Family Support Research Articles

Assessment of Antiretroviral Therapy Adherence Among HIV/AIDS Patients at Jugel Hospital, Harar, Ethiopia. 2021

Background: HIV/AIDS remains a major global health concern, significantly impacting not only health systems but also economic development and social fabric; it reduces life expectancy, exacerbates poverty, and contributes to food insecurity. While the introduction of Highly Active Antiretroviral Therapy (HAART) has improved the lives of people living with HIV, strict adherence to treatment regimens is crucial to maintain its effectiveness and prevent the development of drug resistance. Objective: To assess ART adherence among HIV/AIDS patients at Jugol Hospital, Harar, Ethiopia. Method: A cross-sectional descriptive study design was employed using a quantitative approach to determine the status of ARV adherence among HIV patients at Jugel Hospital from February 20, 2021, to March 10, 202. A convenience sampling technique was used to select the study subjects. The study covered all consecutive patients who attended the ART at Jugel Hospital for medication refills over the study period. Results: Of the total 210 HIV-infected patients, the largest number were females, 62%, and belonged to the 26-35 age group, 112 (53.4%). Out of the 210 respondents, the majority, 129(61.4%), used cell phone alarms/watch bells for memory aids to take their medication on time. Most respondents thought that for more Adherence to ART, people need family and other support, education about the importance of medication and schedule aids, an understanding of the importance of adhering, and a belief in the efficacy of medication. Of the total, only 34 respondents had a history of missed doses after they had started ART. The main reasons for missed doses were forgetting 14(41.2%), being busy 9(26.3%), run out of pills 4(11.7%), fear of taking medication in front of others 5(14.7%) and side effects 2(5.9%). The main reasons that made the patients not follow and attend their clinical appointments regularly were forgetting 12(48%), being away from home 7(28%) and being busy 6(24%). Conclusion: In our study, the self-reported adherence rate was higher than in industrialized nations. Regular patient follow-up, raising patients' understanding of ARV adverse effects, and enhancing patients' confidence, trust, and happiness with their caregivers are all goals of programs and clinical initiatives to promote drug taking in study setups.

‘We are all children of war’: a qualitative inquiry into parenting following adolescents’ recent traumatic exposure in a multiple crisis setting in Beirut, Lebanon

ABSTRACT Background: Strong familial bonds are crucial to building resilience among youth exposed to traumatic events in socially adverse environments. Exploring parental experiences in the aftermath of adolescents’ traumatic exposure in these settings would help tailor early interventions. Objective: We qualitatively explored experiences and perceived needs among parents of teenagers aged 11–16 years who were exposed in the last three months to a potentially traumatic event in Beirut, Lebanon. Method: We purposively sampled 28 parents of 24 adolescents meeting the inclusion criteria. Semi-structured interviews were conducted, and thematic analysis was applied combined with a grounded theory approach. Results: The most frequent traumatic event was direct exposure to the violent clashes that happened in Beirut on 14 October 2021. Parents identified that the recent event exacerbated pre-existing mental health difficulties caused by cumulative stress. They were reminded of their own war experiences and tended to reject the ‘sick role’ associated with trauma. A majority of participants viewed resilience as a fixed trait characteristic of the Lebanese and avoided communication with their children about traumatic memories, while a significant minority criticised resilience as a myth that added pressure on them and had more open communication about trauma. Parenting styles oscillated between controlling behaviours, warmth, and avoidance, which impacted the family dynamic. Despite adversity, most parents tried to cope through social connectedness, humour, and living day by day. Conclusions: Our findings hold implications for contextual adaptations of early posttraumatic interventions aimed at strengthening family support, such as addressing parental mental health; increasing awareness among first-line responders on parents’ potential representations of trauma and resilience; addressing the issue of controlling parenting; and including a component in psychoeducation on traumatic stress that validates the impact of daily stressors on mental health while avoiding direct labelling. Further research is needed to validate the impact of these domains.

DOES CAREGIVING HASTEN AGING? EXPLORING THE LINK BETWEEN TRIPLE-DUTY CAREGIVERS’ TRANSITIONS AND SUBJECTIVE AGE

Abstract Perceptions of aging serve as crucial indicators for evaluating positive aging. This study examines the relationship between various caregiving transition types and subjective aging over time. Utilizing data from the 2018 and 2020 waves of the China Longitudinal Aging Study, we examine six transition types, incorporating both intra- and extra-familial caregiving behaviors, by constructing three subjective aging change patterns: “Consistent over time”, “Accelerated growth”, and “Relative decline”. The findings reveal that sustained caregiving is associated with a relative decline in subjective age, with a more pronounced effect observed in the reduction of ongoing extramural caregiving. Caregiver role transitions, such as exiting caregiving and transitioning between intra- and extra-familial caregiving, lead to an accelerated increase in subjective age, while entering caregiving aligns subjective age with the passage of time. In the context of caregiving role transitions, a positive self-perception of aging enhances the subjective age of female caregivers, whereas a positive general aging attitude reduces the subjective age of male caregivers. The study underscores the significance of caregiving experiences as crucial predictive factors for subjective aging. Establishing comprehensive family support policies throughout the caregiving lifecycle, promoting voluntary caregiving participation, can contribute to enhancing adaptive aging

PREDICTING ACCIDENTS OF OLDER ADULTS LIVING WITH DEMENTIA USING ASSISTIVE TECHNOLOGIES AND MACHINE LEARNING

Abstract Although older adults living with dementia prefer to age in their own homes, they face many challenges such as falls, injuries, and night-time disturbances. Predicting and preventing those challenges could help both older adults and their caregivers to maintain aging in place. This study aimed to develop and validate machine learning models in predicting accident subgroups among individuals with dementia using assistive technologies (i.e., in-home motion sensors and actigraphy). Data were collected from 75 older adults living with dementia and their family caregivers in South Korea. Utilizing 966 days of data on sensors, sleep, and survey from dyads, various machine learning models were developed to predict three accident subgroups—physical impact, night-time behaviors/wandering, and risky behaviors. The performances of five machine learning classification models were compared and important features were extracted. Python 3.9 was used for all analyses. The Gradient Boosting Model excelled in predicting physical impact and night-time behaviors, while CatBoost performed best for risky behaviors, achieving F1-scores of 0.50, 0.71, and 0.87, respectively. Important features were different by type of accidents. For physical impact, caregiver’s age, comorbidity severity, and total sleep time were the three top features; for night-time behaviors/wandering, cognitive function and number of medications were the most important features; neuropsychiatric and depressive symptoms were the most important features for risk behaviors. In addition, activity patterns recorded by in-home motion sensors emerged as important features. The findings highlight the potential of these assistive technologies to identify high-risk individuals, provide a safer environment, and support family caregivers.

Analysis of Factors Affecting Quality of Life in Type II Diabetes Mellitus Patients at Anshari Saleh Hospital Banjarmasin

Type II diabetes mellitus is characterized by high blood sugar levels that trigger complications and reduce the quality of life physically, psychologically, socially, and environmentally. Quality of life is used to evaluate the effectiveness of interventions and monitor public health. The purpose of the study was to analyze the most influential factors on the quality of life in patients with type II diabetes mellitus at Anshari Saleh Hospital, Banjarmasin. The research method used Cross-sectional with Purposive Sampling technique of 83 respondents. The independent variables were age, gender, education, income, complications, duration of suffering, family support and the dependent variable of quality of life using bivariate with Chi-Square, while multivariate analysis with multiple logistic regression used the WHOQOL-BREF questionnaire as an instrument of quality of life. The results of the study showed that there was an influence between education level (p = 0.000), income level (p = 0.008), disease complications (p = 0.002), duration of suffering (p = 0.021), family support (p = 0.021) and education level factors (OR = 60,527) which had the most influence on the quality of life in patients with type II diabetes mellitus. Education level affects the quality of life of diabetes sufferers through understanding and managing the disease. Higher education makes it easier to understand health information, improving quality of life. Meanwhile, low education can reduce quality of life due to difficulty understanding information even though broad knowledge can improve the situation. However, lack of awareness to behave healthily still has a negative impact on the quality of life physically, psychologically, socially, and environmentally. It is hoped that nursing services will provide more continuous education by forming peer groups (diabetes classes), and WhatsApp groups to improve health education for type II diabetes mellitus sufferers according to their level of education in increasing their knowledge.

Analysis of Determinants of Exclusive Breastfeeding in Breastfeeding Mothers

Exclusive breastfeeding for babies aged 0-6 months, which continues until the age of 2 years accompanied by adequate complementary feeding, has an essential meaning, especially regarding the fulfillment of nutritional needs and other substances to form the body's immunity to disease, because at that age the baby's condition is still precarious. This study uses an analytic survey research cross-sectional design. The aim was to analyze the relationship between determinants of exclusive breastfeeding. The population of all mothers with babies aged 6-12 months amounted to 127, using a purposive random sampling technique. Sample calculation, according to Slovin, obtained a sample of 84. Data collection using a questionnaire. Univariate analysis with percentages, bivariate analysis with chi-square test. There is a relationship between knowledge (p-value=0.026), Early initiation breastfeeding (EIBF) history (p-value=0.005), breastfeeding self-efficacy (p-value=0.042), breastfeeding motivation (p-value=0.016), cultural customs (p-value=0.012), and family support (p-value=0.036) with exclusive breastfeeding in mothers who have babies aged 6-12 months at the Tanjung Sari Health Center, South Lampung Regency in 2024. A relationship exists between breastfeeding self-efficacy knowledge, motivation, and exclusive breastfeeding. There is a relationship between breastfeeding self-efficacy knowledge, breastfeeding motivation, cultural customs, and family support with exclusive breastfeeding. Suggested improving IEC (Communication, Information, and Education), implementing lactation management programs, making behavioral changes, and providing support for exclusive breastfeeding.

Supporting Older Caregivers of Adults With Intellectual and Developmental Disabilities: Perceived Effectiveness of Peer Mentors

This study’s purpose was to determine the effectiveness of relationships between a family support navigator (FSN) and older caregivers of adults with intellectual and developmental disabilities who participated in a family support project. The Beach Center’s Family Professional Partnership scale modified for use with older caregivers ( N = 96) was found to be valid and reliable. Two factors (FSN skills and family needs) emerging from the exploratory factor analysis explained 77% of the variance in FSN satisfaction. Most caregivers were satisfied or very satisfied with their FSNs’ ability to build upon their family’s strengths. Analysis of the open-ended comments of caregiver experiences with FSNs yielded four themes (person, process, challenges, and relationships) that supported caregiver satisfaction with peer mentoring.

Qualitative study midwives' experiences of Early Initiation Breastfeeding (EIBF) in Surabaya

Early initiation of breastfeeding(EIBF) is proven to be a very beneficial practice for both mother and baby. The EIBF should have been carried out for 1 hour, but the 2017 EIBF achievement in East Java, EIBF carried out in less than 1 hour was 84.90% and that carried out in 1 hour was 15.10%. This research is a qualitative phenomenological research, the sample was taken using purposive sampling using 5 participants. The aim of this research was to determine midwives' experiences regarding EIBF. Midwives' perceptions of EIBF practices have an impact on mothers and babies, as well as lactation success. Supporting factors for quality EIBF include the support of husband and family as well as health workers who are willing to provide opportunities and motivate EIBF. Factors inhibiting the implementation of early initiation of breastfeeding are maternal and family resistance, the mother's lack of knowledge about Early initiation of breastfeedingand the lack of experience of birth attendants in carrying out Early initiation of breastfeeding. EIBF practices are carried out according to procedures, but there are still obstacles that cause EIBF to not be implemented well. Providing education to staff and patients, as well as implementing total care ratios in implementing EIBF are identified as guaranteeing the success of EIBF.

Perceptions of Resilience Among Nurses: A Qualitative Study Based on the Society-To-Cells Framework.

To explore the perceptions of resilience among nurses using the Society-to-Cells Resilience Theory and examine how multilevel factors influence their ability to maintain resilience in high-stress environments. A qualitative study using semi-structured interviews. Sixteen registered nurses from various healthcare settings in the Asir region, Saudi Arabia, participated in face-to-face interviews conducted from February to April 2024. The interviews were analysed thematically to identify key factors affecting resilience at individual, familial, institutional and societal levels. Four key themes emerged: individual coping strategies, family and social support, institutional support mechanisms and societal recognition. Nurses identified personal coping methods, such as mindfulness and exercise, as essential for maintaining resilience. Family and social networks played a crucial role in emotional support. Institutional factors, such as adequate staffing and leadership support, were vital to resilience, while a lack of societal recognition negatively impacted nurses' well-being. Resilience in nursing is a multifaceted process influenced by individual, institutional and societal factors. Supportive work environments, adequate resources and recognition of nurses' contributions are critical in fostering resilience. The findings emphasise the need for healthcare institutions to implement policies and support mechanisms that address both the personal and professional challenges nurses face. Promoting resilience can improve nurse retention, job satisfaction and patient care outcomes. This study adhered to the Standards for Reporting Qualitative Research (SRQR) guidelines. No patient or public contribution.

Loneliness and living: The trigger effect of living arrangements and self-reported health in adults 45+ – a LASI cross-sectional study

ABSTRACT Loneliness, a distressing emotion resulting from unmet social needs, is a growing public health issue. This study analyzes data from the 2017–2018 LASI Wave-1 to examine the impact of socio-demographic and lifestyle factors on loneliness among Indians aged 45 and older. Key variables include age, sex, marital status, residence, living arrangement, physical activity, tobacco and alcohol use, and self-reported health. The findings reveal that living alone significantly increases the likelihood of loneliness, with individuals 4.35 times more at risk compared to those living with spouses and children. Those living with others are 2.33 times more prone to loneliness. Poor health is linked to a 1.53 times higher risk, while physical inactivity increases loneliness risk (OR = 1.19). Interestingly, alcohol consumption appears to slightly reduce loneliness (OR = 0.94). The study highlights the critical role of family support and perceived health in mitigating loneliness in community-based settings.

Lived experiences of Filipino psychologists as mental health professionals

ABSTRACT This study was able to explore the lived experiences of eight Filipino psychologists as Mental Health Professionals, leading to an understanding of the culture-based approaches derived from their experiences in the treatment and care of clients with mental disorders. The study used the Interpretative Phenomenological Analysis (IPA) as a method of inquiry. Five themes emerged from the lived experiences of Filipino psychologists, namely: 1) the need for personal therapy, 2) a sense of frustration and burnout evoked by the clients’ resistance, 3) shared identity in the therapeutic relationship, 4) strong family support as cultural buffer against psychopathology’, and 5) culturally sensitive pragmatic approach in the therapeutic practice. The study could support the theory of Kapwa as a potential indigenous cultural therapeutic approach common to professionally experienced Filipino Psychologists.

Dukungan Keluarga Berhubungan dengan Personal Hygiene pada Lansia di Wilayah Kerja Puskesmas Binanga

Elderly refers to a condition where an organism has reached maturity in function and size and has undergone changes over time. Personal hygiene issues among the elderly often arise due to various physical, psychological, and environmental factors. Personal hygiene is a fundamental step in maintaining health, as a clean body can minimize the risk of contracting diseases, particularly those related to poor personal hygiene. The purpose of this study is to examine the relationship between family support and personal hygiene among the elderly in the Binanga Health Center working area. The research employed an analytical correlation design, emphasizing the relationship between variables or between independent and dependent variables. The study results indicate a significant relationship between family support and the personal hygiene of the elderly, as shown by the Chi-square test result with a p-value of 0.000 or α<0.05. This study demonstrates that elderly individuals who receive adequate physical, emotional, and informational support from their families tend to have better personal hygiene. These findings can serve as a foundation for developing elderly health programs, such as educating families on the importance of their support and role in maintaining the cleanliness of the elderly at the community level.

English Language Teachers’ Experiences of Emotional Well-being During COVID-19 Pandemic

The COVID-19 pandemic brought unprecedented challenges, starting in early 2020 and leading to the extensive shutdown of schools around the globe, necessitating a rapid transition to an alternative mode of teaching and learning. Amidst the digital divide regarding access and skills, shifting to virtual teaching-learning was a challenge in Nepal that caused a lot of stress for teachers. This study explores the emotional experiences of basic-level English language teachers in private schools as they adapted to this unforeseen shift. The study investigates the experiences of the English language teachers elicited through in-depth interviews and informal conversation particularly the impact of COVID-19, the sudden shift to virtual instruction on teachers’ emotional well-being and how they adapted to this new normal. The research result revealed that they felt unprecedented psychological needs and fear, underwent loneliness and social isolation, experienced teaching challenges, uncertainty and anxiety, and frustration and helplessness. Despite these challenges, they also showed emotional resilience through peer support and collaboration, family support and work-life balance, and adaptation of new technology and innovation in teaching and learning. This article informs teachers, policymakers, and practitioners about the emotional upheavals teachers experienced during the crises and the resilience displayed, implying policy formulation and teacher support mechanisms.

Investigating Gender Roles and Collaboration in Coffee Management: Evidence from Bener Meriah Farming Women's Group, Aceh Province, Indonesia

Women play a crucial role in coffee management, particularly within the Women Farmers' Group (KWT) in Bener Meriah, Aceh. Their contributions are vital to the success of farming activities, yet they often face the dual challenge of balancing agricultural responsibilities with domestic duties. Despite family support, the persistent burden of household obligations highlights the complexities of their involvement in rural livelihoods. This study examines the role of women in coffee management within the Women's Farmers Group (KWT) of Bener Meriah, Aceh. Despite receiving family support for their participation in farming activities, women face a dual burden due to their domestic responsibilities. Employing a qualitative approach, this study involved KWT members, male participants, KWT leaders, agricultural extension workers, and community leaders. Data were collected through interviews and observations and analyzed using Grounded Theory. The findings reveal that women predominantly engage in operational tasks, such as coffee picking and processing, and often experience fatigue from balancing agricultural work with household duties. However, collaboration between men and women in distributing crop yields promotes a more equitable distribution of roles, thereby fostering gender equality. This study highlights the significance of the Gender and Development (GAD) approach, which emphasizes social relationships between genders, in enhancing women's participation and strengthening cooperation to achieve more equitable prosperity. Coffee management practices at KWT Bener Meriah demonstrate how gender collaboration can sustainably improve production and family welfare.

ATTITUDE AND LEGAL CONSCIOUSNESS OF MUSLIM FAMILIES TOWARDS THE FATWA OF THE INDONESIAN ULEMA COUNCIL (MUI) CONCERNING THE LAW AND SUPPORT FOR THE PALESTINIAN STRUGGLE

The issuance of MUI Fatwa number 83 of 2023, addressing the Law and Support for the Palestinian Struggle, has elicited diverse reactions from the public. Some view it as a means of expressing solidarity with the Palestinian people's struggle against colonialism. In contrast, others harbor skepticism due to potential negative repercussions, especially for Muslim families targeted by the fatwa. Consequently, this study aims to assess the support of Muslim families for MUI Fatwa No. 23 of 2023, particularly those directly impacted and unaffected by the fatwa. Employing a quantitative-qualitative method, this research uses psychological and philosophical approach by utilizing attitude and Maqashid theory. The research utilized a Likert scale measuring support for the MUI fatwa, validated and tested for reliability. The scale was administered through the Google Form application in an online distribution. The study involved 176 Muslim families, encompassing both those affected and unaffected by the fatwa. Overall, the findings indicate a moderate level (mean 62,81). It covered 35,8% of the respondent's support for the MUI fatwa among Muslim families. Post hoc analysis revealed a significantly higher mean for the affective aspect (3.94) compared to the cognitive (3.75) and behavioral aspects (3.65), emphasizing the emotional nature of the support. Furthermore, a comparison of support between affected (64.02) and unaffected (62.3) families revealed an insignificant difference (p-value 0.152 > 0.05). In the perspective attitude theory, the Muslim family's response to the MUI fatwa falls within the moderate range and leans towards an emotional rather than cognitive and behavioral inclination. In the Maqashid perspective, they tend to fight for the value of human protection (hifdh an-nafs) for themselves and their families. On the one hand they also condemn Israel's crimes against Palestinians. Here it can be stated that their attitude and legal consciousness in the cognitive aspect is not comparable to the practical aspect.

Level of Adaptavity of Polish Families on Emigration in the Netherlands in the perception of children

Objectives The aim of empirical analyses was to identify the level of the adaptivity of families from a perspective of a child who has found him- or herself in one of the following situations: one parent has migrated, both parents have migrated without taking the child with them, or an entire family has migrated. Material and methods In total 320 children of Polish descent were subjected to the study. They lived in Poland (N=200) or in the Netherlands (N=120) and experienced economic migration of the members of their family or of their entire families. Results The results of the research revealed that most migrant families subjected to the study (both in the Polish and the Dutch sample) fall into the structured and flexible systems exhibiting characteristics that are relatively beneficial for a child’s social and psychological development. Conclusions The presented research results make it possible to formulate indications regarding institutional and legal support for families and children in case of both emigration and return to the homeland. Initial actions may be directed towards the creation of environmental forms of compensating separation, followed by the creation of the environmental system of assistance which would be preventive in nature and involve reaching people who plan migration and assist them before they actually move out of Poland

Kelola Pangen Sehat Bergizi untuk Tumbuh Kembang Anak dan Atasi Stunting di Kelurahan Kedungpane, Mijen, Kota Semarang

Stunting is a chronic malnutrition problem that has a serious impact on child growth and development. This article examines the role of families in providing healthy and nutritious food to prevent stunting in infants. Through literature reviews, case studies, and real-world conditions, it was found that the availability of nutritious food in households, good feeding practices, and mothers' knowledge of nutrition significantly influence children's nutritional status. This article suggests the importance of integrated interventions, including nutrition education for mothers, the provision of nutritious complementary foods, and social support for families, to increase the consumption of nutritious foods in infants and prevent stunting.

Longitudinal Relations Between Adolescent Self-Esteem and Mental Health Concerns: The Mediation of Self-Control and Moderation of Parental Autonomy Support.

Adolescents' self-esteem is often associated with their mental health, and believed to be a protective factor against depression, anxiety, and stress. However, the underlying mechanisms of this relationship warrant further exploration. Employing a longitudinal design, this study investigates the relations between self-esteem and mental health in adolescents, considering the mediating influence of self-control and the moderating effect of parental autonomy support. A total of 1260 adolescents from China (45.9% male, 54.1% female, Mage = 15.98, SDage = 0.97) participated in this study, completing self-reported questionnaires assessing self-esteem, self-control, parental autonomy support, and mental health issues (i.e., depression, anxiety, and stress) across three time points over a 6-month period (with a 3-month interval between assessments). Controlling for baseline levels of depression, anxiety, and stress, adolescents' self-esteem reported at wave 1 positively correlated with depression (β = -0.17, p < 0.001), anxiety (β = -0.17, p < 0.001), and stress (β = -0.17, p < 0.001) in wave 3. Furthermore, self-control reported at wave 2 mediated these relations. Besides, perceived parental autonomy support was associated with a stronger link between self-esteem and self-control. The present study indicates the protective roles of self-esteem and self-control in relation to adolescents' mental health problems, while emphasizing the potential of a supportive family environment to strengthen these associations. The findings hold implications for the development of prevention and intervention strategies targeting adolescents' mental well-being.

A Study To Assess The Perception, Acceptance And Satisfaction Regarding Postpartum Intra Uterine Contraceptive Device Services In A Tertiary Care Hospital In A Coastal District Of Karnataka.

Introduction Unintended pregnancy is an important public health issue in developing countries like India because of its association with adverse social and health outcomes. Family planning enables women to achieve healthy spacing between births and reduces maternal and child mortality by 10%. Intra Uterine Contraceptive Device (IUCD) is effective immediately after insertion and provides very effective, safe and long-term –yet reversible protection from pregnancy. Postpartum IUCD insertion has a higher rate of retention. Objective To assess the perception, acceptance and satisfaction regarding postpartum IUCD services among the women delivering in a tertiary care hospital in the coastal district of Karnataka. Materials and Methods An observational cross-sectional study with a consecutive sampling method was conducted in the coastal district of Karnataka for a period of 2months with a pretested semi-structured questionnaire by interview technique. Data was compiled in Microsoft Excel, validated and analysed using statistical software: Statistical Package for the Social Sciences (SPSS) version 16.0. Results 198 women were counselled for PPIUCD insertion, only 38.39% gave consent and 26.76% actually got inserted PPIUCD. The reasons for non-acceptance were fear of complications (11.98%), no familial support (9.15%) and using other contraceptive methods (35.85%). Factors like education status, Socio-Economic Status (SES), parity and previous use were positively correlated with acceptance of PPIUCD. No immediate complications were reported. Conclusion The PPIUCD has proven to be a useful long-term contraceptive method that is safe, effective, and useful for decreasing family size and spacing out births. Even though they are well aware of PPIUCD, they are hesitant to adopt it. Effective counselling can tackle these issues by clearing all the confusion.

Determining Factors of Child Begging on the Streets of the Cities of Puno and Juliaca, 2023

Extreme poverty has devastating consequences that are closely linked to living conditions. Begging has become an alternative for family support and children resort to a set of survival strategies on the street. The objective was to establish the determining factors of the begging condition of street children in the cities of Puno and Juliaca. The methodology was oriented from the mixed approach, descriptive design, the selected population was 20 children who beg in crowded places in the cities of Puno and Juliaca. The techniques used were: the standardized questionnaire, the in-depth interview guide, structured survey and participatory observation. Data analysis was done with Stata and Atlas Ti. The results were as follows: The begging factors in children are directly related to the extreme poverty of the family unit, by identifying more than three unsatisfied basic needs. The presence of tuberculosis and other diseases, as well as the presence of a disability in a family member, are the factors that force children to go out into the streets, some to sell products and beg, earning an average income of ten soles per day (three dollars) that is used to support the family. These children are not covered by social programs (Qali Warma, PVL, School Breakfasts).