Recommendation 25: The Australian Government considers including child marriage in definitions of family and domestic violence for the purposes of data collection, monitoring and access to service delivery, including prevention programs. (b) Female genital mutilation 168. While female genital mutilation (FGM) for non-therapeutic purposes is criminalised in Australia under all state and territory laws,131 there are inconsistent penalties, age coverage and extraterritorial provisions that impede information sharing between agencies, jurisdictions and health and legal systems.132 169. Awareness and training programs on FGM are available in most jurisdictions, although surveys suggest there is a low level of awareness of FGM among health practitioners, legal practitioners and communities.133 Recommendation 26: Australian Governments harmonise laws that criminalise female genital mutilation, and conduct awareness education for health professionals. 5.3 Sexual abuse (a) Child sexual abuse in institutions 170. The National Royal Commission heard from thousands of people who experienced sexual abuse as children in institutions in Australia.134 In 2012 approximately 69,600 people in Australia aged over 18 (40,200 males and 29,400 females) reported being sexually abused by a doctor, teacher or minister of religion before the age of 15.135 This figure is likely to significantly underestimate the extent of child sexual abuse in institutional settings.136 171. Many of the personal accounts made to the National Royal Commission reveal the devastating effects of child sexual abuse, including on physical and mental health, education, career prospects, ability to form relationships and their faith, as well as negative impacts on survivors’ children, partners, parents, other family members and communities.137 These effects are often compounded by inadequate and ineffective responses to allegations of abuse within an organisation.138 172. The National Royal Commission recommended a number of actions to address institutional cultures and practices that continue to allow abuse to 30

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