Abstract
HIV/AIDS has contributed to increasing orphans and vulnerable children in Nigeria. A measure of vulnerability is household hunger. To assess level of household hunger and associated factors among OVC households in Lagos State. 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 questionnaire capturing socio-demographic, household economic profile and food-related variables. A multivariate logit model was fitted to identify independent predictors of household hunger after adjusting for confounding variables. The population density was 5.1 and 52.8% were females. A larger proportion of females (84.6%) than males (78.3%) reported that they had no food to eat in the last four weeks prior the survey. Poor household economic status (OR=1.41, CI: 1.03-1.92), age and marital status of caregiver were independent predictors of household hunger. The odds of hunger increased with caregiver's age; higher in households headed by never married (OR=3.99, CI: 1.15-13.89) and divorced/separated caregivers (OR=2.39, CI: 1.11-5.12). OVC households experienced severe hunger. Household economic strengthening would be useful strategy to mitigate the nutrition challenges of OVC in Lagos state.
Highlights
Background: HIV/AIDS has contributed to increasing orphans and vulnerable children in Nigeria
The Local Government Area (LGA) were purposefully selected based on USAID guidelines dictated by the burden of HIV and non-presence of other implementing partners in the LGAs
Socio demographic characteristics of caregivers A total of 6,669 people resided in the 1,300 households for which information was available in this survey which gave a household density of 5.1
Summary
HIV/AIDS has contributed to increasing orphans and vulnerable children in Nigeria. Poor household economic status (OR=1.41, CI: 1.03-1.92), age and marital status of caregiver were independent predictors of household hunger. Household economic strengthening would be useful strategy to mitigate the nutrition challenges of OVC in Lagos state. Apart from hunger, there are other negative outcomes that affect households orphaned by HIA/AIDS. These include childhood morbidity 3, incomplete immunization 4, poor nutritional status and other forms of negative cognitive developmental deficiencies[6]
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