Amayi omwe amagwiritsa ntchito utoto wanthawi zonse kukongoletsa tsitsi lawo kunyumba sakhala pachiwopsezo chotenga khansa kapena kufa kwa khansa.Ngakhale izi ziyenera kupereka chilimbikitso kwa ogwiritsa ntchito utoto wokhazikika wa tsitsi, ofufuzawo akuti adapeza chiwopsezo chochepa cha khansa ya m'mawere ndi khansa zina zam'mawere ndi khungu.Mtundu wa tsitsi lachilengedwe unapezekanso kuti umakhudza mwayi wa khansa zina.

Kugwiritsa ntchito utoto watsitsi ndikotchuka kwambiri, makamaka pakati pa okalamba omwe amafuna kubisa zizindikiro za imvi.Mwachitsanzo, akuti amagwiritsidwa ntchito ndi 50-80% ya amayi ndi 10% ya amuna azaka 40 ndi kupitilira apo ku United States ndi Europe.Utoto wamatsitsi waukali kwambiri ndi mitundu yokhazikika ndipo izi zimatengera pafupifupi 80% ya utoto watsitsi womwe umagwiritsidwa ntchito ku US ndi Europe, komanso gawo lalikulu ku Asia.

Kuti amvetse bwino za chiopsezo cha khansa chifukwa chogwiritsa ntchito utoto wa tsitsi, ofufuza adasanthula zambiri za amayi 117,200.Amayiwo analibe khansa poyambira phunziroli ndipo adatsatiridwa kwa zaka 36.Zotsatirazi zinasonyeza kuti palibe chiopsezo chowonjezereka cha khansa zambiri kapena imfa ya khansa mwa amayi omwe adanenapo kuti adagwiritsapo ntchito utoto watsitsi wamuyaya poyerekeza ndi omwe sanagwiritsepo ntchito utoto woterowo.