The effect of child fostering on feeding practices and access to health services in rural Sierra Leone

Bledsoe, Caroline H.; Ewbank, Douglas C.; Isiugo-Abanihe, Uche C.

doi:10.1016/0277-9536(88)90011-1

Cited by 94 publications

(56 citation statements)

References 6 publications

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“…The higher morbidity in the orphan group could well be attributed to a higher morbidity in AIDS orphans, as some may have HIV/AIDS disease. Two previous studies reported higher morbidity among orphans than non-orphans and attributed this finding to lack of care (Bledsoe et al 1988;Oni 1995). Contrary to this, other studies found no differences in general health indicators between orphans and non-orphans (Ryder et al 1994;Panpanich et al 1999;Lindblade et al 2003).…”

Section: Discussionmentioning

confidence: 97%

Assessing the health status of young AIDS and other orphans in Kampala, Uganda

Sarker

Neckermann

Müller

2005

Trop Med Int Health

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Summary The huge number of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) orphans is an important feature of the epidemic in sub‐Saharan Africa. There are few and conflicting data on the effects of being orphaned on health and nutrition in the highly affected HIV endemic areas of Africa. This study reports findings from a cross‐sectional survey on associations between orphan status and health and nutrition parameters in young children of urban Uganda. A high prevalence of orphans was reported from a central Kampala community, with 41% being attributed to HIV/AIDS. Although there was a higher prevalence of self‐reported morbidity in orphans than non‐orphans, there were no differences in reported treatment seeking behaviour and measured anthropometric parameters. Hence it seems that the extended family system still manages to care for young orphans. Paying school fees for older children should be the primary target for HIV/AIDS impact mitigation programs in urban Uganda.

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Section: Discussionmentioning

confidence: 97%

Assessing the health status of young AIDS and other orphans in Kampala, Uganda

Sarker

Neckermann

Müller

2005

Trop Med Int Health

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“…In Sierra Leone, Bledsoe et al [60] found that among hospital admissions, although fostered children under six years of age (particularly girls) were more likely to be malnourished, older children did not experience similar nutritional risks. In another hospital study, Excler et al [61] found in Togo that fostered children exhibited poorer nutritional outcomes than those under the care of their biological parents.…”

Section: Stages I and 2 Researchmentioning

confidence: 99%

Child development: Vulnerability and resilience

Engle

Castle

Menon

1996

Social Science & Medicine

130

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Alrstraet--Many of the challenges facing children now are a function of changing times, including increase in urbanization, political violence, changing family forms, and in some areas decreased supplies of adequate food. This review focuses particularly on those changes in which children are the victims and which induce new threats for them, rather than on problems such as child disability or mental illness. The outcome variables of interest in this paper are dimensions of children's psychosocial development, including cognitive development, psychological adjustment and aggression, whereas the companion paper in this issue (Caldwell P., Child survival: vulnerability and resilience in adversity in the European past and the contemporary Third World, Soc. Sci. Med.) [1] focuses on physical aspects of children's development. The risks that are hurdles in the process of development of a young child begin from conception and carry on into later life. To address them all would be impossible; thus, in order to do justice to the issues at hand, we have chosen those risks that, in our view, are important in a child's psychosocial development in developing countries. This paper will thus provide a discussion of the concepts of risk and resilience, then apply these concepts to the analysis of three examples of risk faced by children today: nutritional threats (e.g. malnutrition due to decline in breastfeeding); family dynamics and types of family forms (e.g. child fostering and non-traditional families); and experiences of violence (domestic or political). In each case, the same four questions will be addressed: what are the consequences of the risk factor for children, what are the etiologies and conditions of risk, are there any children who seem to cope with the risk factor successfully and what are some of the protective factors, and what interventions or programs would help support these children?

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“…Similarly, the increased morbidity among AIDS orphans may be attributed to a lack of parenting. Fostered AIDS orphans in West Africa were found to have a higher mortality than children in general (Oni, 1995;Bledsoe, Ewbank, & Isiugo-Abanihe, 1988). A study by Lindblade, Odhiambo, Rosen, and DeCock (2003) also showed that sub-Saharan AIDS orphans' nutrition and health were compromised compared to children in general, and the impact was greater on younger children.…”

Section: Introductionmentioning

confidence: 99%

Children's body mass index and nutrition intake in HIV/AIDS

Lin

Li²,

et al. 2008

Vulnerable Children and Youth Studies

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HIV/AIDS in China poses many challenges for caregivers and their children. A total of 154 caregivers of HIV/AIDS-affected families were interviewed to examine the children's nutrition intake and body mass index (BMI) in the context of HIV/AIDS in the family. The results showed that 25% of children in HIV/AIDS-affected families were underweight or at risk of being underweight according to US criteria. More than half the children reported that their consumption of protein such as meat, eggs or milk ranged from not at all to two times during the past month. About 40% of the children sometimes or often went hungry due to insufficient food. The study findings underscore the need to improve the nutrition and general health of children of people living with HIV/AIDS.

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The effect of child fostering on feeding practices and access to health services in rural Sierra Leone

Cited by 94 publications

References 6 publications

Assessing the health status of young AIDS and other orphans in Kampala, Uganda

Assessing the health status of young AIDS and other orphans in Kampala, Uganda

Child development: Vulnerability and resilience

Children's body mass index and nutrition intake in HIV/AIDS

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