Barriers and incentives to orphan care in a time of AIDS and economic crisis

Journal of HIV/AIDS Prevention in Children and Youth

Volumn 8, Issue 2, 2008, Pages 117-137

  Howard, Brian H ^a   Phillips, Carl V ^b   Matinhure, Nelia ^c   Goodman, Karen J ^b   McCurdy, Sheryl A ^a   Johnson, Cary A ^d  

^a UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH   (United States)

^b UNIVERSITY OF ALBERTA   (Canada)

^c UNIVERSITY OF ZIMBABWE   (Zimbabwe)

^d Africare Zimbabwe   (Zimbabwe)

Author keywords

AIDS; Caregivers; Fostering; HIV; Orphans; Zimbabwe

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADULT; ARTICLE; CAREGIVER; CROSS-SECTIONAL STUDY; EMOTIONAL STRESS; FEMALE; HEALTH PROGRAM; HEALTH SURVEY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; LIFE EXPECTANCY; MALE; MORTALITY; POVERTY; QUESTIONNAIRE; WELLBEING; ZIMBABWE;

EID: 57749156968     PISSN: 15538346     EISSN: 15538613     Source Type: Journal    
DOI: 10.1300/J499v08n02_07     Document Type: Article

References (56)

1. UNAIDS, UNICEF, USAID: Children on the Brink 2004: A Joint Report of New Orphan Estimates and a Framework for Action. Washington; 2004. [www.unaids.org/en/in + focus/topic + areas/children-orphans.asp]
2. UNICEF: Orphans in Zimbabwe: Urgent Action for Children on the Brink. New York; 2003.
3. Bicego G, Rutstein S, Johnston K: Dimensions of the emerging orphan crisis in sub-Saharan Africa. Soc Sci Med 2003, 56(6):1235-1247.
4. UNAIDS, UNICEF: Children Orphaned by AIDS: Front-line Responses From Eastern and Southern Africa. Geneva; 1999. [www.zimaids.co.zw/hae/webfiles/ Electronic%20Versions/Frontline%20Response.doc]
5. USAID: Background Paper on Children Affected by AIDS in Zimbabwe (draft). Washington; 2004.
6. USAID Bureau for Global Health: Zimbabwe Country Profile: HIV/AIDS. Harare; 2003. [www.usaid.gov/our-work/global-health/aids/Countries/africa/ zimbabwebrief. pdf]
7. Garbus L, Khumalo-Sakutukwa G: Country AIDS Policy Analysis Project: HIV/AIDS in Zimbabwe. AIDS Policy Research Center, University of California San Francisco; 2003.
8. UNICEF: Africa's Orphaned Generations. New York; 2003.
9. Smart R: Policies for Orphans and Vulnerable Children: A Framework for Moving Ahead. POLICY Project; 2003. [www.policyproject.com/pubs/generalreport/ OVC-Policies.pdf]
10. National AIDS Council, Zimbabwe: AIDS in Africa During the Nineties: Zimbabwe: Review and Analysis of Survey and Research Results. Carolina Population Center, University of North Carolina at Chapel Hill; 2002.
11. UNAIDS: Report on the Global AIDS Epidemic. Geneva; 2004. [www.unaids.org/en/default.asp]
12. CIA: World Factbook: Zimbabwe. Washington; 2004. [http://cia.gov/cia/ publications/factbook/fields/2129.html]
13. SABC: WFP still feeds needy in Zimbabwe, ready to do more. SABC News, 11 June 2004. [www.zwnews.com/issuefull.cfm?ArticleID = 9470]
14. Ainsworth M, Filmer D: Poverty, AIDS and Children's Schooling: A Targeting Dilemma. World Bank Policy Research Working Paper 2885. Washington; 2002.
15. Phiri S, Webb D: The impact of HIV/AIDS on orphans and programme and policy responses. In AIDS, Public Policy, and Child Well-being. Edited by Cornia GA. Florence, Italy: UNICEF-IRC; 2002. [www.unicef-icdc.org]
16. SADC: SADC RVAC Livelihoods-Based Vulnerability Analysis. Harare; 2003.
17. International Monetary Fund: IMF Statement on the Conclusion of 2004 Article IV Consultation Discussions With Zimbabwe. Harare; 2004. [www.imf.org/external/np/sec/pr/2004/pr0467.htm]
18. UNICEF (UK): UNICEF releases statistics on Zimbabwe's forgotten children. London; 2005. [www.unicef.org.uk/press/news-detail.asp?news-id=403]
19. Foster G, Makufa C, Drew R, Kambeu S, Saurombe K: Supporting children in need through a community-based orphan visiting programme. AIDS Care 1996, 8(4):389-403.
20. Bhargava A, Bigombe B: Public policies and the orphans of AIDS in Africa. BMJ 2003, 326(7403):1387-1389.
21. Foster G, Williamson J: A review of current literature on the impact of HIV/AIDS on children in sub-Saharan Africa. AIDS 2000, 14 Suppl 3:275-284.
22. WHO: Impact of AIDS on Older People in Africa: Zimbabwe Case Study. Geneva; 2002. [www.who.int/hpr/ageing/zimaidsreport.pdf]
23. Nyamukapa C, Gregson S, Wambe M: Extended family childcare arrangements and orphan education in eastern Zimbabwe. In Proceedings of the Scientific Meeting on Empirical Evidence for the Demographic and Socioeconomic Impact of AIDS: 2003; Durban.
24. Foster G, Makufa C, Drew R, Kralovec E: Factors leading to the establishment of child-headed households: the case of Zimbabwe. Health Transit Rev 1997, 7 Suppl 2:155-168.
25. Foster G: Am I my brother's keeper? Orphans, AIDS and the extended family's choice of caregiver. Societes d'Afrique & SIDA 1995, 10:14-16.
26. Nyamukapa C, Foster G, Gregson S: Orphans' household circumstances and access to education in a maturing HIV epidemic in eastern Zimbabwe. Journal of Social Development in Africa 2003, 18(2):7-32.
27. USAID: Understanding the Needs of Orphans and Other Children Affected by HIV and AIDS in Africa: The State of the Science (working draft). Washington; 2004. [http://sara.aed.org/ovc-tc/documents/pubs/OVC-SOTA.pdf]
28. UNICEF: Orphans and Other Children Affected by HIV/AIDS: A UNICEF Fact Sheet. New York; 2002. [www.unicef.org/aids/publications/pub-factsheet-orphan- en.pdf]
29. Drew R, Foster G, Chitima J: Poverty-a major constraint in the community care of orphans: a study from the north Nyanga district of Zimbabwe. SAFAIDS News 1996, 4(2):14-16.
30. Foster G, Shakespeare F, Chinemana H, Jackson S, Gregson C, Marange S, Mashumba S: Orphan prevalence and extended family care in a peri-urban community in Zimbabwe. AIDS Care 1995, 7:3-17.
31. Drew R, Makufa C, Foster G: Strategies for providing care and support to children orphaned by AIDS. AIDS Care 1998, 10 Suppl 1:9-15.
32. Mawoneke S, Sexton A, Moyo K: AIDS and Street Children in Zimbabwe. SAT Programme, Harare; 2001.
33. Foster G: The capacity of the extended family safety net for orphans in Africa. Psychology, Health & Medicine 2000, 5(1):55-62.
34. Madhavan S: Fosterage patterns in the age of AIDS: continuity and change. Soc Sci Med 2004, 58(7):1443-1454.
35. Mushati P, Gregson S, Mlilo M, Lewis J, Zvidzai C: Adult mortality and the economic sustainability of households in towns, estates and villages in AIDS-affected eastern Zimbabwe. In Proceedings of the Scientific Meeting on Empirical Evidence for the Demographic and Socioeconomic Impact of AIDS: 2003; Durban.
36. Makame V, Ani C, Grantham-McGregor S: Psychological well-being of orphans in Dar es Salaam, Tanzania. Acta Paediatr 2002, 91(4):459-465.
37. HUMULIZA/Terre des Hommes: Manual: Psychosocial Support of Orphans. Basel/Nshamba; 1999. [www.terredeshommes.ch/humuliza/manual/manual
38. Beatson R: Traditional attitudes to children and the psychosocial impact of AIDS on children in Zimbabwe. In Proceedings of the XIV International AIDS Conference: 2002; Barcelona.
39. Sengendo J, Nambi J: The psychological effects of orphanhood: a study of orphans in Rakai district. Health Transit Rev 1997, 7 Suppl:105-124.
40. UNAIDS: Investing in Our Future: Psychosocial Support for Children Affected by HIV/AIDS: A Case Study in Zimbabwe and the United Republic of Tanzania. Pretoria; 2001. [www.unaids.org/html/pub/publications/irc-pub02/jc606- invfuture-en-pdf.pdf]
41. Foster G: Beyond education and food: psychosocial well-being of orphans in Africa. Acta Paediatr 2002, 91(5):502-504.
42. Economist: The method behind Mugabe's madness. Economist, 24 June 2004. [www.economist.com/World/africa/displayStory.cfm?story-id=2797085]
43. Foster G, Makufa C, Drew R, Mashumba S, Kambeu S: Perceptions of children and community members concerning the circumstances of orphans in rural Zimbabwe. AIDS Care 1997, 9(4):391-405.
44. Kaseke E: Social Security Systems in Rural Zimbabwe. Harare: Friedrich Ebert Stiftung; 1997.
45. Mutangadura G: Household welfare impacts of mortality of adult females in Zimbabwe: implications for policy and program development. In Proceedings of the AIDS and Economics Symposium: 2000; Durban.
46. Ansell N, Young L: Enabling households to support successful migration of AIDS orphans in southern Africa. AIDS Care 2004, 16(1):3-10.
47. Foster G: Today's children: challenges to child health promotion in countries with severe AIDS epidemics. AIDS Care 1998, 10 Suppl 1:17-23.
48. Mutikani JFK: The lived experience of family caregivers of AIDS orphans in rural Zimbabwe. In Proceedings of the XIV International AIDS Conference: 2002; Barcelona.
49. Save the Children (UK): The Role of Stigma and Discrimination in Increasing the Vulnerability of Children and Youth Infected With and Affected by HIV/AIDS. Arcadia; 2001.
50. International Center for Research on Women: Understanding HIV-Related Stigma and Resulting Discrimination in Sub-Saharan Africa: Emerging Themes From Early Data Collection in Ethiopia, Tanzania and Zambia. Washington; 2002.
51. SPSS for Windows Release 12.0. Chicago: SPSS Inc.; 2004.
52. Subbarao K, Mattimore A, Plangemann K: Social Protection of Africa's Orphans and Other Vulnerable Children: Issues and Good Practice Program Options. World Bank, Africa Region Human Development Working Paper. Washington; 2001. [www-wds.worldbank.org/servlet/WDSContentServer/WDSP/IB/2001/10/19/ 000094946-01101004022662/Rendered/PDF/multi0page.pdf]
53. Foster G, Webster J, Stephenson P, Germann S: Supporting community initiatives is crucial to scaling up orphan support activities in Africa. In Proceedings of the XIV International AIDS Conference: 2002; Barcelona.
54. Foster G: Supporting community efforts to assist orphans in Africa. N Engl J Med 2002, 346(24):1907-1910.
55. IDEX: International Development Exchange: Send 120 Disadvantaged Girls to School in Zimbabwe. San Francisco; 2004. [www.globalgiving.com/pr/700/proj618a. html]
56. IRINnews.org: Rise in Drop Out Rate Feared Over School Fees Hike. Harare; 2003. [www.irinnews.org/report.asp?ReportID=38586]