HIV-exposed but uninfected children: Why are they vulnerable?

Vulnerable Children and Youth Studies

Volumn 1, Issue 2, 2006, Pages 139-148

  McNally, Lisa M ^a,b   Hadingham, Jacqueline ^a   Archary, Derseree ^a,b   Moodley, Ramona ^a,b   Coovadia, Hoosen M ^a,c  

^a Doris Duke Medical Research Institute   (South Africa)

^b Department of Paediatrics and Child Health ^*  (South Africa)

^c UNIVERSITY OF KWAZULU NATAL   (South Africa)

Author keywords

Abandoned children; Africa; AIDS; Child care; Human rights; Orphans; Social implications

Indexed keywords

EID: 84988978943     PISSN: 17450128     EISSN: 17450136     Source Type: Journal    
DOI: 10.1080/17450120600872241     Document Type: Article

References (57)

1. Adato, M., Kadiyala, S., Roopnaraine, T., Biermayr-Jenzano, P., and Norman, A., 2005. Children in the shadow of aids:Studies of vulnerable children and orphans in three provinces in South Africa, Washington, DC:International Food Policy Research Institute.
2. Badcock-Walters, P., 2001. The impact of HIV/AIDS on education in KwaZulu-Natal, Durban:KZNDEC Provincial Education Development Unit.
3. Bennetts, A., Shaffer, N., Manopaiboon, C., 1999. Determinants of depression and HIV-related worry among HIV-positive women who have recently given birth, Bangkok, Thailand. Social Science and Medicine, 49:737–749.
4. Bhargava, A., and Bigombe, B., 2003. Public policies and the orphans of AIDS in Africa. British Medical Journal, 326:1387–1389.
5. Birdthistle I. (2004). Understanding the needs of orphans and other children affected by HIV and AIDS in Africa:State of the science. USAID working draft. Available at:www.aed.org
6. Brahmbhatt, H., Bishai, D., Wabwire-Mangen, F., Kigozi, G., Wawer, M., and Gray, R. H., 2002. Polygyny, maternal HIV status and child survival:Rakai, Uganda. Social Science and Medicine, 55:585–592.
7. Campbell, C., Foulis, C. A., Maimane, S., and Sibiya, Z., 2005. ‘I have an evil child at my house’:Stigma and HIV/AIDS management in a South African Community. American Journal of Public Health, 95:808–815.
8. Clark, A., 2001. AIDS decimates African teachers. Bulletin of the World Health Organisation, 79:999
9. Clerici, M., Saresella, M., Colombo, F., 2000. T-lymphocyte maturation abnormalities in uninfected newborns and children with vertical exposure to HIV. Blood, 96:3866–3871.
10. Coutsoudis, A., Pillay, K., Spooner, E., Coovadia, H. M., Pembrey, L., and Newell, M. L., 2003. Morbidity in children born to women infected with human immunodeficiency virus in South Africa:Does mode of feeding matter?. Acta Paediatrica, 92:890–895.
11. Dutra, R., Forehand, R., Armistead, L., 2000. Child resiliency in inner-city families affected by HIV:The role of family variables. Behaviour Research and Therapy, 38:471–486.
12. El Beitune, P., Duarte, G., Quintana, S. M., Figueiro-Filho, E. A., Marcolin, A. C., and Abduch, R., 2004. Antiretroviral therapy during pregnancy and early neonatal life:Consequences for HIV-exposed, uninfected children. Brazilian Journal of Infectious Diseases, 8:140–150.
13. Ellis, J., Williams, H., Graves, W., and Lindsay, M. K., 2002. Human immunodeficiency virus infection is a risk factor for adverse perinatal outcome. American Journal of Obstetrics and Gynecology, 186:903–906.
14. Gesner, M., Papaevangelou, V., Kim, M., 1994. Alteration in the proportion of CD4 T lymphocytes in a subgroup of human immunodeficiency virus-exposed-uninfected children. Pediatrics, 93:624–630.
15. Gewirtz, A., and Gossart-Walker, S., 2000. Home-based treatment for children and families affected by HIV and AIDS. Dealing with stigma, secrecy, disclosure, and loss. Child and Adolescent Psychiatric Clinics of North America, 9:313–330.
16. Gilborn, L. Z., 2002. Beyond our borders. The effect of HIV infection and AIDS on children in Africa. Western Journal of Medicine, 176:12–14.
17. Gilborn, L. Z., Nyonyintono, R., Kabumbuli, R., and Jagwe-Wadda, G., 2001. Making a difference for children affected by AIDS:Baseline findings from operations research in Uganda, Washington, DC:USAID.
18. Gillespie, S., Norman, A., and Finley, B., 2005. Child vulnerability and HIV/AIDS in Sub-Saharan africa:What we know and what can be done, Washington, DC:International Food Policy Research Institute.
19. Grainger, C., Webb, D., and Elliott, L., 2001. Children affected by HIV/AIDS:Rights and responses in the developing world Unpublished manuscript
20. Health Systems Trust. (2005a). Percentage of health professional posts vacant. Health Statistics. Available at:http://www.hst.org.za/healthstats/134
21. Health Systems Trust. (2005b). Total number of health professional posts. Health Statistics. Available at:http://www.hst.org.za/healthstats/133/data
22. Hough, E. S., Brumitt, G., Templin, T., Saltz, E., and Mood, D., 2003. A model of mother–child coping and adjustment to HIV. Social Science and Medicine, 56:643–655.
23. International Social Service, & UNICEF. (2004). Care for children affected by HIV/AIDS:The urgent need for international standards. New York and Geneva:UNICEF and ISS. Available at:http://www.unicef.org/protection/files/HIV_NOTE_FINAL.pdf
24. Ioannidis, J. P., Taha, T. E., Kumwenda, N., 1999. Predictors and impact of losses to follow-up in an HIV-1 perinatal transmission cohort in Malawi. International Journal of Epidemiology, 28:769–775.
25. Isenberg, J. P., & Quisenberry, N. (2002). Play:Essential for all children. A position paper of the Association for Childhood Education International. Childhood Education, 79. Available at:http://www.acei.org/playpaper.htm
26. Jeena, P. M., McNally, L. M., Stobie, M., Coovadia, H. M., Adhikari, M. A., and Petros, A. J., 2005. Challenges in the provision of ICU services to HIV infected children in resource poor settings:A South African case study. Journal of Medical Ethics, 31:226–230.
27. Jones, G., Steketee, R. W., Black, R. E., Bhutta, Z. A., and Morris, S. S., 2003. How many child deaths can we prevent this year?. Lancet, 362:65–71.
28. Jones, S. A., Sherman, G. G., and Varga, C. A., 2005. Exploring socio-economic conditions and poor follow-up rates of HIV-exposed infants in Johannesburg, South Africa. AIDS Care, 17:466–470.
29. Kamali, A., Seeley, J. A., Nunn, A. J., Kengeya-Kayondo, J. F., Ruberantwari, A., and Mulder, D. W., 1996. The orphan problem:Experience of a Sub-Saharan Africa rural population in the aids epidemic. AIDS Care, 8:509–515.
30. Kirshenbaum, S. B., and Nevid, J. S., 2002. The specificity of maternal disclosure of HIV/AIDS in relation to children's adjustment. AIDS Education and Prevention, 14:1–16.
31. Lindblade, K. A., Odhiambo, F., Rosen, D. H., and DeCock, K. M., 2003. Health and nutritional status of orphans < 6 years old cared for by relatives in western Kenya. Tropical Medicine and International Health, 8:67–72.
32. Loevinsohn, M., and Gillespie, S., 2003. HIV/AIDS, food security, and rural livelihoods:Understanding and responding, Washington, DC:IFPRI. FCND discussion paper no.157.
33. Masmas, T. N., Jensen, H., da Silva, D., Hoj, L., Sandstrom, A., and Aaby, P., 2004. Survival among motherless children in rural and urban areas in Guinea-Bissau. Acta Paediatrica, 93:99–105.
34. McGaw, L., Wameyo, A., and World Vision Africa. 2005. Violence against children affected by HIV/AIDS, Nairobi:World Vision Africa.
35. McNally, L. M., Jeena, P. M., Lalloo, U., 2005. Probable mother to infant transmission of Pneumocystis jiroveci from an HIV-infected woman to her HIV-uninfected infant. Aids, 19:1548–1549.
36. Newell, M. L., Prevention of mother to child transmission of HIV:Where we are and where we need to go. Abstract WEP102, 3rd IAS Conference. Rio de Janeiro, Brazil.
37. Newell, M. L., 2006. Current issues in the prevention of mother-to-child transmission of HIV-1 infection. Transactions of the Royal Society of Tropical Medicine and Hygiene, 100:1–5.
38. Nostlinger, C., Jonckheer, T., de Belder, E., 2004. Families affected by HIV:Parents' and children's characteristics and disclosure to the children. AIDS Care, 16:641–648.
39. Peterson, N. J., Drotar, D., Olness, K., Guay, L., and Kiziri-Mayengo, R., 2001. The relationship of maternal and child HIV infection to security of attachment among Ugandan infants. Child Psychiatry and Human Development, 32:3–17.
40. Piwoz, E. G., and Bentley, M. E., 2005. Women's voices, women's choices:The challenge of nutrition and hiv/aids. Journal of Nutrition, 135:933–937.
41. Richter, L., 2004. “ The impact of HIV/AIDS on the development of children ”. In A generation at risk? HIV/AIDSs, vulnerable children and security in Southern Africa, Edited by:Pharoah, R., 9–31. Cape Town:Institute of Security Studies.
42. Ross, A., Van der Paal, L., Lubega, R., Mayanja, B. N., Shafer, L. A., and Whitworth, J., 2004. HIV-1 disease progression and fertility:The incidence of recognized pregnancy and pregnancy outcome in Uganda. Aids, 18:799–804.
43. Shah, M. K., Osborne, N., Mbilizi, T., and Vilili, G., 2002. Impact of HIV/AIDS on agricultural productivity and rural livelihoods in the central region of Malawi, Malawi:Care International Malawi.
44. Shetty, A. K., and Powell, G., 2003. Children orphaned by AIDS:A global perspective. Seminars in Pediatric Infectious Diseases, 14:25–31.
45. Sontag, S., 1989. AIDS and its metaphors, New York:Farrar, Strauss and Giroux.
46. Taitz, L., 2001. From despair to a gleam of hope. Sunday Times, 25 November
47. UNAIDS. 1999. “ A review of household and community responses to the HIV/AIDS epidemic in the rural areas of Sub-Saharan Africa ”. Geneva:WHO.
48. UNICEF. 1999. “ The AIDS emergency:The toll on women and children ”. In The Progress of Nations, New York:UNICEF.
49. UNICEF. 2003. Africa's orphaned generations, New York:UNICEF.
50. UNICEF. 2004. The state of the world's children 2005. Children under threat, New York:UNICEF.
51. UNICEF/UNAIDS. 2005. A call to action:Children. The missing face of aids, New York:UNICEF.
52. United Nations. 1989. “ Convention on the rights of the child ”.
53. Vallerand, A. H., Hough, E., Pittiglio, L., and Marvicsin, D., 2005. The process of disclosing HIV serostatus between HIV-positive mothers and their HIV-negative children. AIDS Patient Care and Sexually Transmitted Diseases, 19:100–109.
54. Veenstra, N., and Whiteside, A., 2005. Economic impact of HIV. Best Practice Research in Clinical Obstetrics and Gynaecology, 19:197–210.
55. World Health Organization (WHO). 1998. The world health report 1998. Life in the 21st century- a vision for all, Geneva:WHO.
56. World Health Organization (WHO). 2003. HIV and infant feeding:Guidelines for decision makers, Geneva:WHO.
57. World Bank. 2002. Education and HIV/AIDS:A window of hope, Washington, DC:World Bank.