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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:dateCreated |
1998-7-6
|
| pubmed:abstractText |
As a result of the severe HIV/AIDS epidemic in sub-Saharan countries such as Zimbabwe, where between 25-30% of the adult population are estimated to be infected, there are a growing number of orphans requiring care and support. Traditionally, orphans have been absorbed within the extended family but this is becoming more difficult because of the large number of young adults dying. The burden of care and support is falling on the very young and the very old. A number of strategies have been introduced to provide this care and support. Institutions, though popular, are very expensive to run, have limited capacity and only really cater for physical needs. Interventions which simply react to those who present to them may not reach the most needy and may encourage dependency. Community-based orphan care has been identified as the best and most cost-effective way of caring for orphans. An example of a community-based orphan visiting programme is presented. In the last six months of 1996, the FOCUS programme's 88 volunteers made a total of 9,634 visits to 3,192 orphans in 798 families at an average cost of US+1.55 per visit. The key elements of such programmes have been identified. They need to be implemented by a community-based organization (CBO) within a defined community. Volunteers should be selected from within the community. They need to be trained and supported as they enumerate orphans, identify the most needy and carry out regular visits. The volunteers should keep records of all their activities. These records can then be used as a basis for monitoring the programme. In order to cope with the increasing number of orphans in resource-poor settings like Zimbabwe, it is essential that such programmes be replicated and scaled up. This not only an economic necessity but is also a way of providing appropriate and effective services to those who need them.
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| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Acquired Immunodeficiency Syndrome,
http://linkedlifedata.com/resource/pubmed/keyword/Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara,
http://linkedlifedata.com/resource/pubmed/keyword/Age Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Behavior,
http://linkedlifedata.com/resource/pubmed/keyword/CHILD,
http://linkedlifedata.com/resource/pubmed/keyword/CHILD CARE,
http://linkedlifedata.com/resource/pubmed/keyword/Child Rearing,
http://linkedlifedata.com/resource/pubmed/keyword/Community Development,
http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Eastern Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Economic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Hiv Infections,
http://linkedlifedata.com/resource/pubmed/keyword/Nongovernmental Organizations,
http://linkedlifedata.com/resource/pubmed/keyword/ORPHANS,
http://linkedlifedata.com/resource/pubmed/keyword/Organization And Administration,
http://linkedlifedata.com/resource/pubmed/keyword/Organizations,
http://linkedlifedata.com/resource/pubmed/keyword/Population,
http://linkedlifedata.com/resource/pubmed/keyword/Population Characteristics,
http://linkedlifedata.com/resource/pubmed/keyword/Program Activities,
http://linkedlifedata.com/resource/pubmed/keyword/Programs,
http://linkedlifedata.com/resource/pubmed/keyword/Social Development,
http://linkedlifedata.com/resource/pubmed/keyword/VOLUNTARY WORKERS,
http://linkedlifedata.com/resource/pubmed/keyword/Viral Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Youth,
http://linkedlifedata.com/resource/pubmed/keyword/Zimbabwe
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
|
| pubmed:issn |
0954-0121
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
10 Suppl 1
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
S9-15
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:otherAbstract |
PIP: In sub-Saharan African countries such as Zimbabwe, where 25-30% of the adult population is HIV-infected, a steadily increasing number of AIDS orphans are in need of care and community support. A study conducted in Zimbabwe's Manicaland province in 1992, found that 1 in 5 households contained orphaned children. The tradition of incorporating orphans into the extended family has broken down as HIV-infection rates have risen. Community-based orphan support programs that use volunteers to visit the most needy children have the potential to complement existing coping mechanisms in a cost-effective manner. Through a program operating in 4 rural sites in Manicaland (Families, Orphans, and Children Under Stress), 88 volunteers made 9634 visits to 3192 orphans in a 6-month period in 1996. The total cost of this program in 1996, was US$26,000 ($1.55/visit), 51% of which was spent within the affected communities. Key steps in establishing a community-based orphan support program include an organizational analysis, identification of catchment areas, selection and training of volunteers, client identification and registration, and program monitoring and evaluation. Despite the efficacy of community-based orphan programs, new child care institutions without links to the community continue to be established in sub-Saharan Africa and to attract scarce resources. Among the obstacles to more widespread implementation of a community-based strategy are the low priority given to problems that affect children, the sheer magnitude of the problem, a reluctance to acknowledge AIDS as a cause of death, and a lack of awareness on the part of politicians and planners of the potential of such programs.
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| pubmed:meshHeading |
pubmed-meshheading:9625890-Child,
pubmed-meshheading:9625890-Child, Preschool,
pubmed-meshheading:9625890-Child Health Services,
pubmed-meshheading:9625890-Child Welfare,
pubmed-meshheading:9625890-Child of Impaired Parents,
pubmed-meshheading:9625890-Community Health Services,
pubmed-meshheading:9625890-HIV Infections,
pubmed-meshheading:9625890-Humans,
pubmed-meshheading:9625890-Institutionalization,
pubmed-meshheading:9625890-Orphanages,
pubmed-meshheading:9625890-Social Support,
pubmed-meshheading:9625890-Voluntary Health Agencies,
pubmed-meshheading:9625890-Zimbabwe
|
| pubmed:year |
1998
|
| pubmed:articleTitle |
Strategies for providing care and support to children orphaned by AIDS.
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| pubmed:affiliation |
Family AIDS Caring Trust, Mutare, Zimbabwe. FACT@MANGO.ZW
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| pubmed:publicationType |
Journal Article
|