Children Affected by HIV and AIDS

The HIV/AIDS pandemic is having a devastating impact on the well-being of children, particularly in those countries with the highest HIV prevalence rates in sub-Saharan Africa, the Caribbean, and parts of Asia. The virus affects children in multiple ways; they may lose one or both parents and other family members, or become infected with the disease.

Aside from the physical and psychosocial stress associated with the onset of the disease itself and the experience of loss of loved ones, children affected by HIV/AIDS may additionally be subjected to the burden of caring for others, stigma, discrimination, exploitation, abuse, financial hardships, and are less likely to attend school. The social and economic effects of the disease means that areas with high AIDS-related mortality are less able to provide traditional family and community care, protection and basic services for its children.

Children with HIV-positive parents are at a greater risk of being orphaned, abandoned, removed by social services, placed into foster or institutional care, becoming homeless, or left to head households on their own. Orphaned children infected with the virus often have more difficulty obtaining care. Families and communities have rallied to provide kinship care to the large majority of the children who have lost their parents, however families and communities are struggling to cope, physically and financially, with the numbers of children involved. Despite international recognition of the damaging effects of institutional care and its high costs, institutional care has proliferated, often supported by external groups wanting to help. Far too little has been done in such countries to systematically strengthen and support HIV/AIDS-affected families and families caring for orphans, or to develop family-and community-based care for children without adequate family care.

Children should be cared for by their immediate and extended families wherever possible, with support services put in place to avoid abandonment. Regulated kinship, foster care, and local adoption should be developed for children without close relatives. Young people and communities should be provided with information on HIV/AIDS to avoid infection. Adequate medical treatment is needed to enable infected parents to live longer and to prevent HIV transmission from mother to child.

The literature in this section includes background information on countries and projects tackling the crises, including statistics, policy papers, implementation projects, and care options for children orphaned or infected by HIV/AIDS.

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Hope In Action: Summaries of World Vision's Strategies for HIV and AIDS Response

World Vision HIV/AIDS Hope Initiative, 2006

Summarizes World Vision’s strategies for key areas of HIV/AIDS response.

Social Protection: How important are the National Plans of Action for Orphans and Vulnerable Children?

Rachel Sabates-Wheeler and Lissa Pelham, 2006

This briefing paper emerges from a review of 14 national plans of action (NPA), or in the absence of a NPA, outputs from the rapid assessment analysis and action planning (RAAAP) work for orphans and children made vulnerable by HIV/AIDS. The purpose is to analyse the way that issues of social protection are incorporated into these plans and to highlight areas within the plans where social protection activity may be needed to achieve stated outcomes. Annex 3 summarises, country by country, the social protection content of each NPA.

Faith Untapped: Why Churches can Play a Crucial Role in Tackling HIV and AIDS in Africa

Tearfund, 2006

Contains a set of forward-leaning recommendations for churches and the donor community. Also contains an analysis of the role of faith-based groups in the response, specific case studies, the potential to do more on the ground, and challenges faced by churches.

Barriers and Incentives to Orphan Care in a Time of AIDS and Economic Crisis: A Cross-sectional Survey of Caregivers in Rural Zimbabwe

Brian Howard, Carl Phillips, Nelia Matinhure, Karen J Goodman, Sheryl McCurdy, and Cary Johnson, 2006

A survey of caregivers designed to assess barriers and incentives to fostering in rural Zimbabwe. Suggests that incentives for sustainable orphan care should focus on financial assistance.

Capacity Needs Assessment Report

Uganda Ministry of Gender, Labour and Social Development , 2006

An assessment to determine MGLSD and District Management and operational capacity needs in providing leadership, coordination, and monitoring and evaluating the national response to OVC and AB/Y in Uganda.

A Situational Analysis of Orphans and Vulnerable Children in Four Districts of South Africa

Alicia Davis and Donald Skinner (eds.), 2006

Identifies strengths and weaknesses of services offered to OVC in South Africa. A detailed list of recommendations suggests improvements to services.

Positively Abandoned: Stigma and Discrimination against HIV-Positive Mothers and their Children in Russia

Human Rights Watch, 01 Jun 2005

Russia is home to one of the fastest-growing AIDS epidemics in the world, but the government has done little to address the problem.

Economic Strengthening / Livelihood Tools and Literature Review

Hugh Allen, 2005

Summary and analysis of the status of the literature and reviews on economic strengthening and livelihood tools. Contains recommendations of best practices and guidelines on which tools work.

HIV/AIDS and Individuals with Disability

Nora Ellen Groce, 2005

Documents a unique survey on the impact of AIDS on populations of disabled people. Particular emphasis on identifying disability-specific concerns.

Poverty, Vulnerability, and HIV/AIDS Mainstreaming in Lesotho: Livelihoods Recovery Through Agriculture Program and Secure the Child

Joanne Abbot, Mosele Lenka, PJ Lerotholi, Makojang Mahao, and Sechaba Mokhamaleli, 2005

A description of a multi-level intervention in rural Lestho aimed to improve the livelihood security of vulnerable households by improving home gardening, increasing awareness of HIV/AIDS, and influencing policy. By focusing on rural livelihoods and economic empowerment the program had some success in raising awareness and strengthening resilience to the HIV/AIDS epidemic.