Orphans And Vulnerable Children Research Articles

Menstrual hygiene - A salient hazard in rural schools: A case of Masvingo district of Zimbabwe.

Active participation of the girl child in development is hampered by Menstrual Hygiene Management (MHM) challenges. MHM is an important gender issue and a critical component in holistic human development. It affects about 25% of the global population aged between 15 and 49 years. Water, sanitation and hygiene (WASH) interventions in schools have not prioritised MHM, thus exposing girls and the entire school community to health related hazards. The study explored knowledge, attitudes and community practices, and investigated the impact of religious and cultural beliefs on MHM and how they impact on the girl child in Masvingo district. The survey was largely qualitative and employed methodologies of document analysis, Focus Group Discussions (FGD) and structured interviews. Participants included four churches, 13 NGOs, eight government departments and 40 women. Findings revealed deeply embedded power relations, a culture of silence around MHM, noninvolvement of men in MHM issues, limited availability in terms of information, and a girl unfriendly infrastructure, and limited access to menstrual hygiene products due to poverty and poor management and disposal practices. Resultant effects ranged from poor class participation, lack of concentration and constrained interactions with peers and teachers, low self-esteem, anxiety and the general feeling of being discriminated against. Results confirmed the need for increased awareness initiatives on MHM in a bid to tackle inherent religious and cultural beliefs that are a barrier to effective holistic implementation of WASH interventions that empower women and girls. Lobbying government to provide an appropriate policy framework, education and training, construction of girl friendly sanitary facilities, exploring and capitalisation of local production of Reusable Menstrual Pads (RUMPS), more research targeting children living with disabilities, those living in refugee and makeshift camps and Orphans and Vulnerable Children (OVC), are some of the recommendations coming out of the study.

Improved water and household water purification practices among orphans and vulnerable children in a multi-sectoral empowerment program in Eastern province, Kenya.

Water quality is an important determinant of diarrheal illnesses, especially affecting children in sub-Saharan Africa. Orphans and vulnerable children (OVC) in sub-Saharan Africa are at increased risk of poor quality drinking water, and therefore of diarrheal illness. The present study assesses primary drinking water source and typical household water purification among OVC households involved in a multi-sectoral empowerment program in semi-rural Kenya. Findings show water purification practices, but not water source, significantly increase with more time in the program. Other factors associated with safer water include household income, orphan type, food consumption and security, school completion, psychological resilience, engaging in sexual intercourse with more than one partner in the past 12 months, and previous year's financial status. Incorporating water quality improvements in a community-based empowerment program such as the one described may be one method of improving water quality and decreasing diarrheal illnesses among OVCs in sub-Saharan Africa.

Challenges faced by caregivers of vulnerable children in Cross River State and Abuja Federal Capital Territory, Nigeria

ABSTRACTThis study describes the characteristics of caregivers, examines the relationships between caregivers and their children and analyzes the experiences and challenges of caring for orphans and vulnerable children (OVC) faced by caregivers in the community. Using a combination of questionnaire, informant interviews and focus group discussions, data were collected from 150 female and male caregivers in Cross Rivers State and the Federal Capital Territory selected through convenient sampling. Careful analysis of the data revealed that majority of the caregivers were women, mostly widows caring for about 3–6 children. They were largely married with primary or no formal education. Most of them were engaged in petty trading and farming. Their incomes were generally low, less than 10,000 naira (approximately 52 dollars) per annum. Challenges of caring for children were listed to include; lack of access to education, nutrition, inadequate clothing and shelter and lack of psychosocial support in that order. Family supports to these caregivers have either dwindled considerably or non-existent. In the words of these caregivers, our relatives have their own problems in this era of economic crisis to bother about the problems of other people. A few of the organized supports came from non-governmental organizations and faith-based organizations in the form of handouts to meet needs of food and school supplies. These do not address the root cause of caregivers’ problems of lack of skills and income generation for sustainable care. The study recommends empowering caregivers as a sustainable approach to the problem of vulnerable children in the community.

Reactive Attachment Disorder in Orphans and Vulnerable Children (OVC) Affected by HIV/AIDS: Implications for Clinical Practice, Education and Health Service Delivery

Background: Orphans and vulnerable children (OVC) affected by HIV/AIDS frequently experience placement/ residential changes, inconsistent caregivers, abuse, neglect, disruptions in their lives and several mental health problems. This may lead to a disorder of emotional functioning, reactive attachment disorder (RAD), where the child exhibits wary, watchful, and emotionally withdrawn. Despite its clinical importance, nothing is known about RAD among OVC. This study investigated: (1) whether RAD symptoms can occur in children affected by HIV/AIDS; (2) association between RAD and other psychiatric symptoms; (3) possible aetiological or contextual factors for high RAD symptom; and (4) any interactive, cumulative effects between the aetiological or contextual factors (both risks and protective) for higher RAD symptoms. Method: In a cross-sectional survey, caregivers of 191 OVC and 100 non-OVC completed questionnaires on mental health problems including RAD and contextual variables. Results: The results demonstrated that RAD is present in OVC and that RAD symptoms may be as a result of environmental factors. The study also found high levels of RAD comorbidity with other disorders including depression, conduct problems and hyperactivity. Finally, the results indicate that experiencing more neglect and psychological abuse among OVC increases their likelihood of exhibiting RAD symptoms five-fold. Conclusion: The paper discusses the clinical implications of these findings for service development for this vulnerable group in the community and concluded that among children affected by HIV/AIDS, RAD was not rare.

Depression, Delinquency and Peer Problems Among Children and Adolescents Affected by HIV/AIDS in Ghana: The Mediating Role of Child Labour

Background: Although in the developing countries, child labour is still on the increase despite several efforts to end it, little is known about rates of child labour among orphaned and vulnerable children (OVC). The paper explores levels of child labour and its relationship with psychological wellbeing among OVC in Ghana. Method: This study employed cross-sectional, quantitative survey that involved 291 children aged 10–18 years in the Lower Manya Krobo District of Ghana and examined their psychological wellbeing and child labour. Results: The findings of the present study indicate that, compared with children who were not experiencing HIV/AIDS in their families, children orphaned by AIDS and children living with HIV/AIDS-affected caregivers had higher levels of psychological symptoms. These associations were mostly unattenuated when relevant socio-demographic factors. Overall, children affected by HIV/AIDS (OVC) reported engaging in significantly more domestic chores and care responsibilities than comparison children and that child labour strongly mediates the association between orphanhood status and psychological problems. Conclusion: The findings call for the development of comprehensive intervention programmes that address both factors specific to HIV/AIDS and contextual variables such as child labour.

Effects of Stigma and Discrimination on the Right to Education of Children with HIV/AIDS Aged 4-8 Years in Kikuyu Sub-county, Kenya

Childrens Act 2001 and the Kenyan constitution emphasize on the right to free and compulsory basic education for all school age children. However, orphaned and vulnerable children have always remained on the receiving end as they are limited in the participation in learning due to their status, which include HIV/AIDS. Achievement and participation of children with HIV/AIDS (CWHA) has been impaired by stigma and discrimination (S&D) among CWHA manifest in ways such as isolation in the sitting arrangement and rejection during play activities. CHWA suffered S&D in form of name-calling like kahurura, and physical abuse through beating and over punishment which negatively impair participation in learning activities. S&D impede sustainability and achievement of CWHA in the school systems that eventually drop out of school or continuously perform poor and gain nothing out of the years they spend in school. This study aimed at establishing the effects of S&D on the right to education of CWHA aged 4-8 years. The target population included 680 HIV/AIDS orphans and vulnerable children (OVC), 120 pre-school teachers, 240 caregivers and 34 administrators of civil society organizations (CSOS). A sample of 68 OVCs, 4 CSOs, 12 teachers, and 24 caregivers were randomly selected and a survey design was used. Data was collected through questionnaires, interview schedules, storytelling sessions and observation schedules. The study established that CWHA were isolated in the sitting arrangement and separation of items and during class activities. In schools where there is no isolation children integrate and learn smoothly. Rejection was profound during play and group activities among CWHA. Further the study found out that CWHA were neglected by relatives, peers, community and the teacher. This was manifested through being left to work and meet their basic needs. HIV/AIDS orphans lack basic needs which lead to withdrawal and self-pity and eventually poor performance or dropping out of school. The findings revealed that CWHA who stayed with relatives suffered physical abuse by being over punished through physical beating and over working. From the study it was evident that CWHA suffered from name calling and labelling which led to low self-esteem, withdrawal in turn barring sustainability of integration of CWHA in the school system. The study recommended creating conducive environment that will make the society to appreciate and support CWHA. Policies should be put in place to enhance access to education by CWHA without discrimination.

Multi-informant Perspective on Psychological Distress among Ghanaian Orphans and Vulnerable Children (OVC) within the Context of HIV/AIDS

There is little knowledge about the psychosocial distress of children affected by HIV/AIDS in Ghana, to aid planning of services. This study investigated mental health problems among children affected by HIV/AIDS in Ghana, compared to control groups of children orphaned by other causes, and non-orphans. It employed a cross-sectional survey that interviewed 291 children and their caregivers on their psychosocial wellbeing using standardized scales. The results indicated that controlling for relevant socio-demographic factors both children’s self-reports and caregivers reports indicate that both children living with HIV/AIDS-infected caregivers and children orphaned by AIDS were at heightened risk for mental health problems than both children orphaned by other causes and non-orphans. The findings further indicated that significant proportion of orphaned and vulnerable children (OVC) exhibited symptoms for depression and other psychiatric disorders (approximately 63%) compared with 7% among the non-orphaned group. Caregivers gave higher ratings for children on externalizing problems and lower on internalizing problems, and vice versa when the children’s self-reports were analyzed. These findings suggest that both children and their informants have diverse yet complementary perspectives on psychological outcomes. The study discusses the theoretical and practical implications of these findings andurgently called for necessary intervention programs that targets all children affected by HIV/AIDS to effectively alleviate psychological distress and enhance the mental health of these children.

Not everyone can afford an apple a day: stigma and food insecurity in rural South African young adults

The HIV epidemic in South Africa has created a generation of orphaned and vulnerable children (OVCs). Little is known about the experiences of these “former” OVCs once they pass their 18th birthday. We conducted a qualitative study to understand the experiences of food insecurity for rural South African young adults. We conducted 20 in-depth interviews with 11 men and 9 women aged 18–25, and 2 focus group discussions. Many ate a single meal a day provided by the school feeding scheme or by friends. Despite this, nearly all participants emphasised the emotional and social, rather than the physical, tolls of food insecurity. These experiences of social shame predominantly stem from instrumental stigma — the perception within the broader community that because these former OVCs lived in relative poverty they would not be able to contribute to the web of community ties which function as a social safety net. Interventions designed to support former OVCs must focus on building social capital and supporting emotional resiliency in addition to providing material support.

English

Nigeria has one of the largest burdens of Orphans and Vulnerable Children (OVC) in the world. In response to these challenges, the Federal Government in Nigeria initiated and adopted the Child Rights Act (CRA) and the National Guideline and Standard of Practice (NGSP) for OVC. However, there is very limited rigorous research evidence and data on the implementation of these intervention policies. It is important for the policy makers and program leaders to make well-informed decisions about the way forward. The study assessed the knowledge about the relevant documents and legislation for the protection of OVC in Nigeria and identified the challenges with its implementation among stakeholders in Benin City. Using a cross-sectional study design with both quantitative and qualitative methods of data collection, a pretested self administered questionnaire and Key Informants Interview were used to collect data from 11 heads of Orphanages and 33 stakeholders such as heads of the support institutions, policy decision makers and regulators of the orphanages. All (100.0%) of the policy makers had good knowledge of the policy, followed by the heads of orphanages (45.5%) and heads of support institutions (36.0%). The Child Rights’ Act was the most common National policy on OVC mentioned by 57.8% of them. A high proportion (45.0%) was of the opinion that the policies have in no way been implemented in Benin City. Major challenges with the implementation of the policies mentioned were inadequate funds, defective monitoring of the activities of the OVC, no adequate budget line and shortage of staff. Training and retraining of the heads of orphanages and support institutions on the relevant policies on OVC and allocation of more funds and services to the orphanages are recommended. Key words: Child Rights Act, National Guideline and Standard of Practice, OVC, policy makers, stakeholders.

Sexual Behavior Among Young Carers in the Context of a Kenyan Empowerment Program Combining Cash-Transfer, Psychosocial Support, and Entrepreneurship

This study examined associations between sexual initiation, unprotected sex, and having multiple sex partners in the past year with participation in a three-year empowerment program targeting orphan and vulnerable children (OVC). The Kenya-based program combines community-conditioned cash transfer, psychosocial empowerment, health education, and microenterprise development. Program participants (n = 1,060) were interviewed in a cross-sectional design. Analyses used gender-stratified hierarchical logit models to assess program participation and other potential predictors. Significant predictors of increased female sexual activity included less program exposure, higher age, younger age at most recent parental death, fewer years of schooling, higher food consumption, higher psychological resilience, and lower general self-efficacy. Significant predictors of increased male sexual activity included more program exposure, higher age, better food consumption, not having a living father, and literacy. Findings support a nuanced view of current cash transfer programs, where female sexual activity may be reduced through improved financial status but male sexual activity may increase. Targeting of OVC sexual risk behaviors would likely benefit from being tailored according to associations found in this study. Data suggest involving fathers in sexual education, targeting women who lost a parent at a younger age, and providing social support for female OVC may decrease risk of human immunodeficiency virus (HIV) transmission.

English

In Ethiopia, it was shown that funding levels are far from compatible to the needs for care and support services for people living with human immuno-deficiency virus (PLHIV) and orphaned and vulnerable children (OVC). The aim in this study is to map the relationship between client needs, actors, care and support services provided for PLHIV and OVC in Ethiopia. A case study of the Ethiopian community care program was carried out using multiple methods of data collection as part of a multi-country research of four countries. Three program cases providing care and support services throughout the country were studied. A total of 35 in-depth interviews, 9 focus group discussions, 60 guided interviews, and 3 community mapping exercises were carried out. Analysis was conducted using the thematic framework approach with coding and mapping of the transcripts in the ATLAS.ti version 5.0. The expansion of antiretroviral therapy (ART) has reduced the number of bed-ridden PLHIV in need of home based nursing care. Currently, inadequate access to food and lack of income to cover health care and other expenses are the major concerns of PLHIV in Ethiopia. Community Home Based Care (CHBC) in Ethiopia can be categorised into two types; clinical and non-clinical. Non-clinical care (psychosocial, economic, home nursing care, material, food, and other social supports) is mainly provided by non-governmental care-giving organizations. Clinical care was provided mainly by government health facilities which comprised services such as early detection and treatment for opportunistic infections (OIs), ART services and PMTCT. A clear shift of the need of PLHIV from basic nursing care at home to social and material support needs was observed. A coordinated effort from the key players including governmental entities, non-governmental organizations (NGOs) and faith-based organizations (FBOs), the community, associations of PLHIV and volunteers is required to meet the current needs of PLHIV and OVC in the country. Key words: Caregiver, community home based care, patient needs, service provision, care and support, people living with human immuno-deficiency virus (PLHIV), Ethiopia, qualitative methods, mapping.

HIV Orphanhood Research and the Representation of Older Orphans in Sub-Saharan Africa: A Literature Review

One impact of incurable HIV infection is the large number of orphans and vulnerable children (OVC) who are affected by HIV. The age-based criteria used to determine support eligibility for HIV orphans, however, exclude older orphans (≥18 years of age) from support. We conducted a literature survey in order to explore possible inclusion of older orphans (ages 18-24 years) in HIV orphanhood research. We found 17 studies conducted in eight countries that met the review inclusion criteria. Findings from the review revealed that older HIV orphans are underrepresented in the OVC literature. The emerging, but limited, evidence suggests that older orphans are at risk for poorer psychosocial and reproductive outcomes. We recommend increasing inclusion of older orphans in HIV orphan research because of their complex physical, reproductive, and psychosocial needs. This inclusion is necessary to allow their experiences and needs to become clearer.

ADEQUACY OF FUNDING AND MAINSTREAMING SUPPORT FOR OVC IN PUBLIC NURSERY SCHOOLS IN NYERI CENTRAL SUB COUNTRY, KENYA; ADDRESSING CONSTRAINTS AND POLICY

The goal of expanding educational opportunity for Orphans and Vulnerable Children (OVC) is extricably linked to the amount of funding invested in education to maximise student learning and participation. Deprivation of interventions during the early years results in lifelong deficiencies and disadvantages. Therefore, substantial disparities in the amount of funding in Public Nursery Schools (PNS) may cause substantial disparities in the quality of educational opportunities for OVC. The amount of funding provided in PNS influences the specific instructional, curricular and psychological components necessary to deliver national education standards in PNS. Provision of special attention to mitigate barriers that impede OVC access to equal benefit with all children involves adequate funding to establish and sustain support structures in schools. The purpose of this study was to find out the influence of adequacy of finance on main streaming support for OVC in PNS in Nyeri Central Sub-county. The study employed a descriptive survey design with a sample of 19 PNS. Data was collected through questionnaires for head teachers and preschool teachers and an interview with the District Centre for Early Childhood Education (DICECE) programme officer. The study found out that inadequacy of funds for OVC support compromised continuity of OVC, continuous staff development, staff motivation and allocation of funds to support structures such as feeding programmes and provision of bursary funds. To avert this crisis the study recommends that the Ministry of Education in Kenya, the Children’s Department and NGO’s should increase intersectoral linkages for more budgetary allocations to ECE . More so funds specifically earmarked for OVC support could mitigate the challenges experienced by OVC in preschools.

English

Much has been written about orphans and vulnerable children (OVC) with regard to their education and living. However, relatively few studies have documented the psychosocial support provided for OVC in public primary schools to enhance their psychosocial well-being. This study therefore contributes to the understanding of the challenges experienced by teachers in providing psychosocial support for OVC and the possible intervention strategies that could be adopted to mitigate these challenges. Seven public primary schools from Soweto participated in the study, comprising 42 educators and 65 OVC in Grade Seven. Findings that emerged provide supporting evidence that minimal psychosocial support is offered, and it is marred by numerous challenges in public primary schools, including lack of professionals to provide guidance and counselling services, few teachers trained in life orientation, and a lack of support from parents/guardians for OVC. Based on the findings, several intervention strategies are presented. Keywords : challenges; interventions; life orientation skills; orphans and vulnerable children; training

Overweight status of the primary caregivers of orphan and vulnerable children in 3 Southern African countries: a cross sectional study.

BackgroundAfrica is facing a nutritional transition where underweight and overweight coexist. Although the majority of programs for orphan and vulnerable children (OVC) focus on undernourishment, the association between OVC primary caregiving and the caregivers’ overweight status remains unclear. We investigated the association between OVC primary caregiving status with women’s overweight status in Namibia, Swaziland and Zambia.MethodsDemographic Health Survey (DHS) cross-sectional data collected during 2006–2007 were analyzed using weighted marginal means and logistic regressions. We analyzed data from 20–49 year old women in Namibia (N 6638), Swaziland (N 2875), and Zambia (N 4497.)ResultsThe overweight prevalence of the primary caregivers of OVC ranged from 27.0 % (Namibia) to 61.3 % (Swaziland). In Namibia, OVC primary caregivers were just as likely or even less likely to be overweight than other primary caregivers. In Swaziland and Zambia, OVC primary caregivers were just as likely or more likely to be overweight than other primary caregivers. In Swaziland and Zambia, OVC primary caregivers were more likely to be overweight than non-primary caregivers living with OVC (Swaziland AOR = 1.56, Zambia AOR = 2.62) and non-primary caregivers not living with OVC (Swaziland AOR = 1.92, Zambia AOR = 1.94). Namibian OVC caregivers were less likely to be overweight than non-caregivers not living with an OVC only in certain age groups (21–29 and 41–49 years old).ConclusionsAfrican public health systems/OVC programs may face an overweight epidemic alongside existing HIV/AIDS, tuberculosis and malaria epidemics. Future studies/interventions to curb overweight should consider OVC caregiving status and address country-level differences.

What are the factors associated with depressive symptoms among orphans and vulnerable children in Cambodia?

BackgroundCompared to general children, orphans and vulnerable children (OVC) are more exposed to negative outcomes in life such as abuse and neglect. Consequently, OVC are more susceptible to depression. This paper investigated factors associated with depressive symptoms among OVC in Cambodia.MethodsIn this cross-sectional study, data of 606 OVC from the Sustainable Action against HIV and AIDS in Communities (SAHACOM) project were analyzed. The data were collected from five provinces and analyzed separately for boys and girls. Multiple linear regression analysis was used to identify factors independently associated with levels of depressive symptoms.ResultsBoth boys and girls who reported having been too sick making them unable to attend school or go to work in the past six months (boys: B = 3.5; 95 % CI = 0.7, 6.2; girls: B = 5.7; 95 % CI = 2.9, 8.5) and who had witnessed violence in the family (boys: B = 5.6; 95 % CI = 1.6, 9.6; girls: B = 5.8; 95 % CI = 1.7, 9.9) had a higher level of depressive symptoms. Girls who were older (B = 8.5; 95 % CI = 3.0, 14.0), who did not have enough food in the past six months (B = −8.7; 95 % CI = −13.7, −3.7) and whose parents were separated, divorced or dead (B = 3.9; 95 % CI = 0.5, 7.2) had a higher level of depressive symptoms. Higher level of school attachment was negatively associated with depressive symptoms in both genders (boys: B = −1.4; 95 % CI = −2.0, −0.9; girls: B = −1.4; 95 % CI = −2.0,-0.9).ConclusionsFactors such as physical health and exposure to violence may affect mental health of OVC in Cambodia. As health is of utmost importance, better healthcare services should be made easily accessible for OVC. Schools have the potential to act as a buffer against depressive symptoms. Therefore, efforts should be made to keep OVC in school and to improve the roles of school in Cambodia.

Access to Education for Orphans and Vulnerable Children in Uganda: A Multi-District, Cross-Sectional Study Using Lot Quality Assurance Sampling from 2011 to 2013.

ObjectivesThis study estimates the proportion of Orphans and Vulnerable Children (OVC) attending school in 89 districts of Uganda from 2011 – 2013 and investigates the factors influencing OVC access to education among this population.MethodsThis study used secondary survey data from OVCs aged 5 – 17 years, collected using Lot Quality Assurance Sampling in 87 Ugandan districts over a 3-year period (2011 – 2013). Estimates of OVC school attendance were determined for the yearly time periods. Logistic regression was used to investigate the factors influencing OVC access to education.Results19,354 children aged 5-17 were included in the analysis. We estimated that 79.1% (95% CI: 78.5% – 79.7%) of OVCs attended school during the 3-year period. Logistic regression revealed the odds of attending school were lower among OVCs from Western (OR 0.88; 95% CI: 0.79 – 0.99) and Northern (OR 0.64; 95% CI: 0.56 – 0.73) regions compared to the Central region. Female OVCs had a significantly higher odds of attending school (OR 1.09; 95% CI: 1.02 – 1.17) compared to their male counterparts. When adjusting for all variables simultaneously, we found the odds of school attendance reduced by 12% between 2011 and 2012 among all OVCs (OR 0.88; 95% CI: 0.81 – 0.97).ConclusionOur findings reinforce the need to provide continuing support to OVC in Uganda, ensuring they have the opportunity to attain an education. The data indicate important regional and gender variation that needs to be considered for support strategies and in social policy. The results suggest the need for greater local empowerment to address the needs of OVCs. We recommend further research to understand why OVC access to education and attendance varies between regions and improvement of district level mapping of OVC access to education, and further study to understand the particular factors impacting the lower school attendance of male OVCs.

The missed HIV-positive children of Ethiopia.

ObjectiveAs elsewhere, due to scarcity of data and limited awareness of HIV infection, especially in older children, the HIV epidemic among Ethiopian children appears neglected in national programs (children ART coverage is of only 12% in 2013). This paper estimates the country burden of HIV in older children and investigates the prevalence of HIV in orphans and vulnerable children (OVC) households.Design/MethodsWe analyzed national HIV data for Ethiopia, using Spectrum/ Estimation and Projection Package (EPP) and primary data on children living in households with at least one HIV-positive adult in the Amhara and Tigrai regions. Descriptive analysis of the age and sex distribution of HIV-positive OVC in Ethiopia was performed.ResultsOur Spectrum/EPP analysis estimated the population of HIV-positive children under 15 years old to be 160,000 in 2013. The majority of children (81•6%) were aged five to 14 years. The estimated number of orphans due to AIDS was 800,000. The empirical data from almost 10,000 OVC under 18 years showed 11•9% were HIV-positive, the majority of whom were between five and 10 years old with no significant difference between males and females.ConclusionsThere is a large population of children living with HIV in Ethiopia, the magnitude of which not previously recognized. The majority were vertically infected and never identified nor linked into treatment. OVC represent a reachable group which could account for a substantial proportion of the HIV infected older children. We recommend that HIV programs urgently synergize with social protection sectors and address these children with HIV testing and related services.

ISIBINDI, creating circles of care for orphans and vulnerable children in South Africa: post-programme outcomes

This paper presents the evaluation of post-programme outcomes of the ISIBINDI model, a community-based intervention to promote physical and psychosocial well-being of orphans and vulnerable children (OVC) in South Africa. A mixed methods quasi-experimental design was used to investigate the differences between former ISIBINDI participants (18 years and older) and a control group of similar background. ISIBINDI ex-participants at 12 sites (n = 427) and a control group of non-participants (n = 177) completed a questionnaire which explored level of education and employment, psychosocial well-being and HIV risk behaviour. Focus group discussions were conducted with various stakeholders. Ex-participants reported higher self-esteem and problem-solving abilities, family support and lower HIV risk behaviour than the control group. High levels of unemployment especially in rural areas resulted in unemployment of out-of-school OVC which creates new forms of vulnerability. The benefits of the programme may be compromised by the lack of community resources. An effective exit strategy is needed to contribute to financial independence of OVC after exiting the programme.

Working to strengthen orphans and vulnerable children (OVC) service provision by building capacity of local Zimbabwean partners

Welcome to Annals of Global Health,Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles dedicated to all aspects of global health. The journal's mission is to advance global health, promote research, and foster the prevention and treatment of disease worldwide. Its goals are to improve the health and well-being of all people, advance health equity, and promote wise stewardship of the earth's environment. The latest journal impact factor is 3.64.Annals of Global Health is supported by the Program for Global Public Health and the Common Good at Boston College. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health. Authors of articles accepted for publication in Annals of Global Health will be asked to pay an Article Publication Charge (APC) to cover publication costs. This charge can normally be sourced from your funder or institution. We are committed to supporting authors from all countries to publish their work in Annals of Global Health regardless of national income level, and to achieve this goal, we waive the Article Publication Charge for manuscripts where all authors are from low-income or lower-middle-income countries (as defined by the World Bank). From time to time, Annals of Global Health publishes Special Collections, a series of articles organized around a common theme in global health. Recent Special Collections have included “Strengthening Women’s Leadership in Global Health”, “Decolonizing Global Health Education”, and “Capacity Building for Global Health Leadership Training”. Global health workers interested in developing a Special Collection are strongly encouraged to contact the Managing Editor in advance to discuss the project.