Consequences of HIV for children: avoidable or inevitable?

FXB Center for Health and Human Rights, HSPH, Harvard University, 651 Huntington Avenue, Boston, MA 02115, USA.
AIDS Care (Impact Factor: 1.6). 08/2009; 21 Suppl 1(S1):98-104. DOI: 10.1080/09540120903033037
Source: PubMed

ABSTRACT The HIV/AIDS epidemic has many serious consequences for children. These consequences are, however, rarely inevitable. Families can provide a protective barrier that deflects blows, or minimises their impact and a supportive nurturing environment that can help children recover from harm. If strong enough, and with sufficient access to quality services and support from communities, families can reduce the impacts of HIV/AIDS on children to negligible levels in most areas of impact. It is apparent that the impacts felt by children are not simply unfortunate, inevitable consequences of this epidemic. A strong and supported family with good access to quality services can deflect almost all of the impact. It is as a result of an interaction of the context of poverty, which weakens families, and a failure to adequately respond, that impacts are felt by children.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Previous studies produced on the movement of individuals with HIV/AIDS for the obtainment of medical services have rarely been conducted in the Global South and have neglected the experiences of child patients. This article presents a new type of travel for medical care, where HIV+ children in Kenya are being placed or choose to be placed in orphanages in order to obtain constant access to antiretroviral (ARV) therapy, proper nutrition, and education. Through participant observation and photo-elicitation interviews with children in orphanages and their immediate family members in the surrounding Njabini community, this study focused on documenting children's agency in influencing movement decisions to orphanages for better health outcomes. Photo-elicitation interviews in particular allowed for greater insight into children's lives, their motivations for moving to an orphanage, and as a tool to facilitate discussion. Qualitative methods utilized with family members similarly privileged their interpretations of how child movement out of the house would help achieve the ‘best’ possible future for their children, particularly those living with HIV. Study findings shed light on the active role played by children in decisions to move to orphanages, the visualization of these facilities as the best place to secure access to ARV therapy and ensure proper child health, and the interaction that continues to take place between children and their family members once they enter these spaces.
    Children s Geographies 04/2014; 12(2). DOI:10.1080/14733285.2013.812307 · 1.16 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Researchers and aid organizations have reported that orphans in sub-Saharan Africa (SSA) are particularly vulnerable to abuse and neglect. This article is a review of qualitative studies that address experiences of maltreatment among orphaned children and youth living in extended families in SSA. It aims to inform policy and programming by providing a better understanding of the types of maltreatment encountered and the perceived risk factors. A literature search was carried out using Google, PubMed, Scholars Portal Search and Scopus. Searches of relevant bibliographies and publications of authors were also undertaken. Studies from peer-reviewed journals and the grey literature were reviewed for relevance and quality. Eligible studies had to include orphans living with extended family in SSA as participants, explore their maltreatment experiences and employ a sound qualitative methodology. Findings were coded, extracted, compared and synthesized. Twenty articles, representing 15 studies, were selected. These studies, from diverse SSAn countries, reported similar forms of maltreatment among orphaned children and youth: experiences of intra-household discrimination; material and educational neglect; excessive child labour; exploitation by family members and psychological, sexual and physical abuse. The perceived risk factors were poverty, living with a non-biological caregiver, stigma and alcohol abuse. The findings of the included studies suggest that awareness, prevention and intervention initiatives aimed to curb child abuse and neglect within communities in SSA are needed and should be coupled with efforts to promote education and reduce poverty and stigma.
    Vulnerable Children and Youth Studies 12/2013; 8(4):338-352. DOI:10.1080/17450128.2013.764476
  • Source
    Men in Families and Family Policy in a Changing World, Edited by United Nations, 01/2011: chapter Fathers in challenging family contexts: a need for engagement Men in Families and Family Policy; United Nations Department of Economic and Social Affairs.

Preview (2 Sources)

Available from