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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A Costing Analysis of Community-Based Programs for Children Affected by HIV/AIDS: Results from Zambia and Rwanda

Leanne Dougherty, Steven Forsythe, William Winfrey, Kathy Buek and Minki Chatterji , 2005

A report which analyzes the costs associated with various types of interventions for orphans and vulnerable children, including institutional care, tracing and reintegration, and community-based care.

Forward-Looking Review: World Vision's Approaches to Integrating Microenterprise Development and HIV/AIDS Response

Jill Donahue, 2005

A report on several pilot projects launched by the World Vision and affiliated microfinance institutions to address the association between poverty and HIV. A description of pilot projects in Zimbabwe, Uganda, South Africa and Malawi are discussed.

Conditional Cash Subsidies for Children Affected by HIV/AIDS

UNICEF, 2005

Outlines the impact of a pre-pilot conditional cash transfer scheme implemented in Kenya and defines key issues to be considered before moving forward into pilot and national schemes. Short annexes include tools/frameworks to guide implementation.

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.

How Communities are Coping with the Impact of HIV and AIDS on Children: Findings from Uganda and Zambia

Jane Chege, 2005

Assessment of pilot programs employing World Vision Community Care Coalition model in Uganda and Zambia.

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.

Economic Strengthening Activities Benefiting Orphans and Vulnerable Children in Africa: Mapping of Field Programs

Carolyn Barnes, 2005

This paper identifies programs in sub-Saharan Africa focused on economic strengthening interventions, and analyzes their approaches and impact on orphans and vulnerable children. Interventions focused on savings and lending groups, micro-leasing, market linkages and household gardening appear to be particularly effective.

Children in Islam

Al Azhar University and UNICEF, 2005

An overview of child rights and protection as it relates to the central tenets of Islam. Contains brief information on alternative care, children affected by HIV/AIDS, protection from abuse, and other issues.

Education Access and Retention for Educationally Marginalised Children: Innovations in Social Protection

Peter Badcock-Walters, Marelize Görgens, Wendy Heard, Patience Mukwashi, Rose Smart, Jill Tomlinson, and Daniel Wilson, 2005

This paper provides a comprehensive contextual overview of the educational challenges faced by orphans and vulnerable children in sub-Saharan Africa. It includes recommendations for future education policy in the context of HIV and AIDS, as well as provides country specific data on current policies and social protection programs.