Poverty to more poverty: An evaluation of transition services provided to adolescent girls from two institutions in Zimbabwe

Mhongera, Pamhidzayi Berejena; Lombard, Antoinette

doi:10.1016/j.childyouth.2016.03.013

Cited by 17 publications

(9 citation statements)

References 13 publications

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“…Mendes, Johnson, and Moslehuddin (2011) argued that youth transitioning out of care lack safety nets since their transition is abrupt, with expectations for accelerated independent living and immediate transition into adulthood. Mhongera and Lombard (2016) concluded, from a qualitative study undertaken in Zimbabwe with 32 adolescent girls who had either transitioned and/or were transitioning out of CYCCs, that due to inadequate and fragmented services, the youth were subjected to increased poverty and negative livelihood outcomes.…”

Section: Ubuntu and Interdependency In Care Leavingmentioning

confidence: 99%

Youth Transitioning Out of Residential Care in South Africa: Toward Ubuntu and Interdependent Living

2018

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Informed by the qualitative method and the descriptive-interpretive design, this study, which was underscored by radical humanist goals of structural social work, reflects the voices of 16 youth who had transitioned out of care. The results show that emerging adults, transitioning out of care, are vulnerable and in need of support. This article discusses three main themes derived via an inductive approach: the influence of sociocultural networks, connecting with family, and the multiple risk factors associated with getting into and out of care that compromise youth’s quest for security. The neoliberal discourse on independent living needs to shift to interdependence and Ubuntu. It is interdependence, not independence, that gives a human face to care leavers as service providers respond to their past trauma, present vulnerability, and future risks, while promoting family preservation and resourceful, caring communities.

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Section: Ubuntu and Interdependency In Care Leavingmentioning

confidence: 99%

Youth Transitioning Out of Residential Care in South Africa: Toward Ubuntu and Interdependent Living

2018

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“…Ineffective transition care appeared to increase adolescent girls' vulnerability to poverty and gender inequality. 19 In a Polish survey of young adults with autism spectrum disorder, high cost and unavailability were the most frequently reported barriers to services. 20 In Zambia, when the studied intervention did not show widespread impact on the cultural norms that lead to adolescent vulnerability, the authors hypothesised that one limitation to sustained programmatic success was the need for more tailored interventions based on individual and community needs.…”

Section: Clinical Milestonesmentioning

confidence: 99%

“…Significant financial insecurity post-transition made them vulnerable to experiencing homelessness and abuse. 19 Interviews of caregivers for adolescents with childhood-onset neurological conditions in Guatemala revealed that targeted transition care is more effective when understanding the impact of disability on economic resources. 22 When families had greater resources, more long-term emphasis on educational and professional development of the adolescents were exhibited.…”

Section: Clinical Milestonesmentioning

confidence: 99%

“…21 In Zimbabwe, providing young adolescent girls with bank accounts and curriculum on financial empowerment appeared to be key in perceived improvement in health and quality of life. 19 Culturally sensitive measurement, evaluation and validation An important consideration in this review, with a majority of non-English-speaking patients, was methodological assessment, including language validation of surveys used and culturally sensitive measurement of programme implementation. Successful qualitative methodology approaches for equitable data collection and analysis included sustainable livelihood approach, 20 purposeful sampling with maximum diversity approach, 13 20 constructivist grounded theory framework 22 and relational worldview framework.…”

Section: Clinical Milestonesmentioning

confidence: 99%

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Paediatric to adult healthcare transition in resource-limited settings: a narrative review

Narla

Ratner

Bastos

et al. 2021

bmjpo

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BackgroundAgeing into adulthood is challenging at baseline, and doing so with a chronic disease can add increased stress and vulnerability. Worldwide, a substantial care gap exists as children transition from care in a paediatric to adult setting. There is no current consensus on safe and equitable healthcare transition (HCT) for patients with chronic disease in resource-denied settings. Much of the existing literature is specific to HIV care. The objective of this narrative review was to summarise current literature related to adolescent HCT not associated with HIV, in low-income and middle-income countries (LMICs) and other resource-denied settings, in order to inform equitable health policy strategies.MethodsA literature search was performed using defined search terms in PubMed and Cumulative Index to Nursing and Allied Health Literature databases to identify all peer-reviewed studies published until January 2020, pertaining to paediatric to adult HCT for adolescents and young adults with chronic disease in resource-denied settings. Following deduplication, 1111 studies were screened and reviewed by two independent reviewers, of which 10 studies met the inclusion criteria. Resulting studies were included in thematic analysis and narrative synthesis.ResultsTwelve subthemes emerged, leading to recommendations which support equitable and age-appropriate adolescent care. Recommendations include (1) improvement of community health education and resilience tools for puberty, reproductive health and mental health comorbidities; (2) strengthening of health systems to create individualised adolescent-responsive policy; (3) incorporation of social and financial resources in the healthcare setting; and (4) formalisation of institution-wide procedures to address community-identified barriers to successful transition.ConclusionLimitations of existing evidence relate to the paucity of formal policy for paediatric to adult transition in LMICs for patients with childhood-onset conditions, in the absence of a diagnosis of HIV. With a rise in successful treatments for paediatric-onset chronic disease, adolescent health and transition programmes are needed to guide effective health policy and risk reduction for adolescents in resource-denied settings.

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“…Care leavers often do not get preparation and support for entering emerging adulthood because the support services are nonexistent (Bond, 2018). They lose the services that they enjoy in care during their transition to adulthood, making them vulnerable to poverty and other challenges (Mhongera & Lombard, 2016; Pryce et al, 2015).…”

mentioning

confidence: 99%

Stories of Care Leaving: The Experiences of a Group of Resilient Young Adults on Their Journey to Interdependent Living in Ghana

Frimpong‐Manso

2018

Emerging Adulthood

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Emerging adulthood is the developmental period from 18 to 25 years of age when young people explore the possibilities of life with support from their parents. However, young people with an out-of-home care background usually navigate this life stage with little or no support. As a result, many care leavers experience poor outcomes including homelessness and low educational achievements. These narratives fuel low expectations and a negative stereotype toward care leavers. This study offers an alternative perspective by sharing positive stories of care leavers. Specifically, it explores the factors that promote the successful transition to emerging adulthood for care leavers in Ghana. Four key themes emerged from the thematic analysis: networks of social support, personal capacities, preparation for adulthood, and positive relationships. These are the factors facilitating the care leavers’ successful transition into emerging adulthood. The study has offered recommendations for policy-making and practice including extending the statutory leaving care age.

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Poverty to more poverty: An evaluation of transition services provided to adolescent girls from two institutions in Zimbabwe

Cited by 17 publications

References 13 publications

Youth Transitioning Out of Residential Care in South Africa: Toward Ubuntu and Interdependent Living

Youth Transitioning Out of Residential Care in South Africa: Toward Ubuntu and Interdependent Living

Paediatric to adult healthcare transition in resource-limited settings: a narrative review

Stories of Care Leaving: The Experiences of a Group of Resilient Young Adults on Their Journey to Interdependent Living in Ghana

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