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Abstract

There were 14.8 million children orphaned by AIDS living in Sub-Saharan Africa in 2009, an increase from 8.9 million in 2001. Nearly 60% of these orphans lived in the high-prevalence countries of South Africa, Zimbabwe, Malawi, Mozambique, Tanzania, Kenya, Uganda, and Zambia (UNAIDS 2010, p. 186). The surge in the number of children who lost either one or both parents is putting great strains on the welfare and development of children and the overall socioeconomic development of countries. Children orphaned by AIDS suffer not only from lack of parental love and care but also from stigma and discrimination by the community at large. A study of 1,480 community-based and 192 institution-based caregivers in five countries including Tanzania, Ethiopia, and Kenya found that 25% of the caregivers harbored feelings of stigma regarding AIDS, which in turn may affect their relations with the orphans for whom they care (Messer et al. 2010). These findings indicate that the willingness of extended families to care for and support AIDS orphans is highly complicated, often resulting in child mobility, exploitation, and neglect. The welfare and livelihood of orphaned children are further jeopardized by stigma and discrimination that discourage them from accessing basic services such as health care and welfare services (Richter 2010; Smart 2003).

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References

  • Abebe, T. and Aase, A. 2007. Children, AIDS and the politics of orphan care in Ethiopia: The extended family revisited. Social Science and Medicine 64: 2058–2069.

    Article  Google Scholar 

  • Akwara, P.A., Noubary, B., Ken, P.L.A. et al. 2010. Who is the vulnerable child? Using survey data to identify children at risk in the era of HIV and AIDS. AIDS Care 22:1066–1085.

    Article  Google Scholar 

  • Ayieko, M. 1997. From Single Parents to Child-Headed Households: The Case of Children Orphaned by AIDS in Kisumu and Siaya District. New York: HIV and Development Programme, UNDP.

    Google Scholar 

  • Bledsoe, C. and Brandon, A. 1987. Child fostering and child mortality in sub-Saharan Africa: Some preliminary questions and answers. In van de Walle, E., Pison, G. and Sala-Diakanda, M. (eds), Mortality and Society in Sub-Saharan Africa, pp. 287–302. Oxford: Clarendon Press.

    Google Scholar 

  • Case, A., Paxson, C. and Ableidinger, A. 2004. Orphans in Africa: Parental death, poverty and school enrollment. Demography 41:483–508.

    Article  Google Scholar 

  • Chuong, C. and Operario, D. 2012. Challenging household dynamics: Impact of orphanhood, parental absence, and children’s living arrangements on education in South Arica. Global Public Health 7:42–57.

    Article  Google Scholar 

  • CYFO and the Italian Corporation. 1995. Research Report on Child Abuse and Neglect In Selected Parts of Ethiopia. Addis Ababa: Children and Youth Affairs Organization and the Italian Corporation.

    Google Scholar 

  • de Wagt, A. and Connolly, M. 2005. Orphans and the impact of HIV/AIDS in subSaharan Africa. Food, Nutrition and Agriculture 34:24–31.

    Google Scholar 

  • Gosh, J. and Kalipeni, E. 2004. Rising tide of AIDS orphans in Southern Africa. In Kalipeni, E., Craddock, S., Oppong, J.R. and Ghosh, J. (eds), HIV&AIDS in Africa: Beyond Epidemiology, pp. 305–315. Oxford: Blackwell.

    Google Scholar 

  • ICAD (Interagency Coalition on AIDS and Development). 2002. Best Practices for Care of AIDS Orphans. http://www.icad-cisd.com/pdf/publications/e_orphans_web.pdf

    Google Scholar 

  • Kareithi, J., Egesah, O. and Kong’ong’o, M. 2008. The challenges of orphan fosterage in the era of HIV/AIDS in the North Rift region, Kenya. In OSSREA (ed.), The HIV/AIDS Challenge in Africa, an Impact and Response Assessment: The Case of Kenya, pp. 147–189. Addis Ababa: OSSREA.

    Google Scholar 

  • Kodero, H.M.N. 2008. Emotional care for AIDS-orphaned children in Kenya. In OSSREA (ed.), The HIV/AIDS Challenge in Africa, an Impact and Response Assessment: The Case of Kenya, pp. 75–145. Addis Ababa: OSSREA.

    Google Scholar 

  • Laboso, L. and Picken, A. 2011. The gender dynamics in caregiving among older carers. Abstracts of the International Conference on AIDS and Sexually Transmitted Diseases, Addis Ababa. Abstract TUAD1104.

    Google Scholar 

  • Makqoko, Z. and Dreyer, Y. 2007. Child-headed households because of the trauma surrounding HIV/AIDS. HTS Theological Studies 63:717–731.

    Google Scholar 

  • Malinga, T. and Ntshwarang, P.L. 2011. Alternative care for children in Botswana: A reality or idealism? Social Work and Society: The International Online-Only Journal 9(2), www.socwork.net/sws/article/view/277

  • Matshalaga, N.R. and Powell, G. 2002. Mass orphanhood in the era of HIV/AIDS: Bold support for alleviation of poverty and education may avert a social disaster. British Medical Journal 324:185–186.

    Article  Google Scholar 

  • McKenzie, R.B. (ed.). 2009. Home Away from Home: The Forgotten History of Orphanages. New York: Encounter Books.

    Google Scholar 

  • Messer, L.C, Pence, B.W, Whetten, K. et al. 2010. Prevalence and predictors of HIV related stigma among institutional- and community-based caregivers of orphans and vulnerable children living in five less-wealthy countries. BMC Public Health 10:504.

    Article  Google Scholar 

  • Miller, C. 2007. Children Affected by AIDS: A Review of the Literature on Orphaned and Vulnerable Children. Boston: Boston University, School of Public Health.

    Google Scholar 

  • Miller, C.M., Gruskin, S., Subramanian, S.V. et al. 2006. Orphan care on Botswana’s working households: Growing responsibilities in the absence of adequate support. American Journal of Public Health 96:1429–1435.

    Article  Google Scholar 

  • Mishra, V. and Bignami-Van Assche 2008. Orphans and Vulnerable Children in HighPrevalence Countries in Sub-Saharan Africa. Calverton: Macro International.

    Google Scholar 

  • MOWA. 2009. Improving Care Options for Children in Ethiopia through Understanding Institutional Child Care and Factors Driving Institutionalization. Addis Ababa: Ministry of Women’s Affairs.

    Google Scholar 

  • Newman, C.J., Fogarty, L., Makoae, L.N. and Reavely, E. 2011. Occupational segregation, gender essentialism and male primacy as major barriers to equity in HIV/AIDS caregiving: Findings from Lesotho. International Journal for Equity in Health 10:24.

    Article  Google Scholar 

  • Ntaganira, J., Brown, L. and Mock, N. 2011. Sexual risk behaviours among orphans heads of households in Rwanda. Abstracts of the International Conference on AIDS and Sexually Transmitted Infections in Africa, Addis Ababa. Abstract MOPE092.

    Google Scholar 

  • Nyambedha, E.O., Wandibba, S. and Aagaard-Hansen, J. 2003. Changing patterns of orphan care due to the HIV epidemic in western Kenya. Social Science and Medicine 57:301–311.

    Article  Google Scholar 

  • Ogunmefun, C., Gilbert, L. and Schatz, E. 2011. Older female caregivers and HIV/AIDS-related secondary stigma in rural South Africa. Journal of Cross Cultural Gerontology 26:85–102.

    Article  Google Scholar 

  • Pharoah, R. 2005. AIDS, orphans and crime: Exploring the linkages. South African Crime Quarterly 13:7–14.

    Google Scholar 

  • Richter, L. 2010. An introduction to family-centered services for children affected by HIV and AIDS. Journal of the International AIDS Society 13(Suppl. 2):S1.

    Google Scholar 

  • Rivers, J., Mason, J.B., Rose, D.D. et al. 2010. The impact of orphanhood on food security in the high-HIV context of Blantyre, Malawi. Food and Nutrition Bulletin 31:S264–S271.

    Google Scholar 

  • Roa, S. 2011. Community-based orphan care. Mission Frontiers. http://www.missionfrontiers.org/issue/article/community-based-orphan-care

  • SADC. 2008. Strategic Framework and Programme of Action (2008–2015): Comprehensive Care and Support for Orphans, Children & Youth (OVCY’) in the Southern African Development Community. SADC Secretariat.

    Google Scholar 

  • Sefasi, A.P. 2010. Impact of HIV and AIDS on the elderly: A case study of Chiladzulu district. Malawi Medical Journal 4:101–103.

    Google Scholar 

  • Skinner, D., Tsheko, N., Mtero-Munyati, S. et al. 2004. Defining Orphaned and Vulnerable Children. Cape Town: Human Sciences Research Council.

    Google Scholar 

  • Smart, R. 2003. Planning for Orphans and HIV/AIDS-Affected Children: Home-based HIV/AIDS Care. London: Oxford University Press.

    Google Scholar 

  • Ssamula, M. 2008. Needs and coping strategies of female-headed families affected by HIV and AIDS: A case study of Masaka District, Uganda. In OSSREA (ed.), The HIV/AIDS Challenge in Africa, an Impact and Response Assessment: The Case of Uganda, pp. 47–100. Addis Ababa: OSSREA.

    Google Scholar 

  • Subbarao, K., Mattimore, A. and Plangemann, K. 2001. Social Protection of Africa’s Orphans and Other Vulnerable Children: Issues and Good Practice Program Options. Washington, DC: World Bank.

    Google Scholar 

  • Tadele, G. and Kifle, W. 2007. Existing situation and best practices in the area of information management related to children living in vulnerable circumstances in Ethiopia. Paper prepared for the Italian Cooperation Program in Support of Children and Adolescents in Vulnerable Circumstances, Addis Ababa.

    Google Scholar 

  • Tadele, G. and Kifle, W. 2010. Assessment of the information management practices of organizations working with children living under difficult circumstances in Ethiopia. In Yntiso, G. (ed.), Inter-generational Challenges in Ethiopia: Understanding Family, Children and the Elderly. Proceedings of the Sixth Annual Conference of the Ethiopian Society of Sociologists, Social Workers and Anthropologists, pp. 95–110. Addis Ababa: United Printers.

    Google Scholar 

  • Tandi, M.D. 2011. Grandmother of kindness: A social and health safety net for children orphaned by HIV in Zimbabwe. Abstracts of the International Conference on AIDS and Sexually Transmitted Diseases, Addis Ababa. Abstract TUAD1105.

    Google Scholar 

  • UNAIDS. 2008. Report on the Global AIDS Epidemic. Geneva: UNAIDS.

    Google Scholar 

  • UNAIDS. 2010. Report on the Global AIDS Epidemic. New York: UNAIDS.

    Google Scholar 

  • UNICEF. 2006. Caring for Children Affected by HIV and AIDS. Florence, Italy: Innocenti Research Center. http://www.hsrc.ac.za/Document-2455.phtml

    Google Scholar 

  • World Vision. 2008. 2009 New Project Opportunity, Fighting Child Labor in East Africa: Helping AIDS-impacted Children Stay in School in Four Countries. http://www.volusion.com/assets/images/company/worldvisionvolusionpdf 1.pdf

    Google Scholar 

  • Yamano, T., Shimamura, Y. and Sserunkuuma, D. 2005. Living arrangements and schooling of orphaned children and adolescents in Uganda. Economic Development and Cultural Change 54:833–856.

    Article  Google Scholar 

  • Young Lives. 2009. The Impact of Parental Death on Child Outcomes: Evidence from Ethiopia. Policy Brief. http://www.younglives.org.uk/pdf/publication-section-pdfs/policy-briefs/YL_PB7_EthiopiaOrphans.pdf

    Google Scholar 

Books, papers, and other resources for further reading

  • Audemard, C. and Viknikin, K. 2006. Orphans and Vulnerable Children in Sub-Saharan Africa. Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Foster, G., Levine, C. and Williamson, J. (eds). 2005. A Generation at Risk: The Global Impact of HIV/AIDS on Orphans and Vulnerable Children. Cambridge, MA: Cambridge University Press.

    Book  Google Scholar 

  • Grannis, S.W. 2011. Hope Amidst Dispair: HIV/AIDS-Affected Children in Sub-Saharan Africa. London: Pluto Press.

    Google Scholar 

  • Joslin, D. (ed.). 2002. Invisible Caregivers: Older Adults Raising Children in the Wake of HIV/ A IDS. New York: Columbia University Press.

    Google Scholar 

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© 2013 Woldekidan Amde and Getnet Tadele

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Amde, W., Tadele, G. (2013). Care and Support for AIDS Orphans. In: Vulnerabilities, Impacts, and Responses to HIV/AIDS in Sub-Saharan Africa. Palgrave Macmillan, London. https://doi.org/10.1057/9781137009951_9

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