Children Affected by HIV and AIDS

The HIV/AIDS pandemic is having a devastating impact on the well-being of children, particularly in those countries with the highest HIV prevalence rates in sub-Saharan Africa, the Caribbean, and parts of Asia. The virus affects children in multiple ways; they may lose one or both parents and other family members, or become infected with the disease.

Aside from the physical and psychosocial stress associated with the onset of the disease itself and the experience of loss of loved ones, children affected by HIV/AIDS may additionally be subjected to the burden of caring for others, stigma, discrimination, exploitation, abuse, financial hardships, and are less likely to attend school. The social and economic effects of the disease means that areas with high AIDS-related mortality are less able to provide traditional family and community care, protection and basic services for its children.

Children with HIV-positive parents are at a greater risk of being orphaned, abandoned, removed by social services, placed into foster or institutional care, becoming homeless, or left to head households on their own. Orphaned children infected with the virus often have more difficulty obtaining care. Families and communities have rallied to provide kinship care to the large majority of the children who have lost their parents, however families and communities are struggling to cope, physically and financially, with the numbers of children involved. Despite international recognition of the damaging effects of institutional care and its high costs, institutional care has proliferated, often supported by external groups wanting to help. Far too little has been done in such countries to systematically strengthen and support HIV/AIDS-affected families and families caring for orphans, or to develop family-and community-based care for children without adequate family care.

Children should be cared for by their immediate and extended families wherever possible, with support services put in place to avoid abandonment. Regulated kinship, foster care, and local adoption should be developed for children without close relatives. Young people and communities should be provided with information on HIV/AIDS to avoid infection. Adequate medical treatment is needed to enable infected parents to live longer and to prevent HIV transmission from mother to child.

The literature in this section includes background information on countries and projects tackling the crises, including statistics, policy papers, implementation projects, and care options for children orphaned or infected by HIV/AIDS.

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Drumming Together for Change: A Child’s Right to Quality Care in Sub-Saharan Africa

SOS Children’s Villages, Centre for Excellence for Looked After Children in Scotland, University of Malawi, 2014

This report is based on a synthesis of eight assessments of the implementation of the Guidelines for the Alternative Care of Children (“the Guidelines”) in Benin, Gambia, Kenya, Malawi, Tanzania, Togo, Zambia and Zimbabwe.

View Report

Reaching for Home: Global learning on family reintegration in low and lower-middle income countries

Joanna Wedge, Abby Krumholz and Lindsay Jones, 28 Oct 2013

This inter-agency, desk-based research aims to arrive at a clearer understanding of reintegration practices for separated children in low and lower-middle income countries. The research pulls together learning from practitioners and academics working with a range of separated children, such as those torn from their families by emergencies, children who have been trafficked or migrated for work, and children living in institutions or on the streets.

The Dangers of Voluntourism: When Good Intentions Are Not Enough

Tania DoCarmo, Charlie Smith-Brake, and Julia Smith-Brake, Prism Magazine, 15 Oct 2013

In this article for Prism Magazine, a publication of Evangelicals for Social Action, the authors ask challenging questions about the role of 'orphanage tourism', where Westerners visit or volunteer to work at a residential care center (orphanage) in the developing world, whether the trip is arranged by a tour or travel company, a nonprofit, or by a church.

Preventing violence: evaluating outcomes of parenting programmes

University of Cape Town, WHO, UNICEF, and the WHO-led Violence Prevention Alliance, 23 Sep 2013

This report seeks to increase understanding of the need for, and the process of, conducting outcome evaluations of parenting programmes in low- and middle-income countries. The guidance is aimed at policy-makers; programme planners and developers; high-level practitioners in government ministries; representatives of nongovernmental and community-based organizations; and donors working in the area of violence prevention.

An exploratory study on children at risk: a case of orphans’ social and intellectual wellness in Masvingo urban, Zimbabwe Zimbabwe

Racheal Mafumbate, Tsediso Makoelle, & Meahabo Dinah Magano - The 40th Annual International Conference of SASE, 01 Sep 2013

The study gathered data from 16 purposively sampled orphans, 4 guidance teachers and analysed documents within a primary school in Masvingo Urban in Zimbabwe.

Better Care Network, 22 Jul 2013

India submitted its third and fourth combined report on the implementation of the Convention on the Rights of the Child.

Building Protection and Resilience: Synergies for child protection systems and children affected by HIV and AIDS

Siân Long and Kelley Bunkers, 01 Jun 2013

This paper was submitted to the Inter-Agency Task Team (IATT) on Children affected by HIV and AIDS in June 2013. It presents findings from a study commissioned by the IATT.

http://www.crin.org/docs/Building%20Protection.pdf

Road to Melbourne Meeting: Young Children Born into HIV-affected Families

The Coalition for Children Affected by AIDS, UNICEF, UNAIDS, 31 May 2013

Following three previous initiatives – the Road to Toronto, the Road to Vienna, and the Road to Washington, The Coalition for Children Affected by AIDS, with the cooperation and support of other UNICEF, UNAIDS and organizations, led the Road to Melbourne meeting in New York on May 30-31, 2013. The objective of the meeting was to influence funder and policy-maker priorities, and country-level practice for children affected by AIDS and their families.

A review of published literature on supporting and strengthening child-caregiver relationships (Parenting)

Linda Richter and Sara Naicker, 30 Apr 2013

This paper presents a comprehensive literature review of evidence-based parenting programs from around the world. The report reviews published literature from 2000 to 2012 and summarizes empirically based recommendations for supporting and strengthening child-caregiver relationships in the context of AIDS and poverty.

Inter-Agency Statement on strengthening child protection systems in sub-Saharan Africa: A call to action to African Union States

Inter-Agency Working Group (list of organizations below), 01 Apr 2013

Thirteen agencies working in Africa have issued a Joint Statement calling on African governments to strengthen their child protection systems to secure the right of children to a life free from violence, abuse, exploitation and neglect in both emergency and non-emergency settings.