses benefit from specialized cybercrime units and technological tools, yet significant capacity gaps persist in resource-constrained settings. Survivor support systems emerge as the least developed component, with limited access to trauma-informed, long-term psychosocial and legal services. The review underscores the necessity of integrated, multisectoral, and child-centered responses that combine prevention, enforcement, and survivor care. Strengthening national coordination mechanisms and equitable international collaboration is critical to building sustainable digital protection systems and ensuring safer online environments for children.
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Masungwa et al. (2026) studied this question.
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