Child sexual abuse (CSA) presents profound challenges for child and family social work. This chapter builds conceptual, theoretical, and methodological insights into addressing CSA in armed conflict and forced migration situations, where conventional support systems often overlook the cultural and complex nuances of help-seeking and support patterns. The chapter starts with a brief overview of how CSA is understood and conceptualized in armed conflict and forced migration situations, emphasizing three major connotations: the weapon of war discourse, CSA as a child protection and safeguarding issue, and CSA as a public health crisis. We then identify a gap in the interventions addressing CSA in humanitarian settings, drawing on examples from some of the most protracted armed conflicts and forced migration situations in the African continent. We highlight the unique complexity of providing culturally responsive and trauma-informed holistic interventions as well as the barriers to effective support for the survivors. The chapter concludes by proposing an innovative framework incorporating African Indigenous ways of knowing, policy and legislation, frontline support, and research practices for healing. The chapter contributes to the growing body of knowledge on CSA in humanitarian settings and the value of indigenous ways of knowing in advancing child protection and safeguarding in humanitarian settings.