Child Care Research Articles

Exploring the "shared" in shared decision-making in the care for children with chronic diseases or disabilities: what are the roles of parents and professionals?

There is a growing body of literature that recognizes the importance of shared decision-making (SDM) in the care for children with chronic conditions and/or disabilities. Although participation in SDM can be more or less active, the tuning between parents and professionals about the way they want to participate in SDM is often an implicit process, limiting parents' optimal involvement. Role definitions may support both partners in the process of SDM. We conducted a scoping review to investigate the available knowledge on the interpretation and variability of different roles of parents and professionals in SDM. In total, 43 articles were included and were subjected to data extraction and thematic coding. The findings show that roles are described in the literature by three themes: (1) active and passive involvement, (2) leadership in decision-making, and (3) six specific roles: informing, advocating, supporting, facilitating, coordinating, and interacting. Some, but not all, of these roles are described for parents as well as professionals.Conclusion: The literature provides a first definition of the various roles parents and professionals may take during SDM. However, the results do not inform how the described roles can be performed in clinical practice. Follow-up research is needed to develop and evaluate practical initiatives to achieve suitable roles for both parents and professionals. What is Known: • Parents often play a role in shared decision-making What is New: • Parents and professionals can play different and various roles in decision-making • Most described roles can be played by both parents and professionals.

Improving asthma care in children: revealing needs and bottlenecks through in-depth interviews

Asthma affects 7% of Dutch children and poses an increasing challenge, highlighting the need for effective paediatric asthma care. Achieving optimal asthma control is crucial given the potentially negative long-term effects of bad asthma control on lung development and quality of life in young children. The aim was to understand the challenges and requirements of existing asthma management practices in children. In a qualitative explorative study design, semi-structured, in-depth interviews were held among 37 Dutch stakeholders. A total of 15 patients/parents, 10 general practitioners (GPs), 5 paediatricians/paediatric pulmonologists and 7 nursing specialist/pulmonary nurses participated. Analysis was based on a thematic inductive analysis, using open and axial coding. GPs tended to emphasise the treatment of patients/parents with acute symptoms and underestimate the diagnosis and management of chronic symptoms, leading to possible over- and undertreatment. Asthma care between primary and secondary healthcare is fragmented and worsens these challenges. Moreover, the absence of well-established follow-up structures in primary care contributes to insufficient self-management skills among patients. Shared Decision-Making in children lacks a tailored approach, with variable engagement levels among healthcare providers. Limited focus on preventive strategies leads to little attention to, for example, promoting healthy lifestyles. Moreover, children are often not actively involved in decision-making. The study provides valuable insights to improve the quality and continuity of care for children with asthma and their parents. It underlines the need for a comprehensive and integrated care pathway to minimise the long-term negative effects of uncontrolled asthma.

H-CoFe2O4/Ti3C2Tx/BNC Hybrid Aerogels with Modulation Impedance Matching for Electromagnetic Wave Absorption and Health Monitoring.

Given the limitations of single-function electromagnetic wave-absorbing materials (EWAMs) in meeting the evolving demands of complex usage scenarios, there is a growing need for structure-function integrated composites that offer a combination of microwave absorption, human monitoring, and thermal insulation. This study successfully synthesized two-dimensional (2D) Ti3C2Tx MXene via selective etching of Al from the Ti3AlC2 MAX phase. By introducing MXene into a composite of hydroxylated CoFe2O4 nanoparticles (h-CFO NPs) and bacterial nanocellulose (BNC) to modulate the electromagnetic performance of the EWAMs. The optimized electromagnetic parameters and three-dimensional (3D) porous structure achieve enhanced impedance matching of the wave absorber. The h-CFO/BNC/MXene (h-CFO@CM73) hybrid aerogel demonstrates superior electromagnetic wave absorption (EMWA) performance due to the synergistic effects of conductive loss, magnetic loss, interfacial polarization, and dipole polarization, where a minimum reflection loss (RLmin) of -32.66 dB at a thickness of 4.5 mm, an effective absorption bandwidth (EAB) of 10.70 GHz within the test range, and an EMWA efficiency reaching up to 99.92% were realized. Moreover, the hybrid aerogel presents sensitive sensing capabilities, detecting human joint movements, breathing, and vocalizations. Additionally, the developed hybrid aerogels exhibit commendable thermal insulation and infrared camouflage properties. Consequently, the fabricated multifunctional hybrid aerogel has excellent potential for monitoring care of infants, children, and pregnant women.

Hypervisibility and erasure: parents’ accounts of transgender children in early childhood education and care and primary schools

ABSTRACT While much is known about transgender students’ experiences of high school, less research has explored their experiences in primary/pre-schooling settings. This paper presents an analysis of parents’ (N = 15) recounts of their transgender children’s (N = 12) experiences in Australian early childhood education and care (ECEC) and primary schools. The research is situated in a trans-emancipatory theoretical framework that recognises the impact of cisnormativity in educational spaces. We find that the early years play-based approach contrasts with primary school settings, where children are regularly organized by binary gender categories. Whilst early childhood settings are child centred and often celebrate transgender children’s individuality using a trans-accommodative approach, they can simultaneously reinforce cisnormativity through enforcing binary gendered norms. Binary norms erase transgender identities while, paradoxically, making the transgender child hypervisible. Findings can inform a whole-of-school approach to the inclusion of transgender identities and the wellbeing of trans children in ECEC and primary schools.

Dental Considerations in Children with Inherited Bleeding Disorders and Inhibitors: A Systematic Review

Background/Objectives: This systematic review evaluates the effectiveness of various hematological treatment protocols and local hemostatic measures in preventing oral bleeding and other complications during and after dental treatments in children with inherited bleeding disorders and inhibitors. Methods: This study was registered in the PROSPERO database. The comprehensive search strategy for this systematic review was conducted across five databases, namely, PubMed, Google Scholar, Web of Science, Scopus, and Cochrane Library. The search was aimed at identifying relevant literature published from January 2000 up to February 2024. Eligible studies included those with various designs, such as randomized controlled trials (RCTs), observational studies, cohort studies, case–control studies, and cross-sectional studies. Data extraction was carried out systematically, and relevant information on study characteristics, interventions, treatment protocols, local measures, complications, and outcomes was collected. Results: The systematic review included a total of five studies, encompassing participants ranging from ages of 2 to 18 years. These studies varied in their scope, with some focusing on hemophilia A with inhibitors while others addressed broader inherited bleeding disorders. The interventions examined included various prophylactic and treatment measures such as Emicizumab, recombinant factor VIIa, and local hemostatic measures. The study outcomes primarily assessed the efficacy of these interventions in preventing postoperative bleeding and improving quality of life. Emicizumab has significantly shifted the treatment paradigm for children with inherited bleeding disorders and inhibitors. This prophylactic treatment has been associated with a marked reduction in the frequency of bleeding episodes, fewer hospital admissions for bleeding management, and enhanced participation in daily activities. Conclusions: This review highlights gaps in the management of dental care in children with inherited bleeding disorders and inhibitors. It underscores the need for standardized protocols that integrate new prophylactic treatments such as Emicizumab. Our findings suggest that adopting updated protocols can significantly reduce bleeding complications during dental procedures.

Sociodemographic characteristics and participation of women in meliponiculture from the Yucatán Peninsula, Mexico

BackgroundMeliponiculture is the breeding of stingless bees (SB) or bees of the Meliponini tribe. In Mexico, this activity was practiced before the arrival of the Spaniards, with the Yucatan Peninsula (YP) (comprising the states of Campeche, Quintana Roo and Yucatan) being the most important region due to its link with the economic, cultural and medicinal aspects of the Mayan communities. The objective of this study was to compare the sociodemographic characteristics and the participation of women in meliponiculture practiced in the YP. Our hypothesis suggests that the participation of women in meliponiculture is lower compared to that of men due to their sociocultural responsibilities in the community.MethodsA total of 56 interviews were conducted between December 2021 and December 2023, using referral sampling (this procedure was used due to non-availability of any producer’s list; and due the random nature of the information obtained from various producers belonging to different sociodemographic contexts). The interview form consisted of the following sections: basic information about the producer, gender, age, years of education, number of colonies, honey production and years of experience. The information collected was analyzed using a Student's t-test in the R program.ResultsIt was observed that 66% of meliponiculturists were men and 34% were women. Differences were observed in the average age and number of colonies, in men with 47.4 ± 3.24; years and 36.19 ± 10.28 colonies; while in women, it was 38.1 ± 2.80 (t = 2.14; p = 0.036; gl = 52) years and 14.00 ± 2.42 (t = 2.09; p = 0.042; gl = 40) colonies. No differences were observed between the years of education (8.84 ± 0.79; men and 8.74 ± 0.94 (women; t = 0.08; p = 0.935; gl = 45) and the honey obtained per colony (0.620 ± 0.04 kg/honey; men and 0.600 ± 0.08 kg/honey; women; t = 0.18; p = 0.853, gl = 26).ConclusionMeliponiculture in the YP is an activity practiced in a greater proportion by men; who also have a greater number of colonies compared to women. On the other hand, women who practice honey production are younger than men. The performance of rural women in commercial beekeeping has been affected by their traditional role in household activities and child care. They do not have enough time dedicated to meliponiculture; although the income they can obtain from the sale of products could contribute to the financial support of the family.

Association between adherence to behavioral intervention and capability well-being among parents of autistic children: a cross-sectional study from China

BackgroundHigh adherence to behavioral interventions among parents of autistic children contribute to improvement in children’s behaviors and parental outcomes. However, most of previous studies focused on the effects of intervention adherence on health-related well-being among parents, which is inadequate to capture the multi-dimensional parental burden of caring for autistic children. The aim of this study is to assess the association between parents’ adherence to behavioral intervention and their capability well-being.MethodsA cross-sectional study was conducted among caregivers of autistic children aged 1–17 years with a confirmed diagnosis in China. A total of 213 parents of autistic children who were currently receiving behavioral intervention were considered in this study. Parental adherence to behavioral intervention was evaluated by the 5-item General Adherence subscale of the Medical Outcome Study. Capability well-being was assessed using the Investigating Choice Experiments Capability Measures for Adults (ICECAP-A), including the domains of stability, attachment, autonomy, achievement, and enjoyment. The index scores for each domain were computed based on the preference-based value set in the United Kingdom, ranging from 0 to 1. Multivariate linear regression analyses were conducted to assess the relationship between intervention adherence and parental well-being. Intervention adherence as well as the variables with p < 0.1 in the univariate analyses were included in multivariate linear regression analyses.ResultsThe mean overall score of ICECAP-A was 0.681 (0.205). In the univariate analyses, intervention adherence was positively associated with stability, autonomy, achievement, and enjoyment (p < 0.05), while the relationship between intervention adherence and attachment was not significant (p = 0.07). After controlling for the confounders in the multivariate linear regression analyses, intervention adherence was positively associated with achievement (β = 0.0004) and enjoyment (β = 0.0004).ConclusionsThe overall capability well-being among parents of autistic children was worse than that of the general population and caregivers of adult patients with chronic diseases. Adherence to behavioral interventions was positively associated with parental well-being in terms of achievement and enjoyment. Health professionals should involve parents in behavioral interventions and encourage them to implement therapeutic strategies on a routine basis. Customized interventions are warranted to improve capability well-being targeting at vulnerable groups.

The gait analysis at children aged 6-18 years old - a comprehensive review

Gait analysis is an essential method for evaluating children's locomotor development because it offers information on their social, cognitive, and physical growth. It's crucial to understand how children between the ages of 6 and 18 walk because a number of things affect their mobility during this stage of development. The purpose of this review is to assess the body of research on gait analysis in children ages 6 to 18, with an emphasis on the consequences of anomalies in gait, the efficacy of evaluation techniques, and intervention tactics. A thorough literature study was carried out, including information from clinical research, peer-reviewed publications, and developments in gait analysis technology. The examination took into account a number of evaluation instruments, such as force plates, motion capture devices, and observational gait analysis. The results show that gait abnormalities are significantly more common in this age range, especially in children with developmental problems. More accurate assessments are now possible thanks to developments in gait analysis technology, which also makes it easier to create focused intervention plans that enhance mobility and general quality of life. The significance of early detection of gait abnormalities and the function of interdisciplinary treatment approaches are covered in the review. In order to maximize care for impacted children, it highlights the necessity for doctors to combine clinical judgment with technical improvements. In conclusion, gait analysis is crucial to comprehending how youngsters between the ages of 6 and 18 acquire their locomotor skills. The long-term impacts of gait abnormalities must be investigated more, and intervention techniques must be improved, in order to encourage children with these issues to have healthier and more active lives.

Supporting Children's Mental Health Needs in Disasters.

Public health emergencies, including climate-related and manmade disasters such as active shooter incidents, occur regularly in the United States. A comprehensive approach is needed to ensure that children's mental health needs are adequately addressed following disasters. This article summarizes the latest evidence on how health systems can effectively address children's unique developmental, social, emotional, and behavioral needs in the context of disasters. To do so requires the integration of mental health considerations throughout all disaster phases, including preparedness, response, and recovery. We discuss the role of traditional emergency response systems and emerging models for responding to mental health crises. These include the national children's disaster mental health concept of operations and specific resources such as crisis lines, mobile crisis units, and telemental health. To achieve a broader reach in addressing children's mental health needs during disasters, health systems can foster a "pediatric disaster system of care" by partnering with community touch points such as schools, faith-based organizations, public health, and law enforcement. Unique considerations during disasters are required to maintain access to care for children with preexisting behavioral health conditions. During disasters, attention is needed to promote equitable identification of mental health needs and linkage to services, particularly for minoritized groups and children living in rural, frontier, and high-poverty areas. Strategies to address children's mental health needs during disasters include the provision of psychological first aid, screening for and triaging mental health needs, and stepped care approaches that progressively allocate higher-intensity evidence-based treatments to children with greater and enduring needs.

What influences the community well-being of Chinese living in metropolitan areas? A scale validation and invariance test across gender, age, and hukou

BackgroundRapid socioeconomic development has congregated urban dwellers in various communities, and it remains unclear whether raising income has brought greater happiness or well-being in China. The study aims to validate the Multi-dimensional Community Well-being Scale (MCWS) in the context of Chinese metropolitan areas.MethodsMultistage stratified sampling from North, East, and West China yielded a total of 4786 community-dwelling adults (mean age = 54.66 years; 33.8% female). Exploratory factor analysis identified a four-factor pattern of habitability, accessibility, relation, and satisfaction. Confirmatory factor analysis (CFA) further verified the structure, and multigroup CFA tested the measurement invariance upon different genders, age groups, and hukou statuses.ResultsAll the subscales and the total scale (α = 0.852) had satisfactory internal consistency. In addition, significant community well-being disparities exist between communities with and without elderly care and child care services. Also, the mean scores of accessibility, relation, and satisfaction grow steadily with age, except for habitability.ConclusionsOverall, this study filled the research gap in China by presenting a reliable and valid instrument to measure community well-being, showing gender, age, and hukou-related characteristics in community well-being and enabling cross-cultural comparisons in urban studies.

EDUCADORAS DA INFÂNCIA E O DESENVOLVIMENTO DA LINGUAGEM MATEMÁTICA NO TERRITÓRIO DAS CRIANÇAS DE ZERO A TRÊS ANOS

We analyzed written narratives (reports of experiences) from educators of babies and very young children (zero to three years old). The objective of the work, the result of the research we developed, lies in understanding the dynamics of pedagogical work with mathematical language based on the analysis of narratives from a collaborative group. To this end, with a qualitative approach, we focus our efforts on describing and analyzing the written reflection of teachers' reports when experiencing contexts of mathematical exploration. The theoretical framework discusses aspects of child care, post-LDB, conceptualizes the Early Childhood Education curriculum, as well as presenting the expected and possible mathematical notions when working in this area of knowledge, intentionally, in the space-time of the daycare center. The results indicate that: 1) mathematical language can and should be worked with babies and very young children in routine situations; 2) the narratives demonstrate the possibility of self-reflection regarding the proposed pedagogical experience; and 3) performance indicators were identified, in pedagogical practice, of how to explore senses of magnitudes and measurements, resolution of unconventional problems and spatial issues. Thus, the contribution of this article implies recognition of the need for teaching professionalization of educators who work directly in the field of Brazilian Early Childhood Education, with emphasis on processes in which care and education are integrated as binomials in the area.

PROJETO DE EXTENSÃO “MÃOS DE VIDA”: ESPIRITUALIDADE NATURAL NAS PRÁTICAS EDUCATIVAS NO CUIDADO ÀS CRIANÇAS

The extension project "Mãos de Vida" of the University of Vale do Itajaí (UNIVALI) develops practices with children in a transdisciplinary perspective and integrates education and health themes. Among the proposals, we highlight the eco-formative workshops on natural care and spirituality. The activities integrated therapeutic processes of health and social care with children from Lar Padre Jacó, located in the city of Itajaí/SC. The general objective of the study seeks to understand the promotion of care for children through educational practices that integrate natural spirituality in the Hands of Life extension project. This is a qualitative study, supported by the phenomenological hermeneutics method. It was carried out through workshops planned and developed weekly, between the years 2022 and 2023, with the participation of children between 6 and 11 years old. The results showed that in the educational practices the children recognized living nature as an expansion of themselves, involved in care actions that strengthened life and natural spirituality. The eco-formative backyard has become a place of contact and creative expression, of care for oneself and the other. The experiences with natural resources stimulated the sensory and reflective body, expressed in the art of modeling, the cultivation of plants and the construction of toys. The manifestations of care and healthy living occurred in the games that integrated human multidimensionality and enabled bodily and social well-being.

Peer socialization processes in the development of callous-unemotional traits.

Callous-unemotional (CU) traits represent a risk factor for persistent, severe levels of externalizing problems. Irritability may predict the development of CU traits for some individuals, who are thought to acquire them in reaction to negative environmental experiences. Models on the development of CU traits have emphasized the socializing role of harsh parenting to the neglect of negative peer experiences. The present study 1) tested primary and alternative models of physical and relational peer victimization as socialization agents in relations between irritability and CU traits; and 2) considered hypothalamic-pituitary-adrenal-axis functioning as a moderator of these associations. Gender moderation was also considered. Aims were tested from middle childhood to adolescence using data from the NICHD Study of Early Child Care and Youth Development, which includes a large national sample (N = 1,077) and multiple methods and informants for the constructs of interest. Positive associations between irritability, peer victimization, and CU traits were supported, with indirect effects on CU traits supported specifically from peer victimization through increases in irritability. Associations between relational victimization, irritability, and CU traits may be particularly salient for females, whose experiences have been neglected to date. However, effects were small, and replication efforts are needed.

Suicide Prevention and Telehealth in Children's Hospital Emergency Departments.

Suicide is a leading cause of death among adolescents. Emergency department (ED) visits for mental health concerns are rising, and telehealth is increasingly used to provide emergency mental health care. We conducted a national survey to describe suicide prevention practices and tele-mental health care in children's hospital EDs. We conducted a cross-sectional survey of leaders at all 52 US EDs affiliated with dedicated children's hospitals (ie, hospitals that provide care only to children) to describe use of tele-mental health care and suicide prevention practices. Leaders from 41 EDs completed the survey (79% response rate). Tele-mental health care was used in 23 EDs (56%); there were no differences in ED structural characteristics between institutions with telehealth versus without telehealth. Among responding EDs, 40 (98%) reported they screen for suicide risk, and 29 (71%) reported they use a standardized approach to suicide prevention discharge planning. Risk reduction practices conducted at many but not all EDs included assessment of access to lethal means (n = 31, 86%), counseling on reduction of access to lethal means (n = 30, 73%) and providing patients with a list of professionals or agencies that they can contact in a crisis (n = 35, 85%). There were no differences in use of suicide prevention practices at EDs with versus without telehealth (P > 0.1 for all). Approximately half of children's hospital EDs use tele-mental health care, and hospitals with versus without tele-mental health care report similar rates of suicide prevention practice use. Opportunities exist to increase use of discharge safety practices.

Multifaceted Treatment and Therapies in the Care of Children with Cerebral Palsy – A Literature Review

Introduction and Purpose: Cerebral palsy (CP) is a prevalent neurological disorder in children, characterized by movement, muscle tone, and posture impairments. This article reviews the clinical and therapeutic management of CP, focusing on spasticity, musculoskeletal disorders, and holistic rehabilitation. It examines evidence-based interventions, including onabotulinumtoxinA, intrathecal baclofen pumps, and surgical options for orthopedic deformities. Key rehabilitation techniques such as neurodevelopmental therapies, gait training, and speech therapy are discussed to enhance motor skills and cognitive development. Additionally, the management of associated conditions like epilepsy and intellectual challenges is addressed, emphasizing psychological support for patients and families. The purpose of this article is to provide a comprehensive overview of the current state of knowledge regarding the management of cerebral palsy. Material and Methods: We utilized English databases such as PubMed, Google Scholar, Cochrane, and PubMed Central, selecting articles based on keywords like cerebral palsy, spasticity, physical therapy, and rehabilitation. State of Knowledge: Effective CP management requires a multidisciplinary approach to tackle motor impairments, spasticity, deformities, and psychosocial challenges. Therapeutic interventions, including pharmacological treatments, surgical options, and innovative rehabilitation techniques, are essential for improving mobility and quality of life. Summary: Comprehensive care for children with CP is crucial. Evidence supports combining multiple therapeutic approaches tailored to each child’s needs and involving family preferences to optimize development and well-being.

Informing peer support programs for active duty military spouses of U.S. Army soldiers

LAY SUMMARY With 50% of active duty service members being married, spouses are critical in supporting military readiness. Yet, because of the nature of military service, spouses experience numerous challenges, including education and career progression, parenting and child care, managing family separation during deployment and training, and accessibility of health care. Peer support programs can develop a sense of community, provide support for shared challenges, and offer access to resources. Building on a peer support program with Veteran spouses, this study identified the challenges and needs of active duty spouses to inform adaptation of the program. Five focus groups were conducted on Zoom with 35 active duty military spouses to understand their main concerns and preferences for a peer support program. Major themes identified were challenges of military life, benefits of military life, and recommendations for peer support programming. This study’s findings will be used to adapt and develop a peer support program to be tested with military spouses of U.S. Army soldiers in a study funded by the U.S. Department of Defense.

Pediatric Emergency Medicine Physicians' Perspectives of Concussion in Young Children.

Traumatic brain injury (TBI) during early childhood (before 6 years) is prevalent, accounting for rising rates of emergency department visits. These injuries may lead to postconcussive symptoms, which may be subtle and difficult to diagnose in young children. Inadequate discharge counseling may lead to prolonged duration of symptoms and possible developmental delays. We aimed to explore pediatric emergency medicine (PEM) physicians' perspectives on "concussion" terminology, diagnosis, and management, specifically in a young child with mild TBI. We conducted semistructured interviews using open-ended questions involving a hypothetical scenario. We recruited currently practicing PEM physicians by a snowball sampling method. A research team recorded, transcribed, and analyzed the interviews. Using social constructionism as the philosophical framework, we developed and refined codes and derived themes until reaching thematic saturation. Peer debriefing with an expert collaborator aided with revisions of themes. A single PEM researcher interviewed 13 participants. Three primary themes emerged. Our first theme identified the role of guidelines and tools in the diagnostic workup. Most participants utilized a clinical prediction tool for neuroimaging but no clinical symptom scales. Our second theme described the difficulties and inconsistencies in the approach to diagnosis of concussion, largely due to young age, lack of verbal skills and unreliable examinations. Our last theme focused on the difficulty in providing clear discharge instructions to parents. Many participants described difficulty providing activity restrictions, instead allowing self-modulation, and lack of counseling for educational tasks. Variability exists among PEM physicians in diagnosis and management of concussions in young children. Discomfort with lack of reliability of symptoms and underappreciation of typical early childhood characteristics may account for findings. Educational initiatives, age-appropriate clinical tools and treatment-guided outcomes research are needed to guide PEM physicians in the care of young children with head injuries.

PERAN ORANG TUA DALAM PENGEMBANGAN SOSIAL EMOSIONAL ANAK DI ERA SOCIETY 5.0

The Society 5.0 era is a concept of a human-centered and technology-based Society , where early childhood is also very close to technology, especially gadgets. This has more or less affected the social emotional development of early childhood. This study aims to determine the role of parents in the development of children's social emotional aspects in the Society 5.0 era and to determine the social emotional aspects of children in the Society 5.0 era using a qualitative descriptive approach to parents who have children aged 4-5 years. Data collection techniques with interviews and observations. The role of parents in the Society 5.0 era has a very influential role in children, differences in children's behavior were found when using technology and their social emotions in parents who play a direct role in children and parents who work and the social emotional aspects of children are currently influenced by the Society 5.0 era which makes children dependent on gadgets so that children are more comfortable alone with gadgets which has an impact on minimal interaction and socializing children with others. The role of parents is very influential in the social emotional development of early childhood, therefore the need for care and guidance for children.

Resilience of unaccompanied refugee children in foster care at Tongogara Refugee Camp Zimbabwe

This article explores and discusses the resilience of refugee children under foster care in Zimbabwe. It advances the argument that there are resilience factors associated with unaccompanied refugee children under the foster care programme at the Tongogara Refugee Camp. Data were gathered using an exploratory qualitative research design using document analyses, 10 refugee children under foster care and 10 key informant interviews, which were conducted to gain a deeper understanding of the lives of refugee children under foster care at the Tongogara Refugee Camp. Evidence from the sources shows that there are several factors enhancing resilience among unaccompanied minors in foster care, such as religious, personal and macro support from foster parents, agencies involved in childcare, and educational support. It is recommended that the National Orphan Care Policy of 1999 be reviewed and the provisions of social protection programmes for unaccompanied refugee children under foster care be strengthened.

Paternal incarceration, child care instability, and children's wellbeing

AbstractObjectiveThis study examines the relationship between paternal incarceration, child care instability, and children's well‐being.BackgroundDespite the established repercussions of paternal incarceration for children and families, little is known about how paternal incarceration is associated with child care arrangements and how unstable child care arrangements moderate the deleterious consequences of paternal incarceration for children's well‐being.MethodsWe use data from the Future of Families and Child Wellbeing Study, a cohort of urban children born around the turn of the 21st century, to examine the relationship between recent first‐time paternal incarceration and child care instability (measured by long‐term instability, multiplicity, and back‐up care arrangements). We also examine how child care instability moderates the relationship between recent first‐time paternal incarceration and children's problem behaviors.ResultsAnalyses suggest three main findings. First, paternal incarceration is positively associated with long‐term child care instability, net of prior instability and factors associated with selection into paternal incarceration. Paternal incarceration is not associated with multiplicity or back‐up care. Second, the relationship between paternal incarceration and children's problem behaviors is larger among children with unstable care arrangements than among those with stable care arrangements. Third, children living with their father prior to his incarceration, compared to children not living with their father prior to his incarceration, experience larger consequences of paternal incarceration.ConclusionWe document the relationship between paternal incarceration and child care instability and how this instability moderates the association between paternal incarceration and children's problem behaviors.