Strengthening families to support children affected by HIV and AIDS
Open Access
- 1 August 2009
- journal article
- review article
- Published by Informa UK Limited in AIDS Care
- Vol. 21 (sup1), 3-12
- https://doi.org/10.1080/09540120902923121
Abstract
This paper provides an overview of the arguments for the central role of families, defined very broadly, and we emphasise the importance of efforts to strengthen families to support children affected by HIV and AIDS. We draw on work conducted in the Joint Learning Initiative on Children and AIDS's Learning Group 1: Strengthening Families, as well as published data and empirical literature to provide the rationale for family strengthening. We close with the following recommendations for strengthening families to ameliorate the effects of HIV and AIDS on children. Firstly, a developmental approach to poverty is an essential feature of responses to protect children affected by HIV and AIDS, necessary to safeguard their human capital. For this reason, access to essential services, such as health and education, as well as basic income security, must be at the heart of national strategic approaches. Secondly, we need to ensure that support garnered for children is directed to families. Unless we adopt a family oriented approach, we will not be in a position to interrupt the cycle of infection, provide treatment to all who need it and enable affected individuals to be cared for by those who love and feel responsible for them. Thirdly, income transfers, in a variety of forms, are desperately needed and positively indicated by available research. Basic economic security will relieve the worst distress experienced by families and enable them to continue to invest in the health care and education of their children. Lastly, interventions are needed to support distressed families and prevent knock-on negative outcomes through programmes such as home visiting, and protection and enhancement of children's potential through early child development efforts.Keywords
This publication has 46 references indexed in Scilit:
- Targeting AIDS orphans and child-headed households? A perspective from national surveys in South Africa, 1995–2005AIDS Care, 2008
- Countdown to 2015 for maternal, newborn, and child survival: the 2008 report on tracking coverage of interventionsThe Lancet, 2008
- From affected to infected? Orphanhood and HIV risk among female adolescents in urban ZimbabweAIDS, 2008
- Promoting child and adolescent mental health in the context of the HIV/AIDS pandemic with a focus on sub‐Saharan AfricaJournal of Child Psychology and Psychiatry, 2008
- The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania, and South AfricaPopulation Studies, 2007
- Coping with change: Household structure and composition in rural South Africa, 1992 — 20031Scandinavian Journal of Public Health, 2007
- Sexual Risk Behavior among South African Adolescents: Is Orphan Status a Factor?AIDS and Behavior, 2006
- The impact of adult mortality on the living arrangements of older people in rural South AfricaAgeing and Society, 2005
- Sinking deeper down: HIV/AIDS as an economic shock to rural householdsSociety in Transition, 2001
- AIDS:Marriage & Family Review, 1989