Growing Up in the Era of AIDS: The Well-Being of Children Affected and Infected by HIV/AIDS in Sub-Saharan Africa

Daniel, Marguerite

doi:10.5772/20815

Cited by 5 publications

(8 citation statements)

References 64 publications

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“…The average time spent in paid work for children from non-PLWHA households was significantly higher than that spent by children from PLWHA households (23 vs. 8 hours (see Table 4 )). This is contrary to existing evidence which postulates that children from a household with an adult with HIV/AIDS are more likely to engage in the paid labour market than children from non-PLWHA households (Daniel, 2011 ; ILO, 2006 ).…”

Section: Resultscontrasting

confidence: 92%

“…It is argued that HIV/AIDS impacts child labour in several ways: by increasing the number of vulnerable children, especially orphans that have lost at least one parent to HIV/AIDS; by placing an inequitable burden on female children, who often have to provide care and household services for the entire family when a parent becomes ill or dies; and by putting pressure on children to work to assist their families to obtain a livelihood and survive (Daniel, 2011 ; Desmond, 2009 ; Engle, 2008 ; Evans, 2012 ; ILO, 2003 ; Nyamukapa & Gregson, 2005 ; Rau, 2002 ; Tumushabe, 2000 ).…”

Section: Introductionmentioning

confidence: 99%

“…This is partly attributed to antiretroviral therapy (ART) which has been shown to restore health and improve health outcomes even in resource constrained countries in SSA (Seeley et al, 2009 ; Song et al, 2007 ; UNAIDS, 2013 , 2016 ). However, despite the decline, HIV/AIDS continues to impact communities and households in SSA, through its devastating impact on quality of life through poor health, impact on school performance and reduced life-expectancy (Boutayeb, 2009 ; Bukusuba, Kikafunda, & Whitehead, 2007 ; Daniel, 2011 ; Grogan, 2008 ; Maguire, McNally, Britton, Werth, & Borges, 2008 ; Richter, 2004 ; Tumushabe, 2000 ; UNAIDS, 2010 ; UNAIDS, UNICEF, & USAID, 2004 ; UNICEF & UNAIDS, 2005 ).…”

Section: Introductionmentioning

confidence: 99%

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Invisible work: Child work in households with a person living with HIV/AIDS in Central Uganda

Abimanyi-Ochom

Inder

Hollingsworth

et al. 2017

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Background: HIV/AIDS has led to increased mortality and morbidity, negatively impacting adult labour especially in HIV/AIDS burdened Sub-Saharan Africa. There has been some exploration of the effects of HIV/AIDS on paid child labour, but little empirical work on children’s non-paid child work. This paper provides quantitative evidence of how child and household-level factors affect children’s involvement in both domestic and family farm work for households with a person living with HIV/AIDS (PLWHA) compared to non-PLWHA households using the 2010/2011 Centre for Health Economics Uganda HIV questionnaire Survey. Method: Descriptive analysis and multivariate logistic modelling is used to explore child and household-level factors that affect children’s work participation. Results: This research reveals greater demands on the labour of children in PLWHA households in terms of family farm work especially for boys. Results highlight the expected gendered social responsibilities within the household space, with girls and boys engaged more in domestic and family farm work, respectively. Girls shared a greater proportion of household financial burden by working more hours in paid work outside the household than boys. Lastly, the study revealed that a household head’s occupation increases children’s participation in farm work but had a partial compensatory effect on their involvement in domestic work. Wealth and socio-economic standing is no guarantee to reducing child work. Conclusion: Children from PLWHA households are more vulnerable to child work in family farm work especially boys; and girls are burdened beyond the household space through paid work. Differing perspectives and solutions need to consider the contextual nature of child work.

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Section: Resultscontrasting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Invisible work: Child work in households with a person living with HIV/AIDS in Central Uganda

Abimanyi-Ochom

Inder

Hollingsworth

et al. 2017

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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“…Family closeness, parental warmth and the positivity and cohesiveness of family interaction patterns have a strong influence on children's compliance with chronic medication (Miller-Johnson et al, 1994;Davis et al, 2001;DiMatteo, 2004). Children who enjoy aalso face stigma and discrimination because of their parents' HIV status (Kaggwa & Hindin, 2010;Daniel, 2011;Skovdal & Daniel, 2012). Furthermore, some children face the additional trauma of witnessing their parents' illness and eventual death, resulting in poor physical and emotional health (Fonseca et al, 2008;Kaggwa & Hindin, 2010;Skovdal & Daniel, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…In the context of AIDS, bereaved children suffer multiple losses, such as the death of their parents or a sibling, separation from surviving siblings, interrupted education and a move to unfamiliar surroundings with a new caregiver (Domek, 2006;Daniel et al, 2007). Children whose parents are very ill and those without parents not only suffer physically from the lack of basic needs, but also experience grief at the loss of their parents, and may HIV-infected children's communication about ART also face stigma and discrimination because of their parents' HIV status (Kaggwa & Hindin, 2010;Daniel, 2011;Skovdal & Daniel, 2012). Furthermore, some children face the additional trauma of witnessing their parents' illness and eventual death, resulting in poor physical and emotional health (Fonseca et al, 2008;Kaggwa & Hindin, 2010;Skovdal & Daniel, 2012).…”

Section: Introductionmentioning

confidence: 99%

Communication in the Context of Family Caregiving: An Exploratory Study of Ugandan Children on Antiretroviral Therapy

et al. 2015

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SummaryIt is important to consider the complexities of family dynamics when deciding when and how to communicate with HIV-infected children about their illness and treatment. Previous research has focused on providers’ and caregivers’ perspectives on whether, when and how to disclose HIV/AIDS diagnosis and treatment to HIV-infected children. From the perspective of HIV-infected children, communication does not mean just giving information about illness and treatment, but also encompasses emotional and material care. This paper places communication within the broader framework of caregiving in family situations. This exploratory study was conducted in Jinja district, Uganda, between November 2011 and December 2012. Through participant observation and in-depth interviews, communication by, and with, HIV-infected children in the context of family situations was explored from the perspectives of 29 HIV-infected children aged 8–17 years on antiretroviral therapy (ART) using content thematic analysis. Children’s communication with caregivers about their illness and treatment varied depending on whom they were living with and the nature of caregiving. Although a mother’s care was considered best, children described others who cared ‘like a mother’. For some, caregiving was distributed among several relatives and non-relatives, while others felt they had hardly anyone to care for them. Caregiving from the children’s perspective involved emotional support, expressed verbally and explicitly in messages of concern, encouragement conveyed in reminders to take medicines, attention when sick and confidential conversations about the challenges of having HIV and taking ART. Caregiving was also communicated implicitly in acts of provision of food/drinks to take with medicines, counting pills to confirm they had taken the medicines and accompanying children to treatment centres. Children’s communication about their health and medicines and the care they received was to a large extent shaped by the nature of their relatedness to their caregivers, the extent to which caregiving was dispersed among several people and who else in the household was infected with HIV and on medication.

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Handbook of Child Well-Being

Ben‐Arieh¹,

Casas²,

Frønes³

et al. 2014

241

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Growing Up in the Era of AIDS: The Well-Being of Children Affected and Infected by HIV/AIDS in Sub-Saharan Africa

Cited by 5 publications

References 64 publications

Invisible work: Child work in households with a person living with HIV/AIDS in Central Uganda

Invisible work: Child work in households with a person living with HIV/AIDS in Central Uganda

Communication in the Context of Family Caregiving: An Exploratory Study of Ugandan Children on Antiretroviral Therapy

Handbook of Child Well-Being

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