The African child in kinship care: A systematic review

Ariyo, Esther; Mortelmans, Dimitri; Wouters, Edwin

doi:10.1016/j.childyouth.2018.12.013

Cited by 31 publications

(18 citation statements)

References 44 publications

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“…Children in kinship placements experience fewer behavioral problems and mental health disorders, better well-being, and less placement disruption. 7,8 Given time and resource constraints, we hypothesize that caseworkers might bias their efforts toward…”

Section: Discussionmentioning

confidence: 99%

Well-Child Visits While in State Care

Sokol

Miller²,

Ryan

2020

Pediatrics

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Section: Discussionmentioning

confidence: 99%

Well-Child Visits While in State Care

Sokol

Miller²,

Ryan

2020

Pediatrics

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“…25,[28][29][30] Many studies have found that the significant increase in orphans has overwhelmed kinship networks, government programs, and the community. 22,25,[27][28][29][30] Children in CHH affected by RDs are potentially more vulnerable, remaining undiagnosed or unable to access relevant care, and their involvement in relevant research studies is more challenging. While socioeconomic aspects relating to CHH have been investigated, there is a gap with regard to the effect of CHH on health research and the access of CHH to relevant health care and genetic services, including diagnosis, biobanking, and care.…”

Section: Socioeconomic Impacts Of Health Research With Child Participantsmentioning

confidence: 99%

An Overview of Benefits and Challenges of Rare Disease Biobanking in Africa, Focusing on South Africa

Conradie

Malherbe

Hendriksz

et al. 2021

Biopreservation and Biobanking

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CHM) is in the process of establishing the first rare disease (RD) biobank in South Africa and Africa. The CHM Biobank's main focus is on the collection of samples and information for rare congenital disorders. Approximately 72% of all RDs have a genetic origin, of which 70% have an exclusive pediatric onset. The need for such a biobank was identified by the CHM diagnostic laboratory. Feedback toward this initiative was overwhelmingly positive at the first stakeholder meeting in August 2019. However, gaining support from the public sector and recruiting of participants have proven to be challenging. Problems experienced to date include lack of support from government and clinicians; lack of knowledge on RDs (patients and clinicians); public health care focus not directed toward RDs; patients not returning for follow-up visits; and unwillingness to participate due to fear of exploitation. The CHM Biobank's vision and goals are aligned to address a national and international research need: it will provide a valuable resource for scientists to improve what is known about these diseases; to better understand the natural history and pathophysiology; to optimize diagnostic methods; and to potentially develop treatments. The genetic variability of the South African population provides added value to the RD biobank. This review provides a brief overview of the literature on the challenges and benefits of an RD biobank and how this relates to low-and middle-income countries (LMIC) like South Africa. The aim of the review is to draw attention to the potential benefits of such an undertaking and to create awareness, at both local and global level, toward some of the unique collective considerations that an RD biobank in LMIC (also unique South African challenges) faces on an operational, collaborate, and sustainability level.

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“…Traditionally, most children who were orphaned would be placed under the care of relatives who assumed full care and responsibility of the children [ 28 , 29 ]. However, the last few decades have also seen an increase in family arrangements whereby relatives provide primary care (kin-caregivers) to children who are non-orphaned [ 30 – 32 ]. Statistical findings in South Africa have shown that 65% of children (both orphaned and non-orphaned) who do not live with their biological parents, reside with their grandparents (mostly grandmothers), 17% with aunts, 6% with other relatives and a further 1% with non-relatives [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

Healthcare beliefs and practices of kin caregivers in South Africa: implications for child survival

Mabetha¹,

Wet²,

Odimegwu³

2021

BMC Health Serv Res

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Background Appropriate health-seeking practices may have a positive influence on child survival, particularly when practiced by kin caregivers of children who are below the age of 5 years. While literature has shown that children who are raised in kinship care often present with poor health outcomes and often have unmet healthcare needs, the health-seeking behaviours and practices of the children’s kin caregivers that ultimately influence these health outcomes remain largely unknown. In this paper, we explored the healthcare beliefs and practices of kin caregivers in South Africa on child survival. Methods Overall, 12 structured interviews were conducted with all the participants. Six [6] interviews were conducted in the Eastern Cape province and 6 were conducted in the KwaZulu-Natal province. The sample of participants was obtained by seeking permission from the child welfare authorities in the KwaZulu-Natal and Eastern Cape Department of Social Development (DSD) to assist in identifying a sample of the kin-caregivers who have provided primary care to children below the age of 5. The structured interviews were transcribed and analysed using thematic content analysis. After thematic content analysis was carried out, transcripts were given case numbers and then imported into NViVo version 11 for analysis and interpretation of the findings. Results The healthcare seeking behaviours and poor use of healthcare services of the caregivers were largely influenced by their notions and perceptions of health and illness. The notions and perceptions that the caregivers hold about the health statuses of the children placed under their care and illness were found to be largely culturally determined and largely influenced by preconceptions and certain healthcare beliefs. Increased reliance on traditional herbs, Notion of witchcraft and Faith healing emerged as key factors that influence health-seeking practices and beliefs of kin caregivers, thus influencing under-five mortality. Conclusion Kin caregivers should be equipped with the necessary guidance, resources and training that facilitate the successful fulfilment of the caregiving role, given the number of unmet needs and challenges that they face. This will in turn translate into positive child health outcomes.

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The African child in kinship care: A systematic review

Cited by 31 publications

References 44 publications

Well-Child Visits While in State Care

Well-Child Visits While in State Care

An Overview of Benefits and Challenges of Rare Disease Biobanking in Africa, Focusing on South Africa

Healthcare beliefs and practices of kin caregivers in South Africa: implications for child survival

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