6 - Children at Risk: A Study of the Psychosocial Impact of HIV on Orphans and other Vulnerable Children in Benin

Abstract

This paper describes the effect of parental HIV on the life of children in Benin. A total of 2,043 children aged from 10 to 16 were surveyed on health, diet, violence, school attendance and psychosocial state. The results indicate that, while Beninese children who have had a parent living with HIV are not necessarily subjected to different economic and material conditions than those who have not, they do experience a much greater lack of psychosocial support. In contrast to children whose parents are not known to have HIV, these affected children are less prone to general illness (OR=0.69, 95 per cent CI 0.55-0.86). However, when they are sick, HIV-affected children are significantly more likely to undertake self-treatment (OR=1.38; 95 per cent CI 1.04-1.86) and more likely to work (OR=1.65, 95 per cent CI 1.04-2.60). They are also offered fewer meals than unaffected children (OR=1.94; 95 per cent CI 1.52-2.47). With respect to psychosocial fac- tors, the data suggest that children who have had a parent with HIV have signifi- cantly higher levels of psychological distress than those who have not. Govern- ments and civil society organisations need to address not only the material deprivation, especially hunger, of children thus affected by HIV, but also their need for social services.