Africa’s Orphan Crisis: Two Community-Based Models of Care

Africa’s Orphan Crisis: Two Community-Based Models of Care

Africa’s Orphan Crisis: Two Community-Based Models of Care

Africa’s Orphan Crisis: Two Community-Based Models of Cares

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Référence bibliographique [2500]

Kidman, Rachel, Petrow, S. E. et Heymann, Jody. 2007. «Africa’s Orphan Crisis: Two Community-Based Models of Care ». Aids Care: Psychological and Socio-Medical Aspects of AIDS/HIV, vol. 19, no 3, p. 326-329.

Fiche synthèse

1. Objectifs

Intentions :
« This study sought to identify existing programmes that support orphans and evaluate how well they are able to meet the needs of this population; insights gained from this approach can inform programme initiatives in other communities devastated by the epidemic. » (p. 326)

2. Méthode

Échantillon/Matériau :
« We examined the range of community-based models available to care for orphans by conducting in-depth interviews with directors, staff and caregivers at eight orphan care programmes in Botswana and South Africa. » (p. 326)
« We identified the specific areas of need by conducting a literature review and drawing on over 1,000 household surveys and 300 in-depth interviews with families caring for orphans in Botswana, one of the countries hardest hit by the AIDS epidemic. » (p. 327)

Instruments :
- « The comprehensive literature review was performed using key word searches to capture English language articles on the impact of being orphaned by AIDS in Africa in the following databases: PubMed, Medline, Sociofile, Social Sciences Citation Index, Econolit, and Social Science Research Network. » (p. 327)
- « The Family and Health Needs Survey assessed the impact of HIV/AIDS on individuals and families through quantitative surveys and qualitative interviews with caregivers, and teachers, child-care providers, and health-care providers (Miller et al., 2006). » (p. 327)

Type de traitement des données :
Analyse de contenu et analyse statistique

3. Résumé

« The AIDS epidemic has created a crisis for children, severely threatening the health and development of children whose parents are ill, have died and whose communities have lost a large percentage of their adults. Even when extended family can serve as guardians, their need to work in the context of widespread poverty decreases the amount of time they are able to spend with children. Other children live in child-headed households or with seniors unable to provide adequate care. Relative to the size of the need there are few interventions that provide support to orphans in sub-Saharan Africa. We report on two different models of community-based care that have emerged to fill this caregiving gap, and highlight the relative advantages of each. These programmes, one centralized and the other decentralized, are an effective means of caring for orphans and could be scaled up in other communities to meet the magnitude of the crisis. » (p. 326)