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ABSTRACT
The mental health needs of children and adolescents living with HIV (ALHIV) in Namibia are poorly understood, despite the dramatic improvement in their survival. ALHIV in resource poor contexts face particular risk factors, such as poverty, orphanhood, and poor social support. This study examines the mental health of ALHIV in Namibia, and the factors that contribute to mental health problems. A case–control design assessed emotional and behavioural symptoms of distress, risk and protective factors among adolescents aged 12–18 years. Case participants were 99 HIV-positive…
We examine the impact of orphanhood on children’s school enrollment in 10 Sub-Saharan African countries. Although poorer children in Africa are less likely to attend school, the lower enrollment of orphans is not accounted for solely by their poverty. We find orphans are less likely to be enrolled than are non-orphans with whom they live. Consistent with Hamilton’s Rule, the theory that the closeness of biological ties governs altruistic behavior, outcomes for orphans depend on the relatedness of orphans to their household heads. The lower enrollment of orphans is largely explained caregivers…