Displaying 1 - 10 of 82
Abstract
INTRODUCTION
Community Health Centres are a crucial part of the Victorian primary health care system, providing a holistic health and welfare model of services to meet local needs. Banyule Community Health has over 40 years’ experience working with vulnerable groups and families. A pilot project in 2016 aiming to improve health care access for children in out-of-home care (OOHC) identified significant systems issues. The process was complex and systems were not supporting the needs of the children or enabling the best use of health workers’ time or skills.
POLICY CONTEXT AND…
This paper assesses the impact of Ethiopia's flagship social protection program, the Productive Safety Net Program on the adverse impacts of the COVID-19 pandemic on the food and nutrition security of households, mothers, and children. The analysis uses pre-pandemic, in-person household survey data and a post-pandemic phone survey. Two-thirds of the respondents reported that their incomes had fallen after the pandemic began, and almost half reported that their ability to satisfy their food needs had worsened. Employing a household fixed effects difference-in-difference approach, the study…
Abstract
The child welfare system strives to provide children and adolescents in foster care with a safe, nurturing environment through kinship and nonkinship foster care placement with the goal of either reunification with birth parents or adoption. Pediatricians can support families who care for children and adolescents who are fostered and adopted while attending to children’s medical needs and helping each child attain their developmental potential. Although this report primarily focuses on children in the US child welfare system, private and internationally adopted children often have…
Abstract
Aim
To explore the experiences of Victorian foster and kinship carers in accessing health services for children in their care and to quantify the frequency of potential barriers to health care.
Methods
On‐line survey co‐designed with the Foster Care Association of Victoria measuring carer‐reported health service engagement by a child/young person in their care, ease of service access, time to receiving Medicare number and out‐of‐pocket health‐related costs. A total of 239 foster and 51 kinship carers were recruited through email and social media by carer support agencies…
Abstract
The United Nations and WHO have summoned governments from low-income and middle-income countries to institute universal health coverage and thereby improve their population’s healthcare access and outcomes. Until now, few countries responded favourably to this international plea. The HIV/AIDS epidemic, a major global public health challenge, resulted in over 11 million orphans in sub-Saharan Africa. Extended families have taken responsibility for more than 90% of these children. HIV orphans are likely to be poorer and less healthy. Burkitt lymphoma is the most common childhood…
Abstract
Background: Street-connected children and youth (SCY) in Kenya disproportionately experience preventable morbidities and premature mortality. We theorize these health inequities are socially produced and result from systemic discrimination and a lack of human rights attainment. Therefore, we sought to identify and understand how SCY’s social and health inequities in Kenya are produced, maintained, and shaped by structural and social determinants of health using the WHO conceptual framework on social determinants of health (SDH) and the Convention on the Rights of the Child (CRC)…
Background: Although Tanzania experiences a general decline in HIV prevalence, some populations such as caregivers of orphans may be at a higher risk than the general population, suggesting that infection pathways still need further exploration. This study examines how food insufficiency relates to HIV infection among caregivers of orphans and vulnerable children (OVC) in Tanzania.
Data and Methods: Data are from a community-based, USAID-funded Kizazi Kipya project that aims at increasing the uptake of HIV services, as well as other health and social services by OVC and their caregivers in…
Abstract
Children in foster care have greater physical and mental health conditions than children not in foster care. However, little is known about their actual healthcare utilization. This study describes healthcare utilization from July 1, 2014 to June 30, 2016 among children in foster care in the greater Houston, Texas area who receive Medicaid coverage through a single Medicaid managed care organization for children in foster care. Enrollment and claims data were used to describe demographic characteristics; outpatient utilization, location and type of encounters; inpatient…
Abstract
Background: HIV/AIDS has contributed to increasing orphans and vulnerable children in Nigeria. A measure of vulner- ability is household hunger.
Objective: To assess level of household hunger and associated factors among OVC households in Lagos State.
Methods: A cross-sectional survey of 1300 OVC households in 5 selected Local Government Areas. The LGAs were selected using the Household Vulnerability Assessment index. Data collection was by personal interview of households’ heads/ caregivers using a structured…
ABSTRACT
Children in care (CiC) experience poorer health outcomes than their sameaged peers without an experience of care. Despite growing recognition of the importance of listening to the voices of children and young people (YP), to date, the voices of CiC are not well represented in research examining their health. This study aimed to explore the experiences and perceptions of health among YP who have previously lived in care. A co-design approach was used to inform the research methodology by engaging YP with a lived experience in cooperative discussions. Ten YP participated in one-on-…