Submitted in fulfilment of the requirements for the degree of MASTER of ARTS in Community Work in the Department of Social Work at the University of Zululand, South Africa, 2003. / This study is about the attitudes of primary care givers who are caring for HIV/ AIDS orphans in the Ingwavuma area. As an evaluative research semi-structured interviews were conducted. A sample of -twenty primary care givers was drawn, 10 files were drawn from the Department of Welfare and Population Development Office and 10 files were drawn from the local non-government organisation called Ingwavuma Orphan Care. Permission to use departmental files was sought from the department concerned. Related literature that focuses on a HIV/AIDS and Orphanhood has been reviewed. Various recommendations have been made based on the findings of the study. The findings indicate that a need exist for training on parenting and coping skills. HIV/AIDS orphans need to be involved in counselling especially on trauma counselling, this can help a lot in improving the relationship between primary care givers and vulnerable children.

In the absence of support programmes for HIV and Aids orphans in the Fezile Dabi Region this research set out to design guidelines towards an ecosystemic support programme to support HIV and Aids orphans in the Fezile Dabi Region. The literature review revealed that HIV and Aids orphans experience a wide range of support needs. Their psychosocial needs impair normal development due to unhappiness, stress, stigma, discrimination and a lack of care, love and support. In addition to this, emotional needs, which emanate from a lack of security and safety manifest in sadness, disruptive behaviour, poor relationships, poor self-image and isolation. Socio-economic needs expose them to poverty and being vulnerable to child labour with little reward, and deprive them of opportunities to obtain a proper education. All the above-mentioned problems lead to educational needs that manifest in poor school attendance, poor concentration, learning breakdown and dropping out of school. In addition to this, physical needs that stem from malnutrition caused by poverty and a low standard of living have an impact on the physical growth and health of the HIV and Aids orphans. In order to find out whether the abovementioned discussion holds true for HIV and Aids orphans in the Fezile Dabi Region, qualitative, phenomenological research by means of structured individual interviews was conducted with a convenient and purposive sample of 43 Black HIV and Aids orphans in the Fezile Dabi Region. The focus of the interviews was to gain a better understanding of the support needs that these learners experience due to HIV and Aids, and to explore how they are supported in dealing with these needs. The empirical research revealed that the HIV and Aids orphans in the Fezile Dabi Region who took part in my study experience psychosocial, emotional, socio-economic, educational and physical needs. Many of the needs, in the absence of strong community-based support in the region, are not supported adequately. Despite the identified needs, the data revealed strong tenets of resilience among the participants who took part in the study. In contrast to the literature, the findings of my study revealed that a number of the HIV and Aids orphans in the Fezile Dabi Region apparently manage to establish good social relationships that help them cope with their problems. Furthermore, they aspire to obtain a good quality education and have ambitions and goals in terms of their future careers that they would like to achieve. Based on the literature review and the interview data, guidelines towards an ecosystemic support programme for the HIV and Aids orphaned learners in the Fezile Dabi Region were designed. / PhD, Learner support, North-West University, Vaal Triangle Campus, 2012

In the absence of support programmes for HIV and Aids orphans in the Fezile Dabi Region this research set out to design guidelines towards an ecosystemic support programme to support HIV and Aids orphans in the Fezile Dabi Region. The literature review revealed that HIV and Aids orphans experience a wide range of support needs. Their psychosocial needs impair normal development due to unhappiness, stress, stigma, discrimination and a lack of care, love and support. In addition to this, emotional needs, which emanate from a lack of security and safety manifest in sadness, disruptive behaviour, poor relationships, poor self-image and isolation. Socio-economic needs expose them to poverty and being vulnerable to child labour with little reward, and deprive them of opportunities to obtain a proper education. All the above-mentioned problems lead to educational needs that manifest in poor school attendance, poor concentration, learning breakdown and dropping out of school. In addition to this, physical needs that stem from malnutrition caused by poverty and a low standard of living have an impact on the physical growth and health of the HIV and Aids orphans. In order to find out whether the abovementioned discussion holds true for HIV and Aids orphans in the Fezile Dabi Region, qualitative, phenomenological research by means of structured individual interviews was conducted with a convenient and purposive sample of 43 Black HIV and Aids orphans in the Fezile Dabi Region. The focus of the interviews was to gain a better understanding of the support needs that these learners experience due to HIV and Aids, and to explore how they are supported in dealing with these needs. The empirical research revealed that the HIV and Aids orphans in the Fezile Dabi Region who took part in my study experience psychosocial, emotional, socio-economic, educational and physical needs. Many of the needs, in the absence of strong community-based support in the region, are not supported adequately. Despite the identified needs, the data revealed strong tenets of resilience among the participants who took part in the study. In contrast to the literature, the findings of my study revealed that a number of the HIV and Aids orphans in the Fezile Dabi Region apparently manage to establish good social relationships that help them cope with their problems. Furthermore, they aspire to obtain a good quality education and have ambitions and goals in terms of their future careers that they would like to achieve. Based on the literature review and the interview data, guidelines towards an ecosystemic support programme for the HIV and Aids orphaned learners in the Fezile Dabi Region were designed. / PhD, Learner support, North-West University, Vaal Triangle Campus, 2012

A dissertation submitted in partial fulfillment of the requirements for the degree of Masters of Arts (Counselling Psychology) in the Department of Psychology University of Zululand, 2005. / Programmes addressing psychosocial needs of children orphaned by HIV/AIDS already exist in Sub-Saharan countries (Germann, 2002), yet in South Africa, few if any, of the relief programmes take cognisance of psychological support. Failure to provide psychological support to children orphaned by HIV/AIDS may have negative, long lasting effects like mental illness, crime, street children and these can in turn result in dysfunctional societies. Thus the aims of the present study were to report on findings concerning available psychosocial intervention programmes and to provide information about the effectiveness of these programmes. Using purposive sampling to select research respondents, the researcher collected data personally. A questionnaire was administered to 19 female caregivers at Emoyeni Hospice in Northern Kwa-Zulu Natal to evaluate psychological support intervention in their programmes. The questionnaire was translated to Zulu in order to avoid any misunderstanding. Qualitative and quantitative data analysis was used in order to conclude about the state of psychological interventions for children orphaned by HIV/ AIDS at Emoyeni. Research findings led to the following conclusions: • Care-givers at Emoyeni Hospice do include the component of psychological intervention support in their intervention programme. • The care-givers at Emoyeni Hospice still need to be helped to recognize the importance of letter writing, and facilitating remembrance of the deceased parent/ parents as a technique of psychological intervention. The present study revealed that caregiyers consider spiritual and physical support as important aspects for inclusion in the psychological intervention programme in order to maximize psychological well-being.

Thesis (M.A. (Clinical Psychology)) --University of Limpopo, 2008 / The aim of this study was to investigate the psychological difficulties encountered and ways of coping by HIV/AIDS orphans in Limpopo Province. The sample was comprised of 70 children whose parent(s) died of HIV/AIDS related diseases between the ages 05 and 18 years. The data were collected through the use of face to face interview and questionnaires. The study results show that as a results of trauma resulting from taking care and witnessing ill parent(s) die, HIV/AIDS orphans suffer from sadness, helplessness, anger, guilty, aggression and frustration that often lead to withdrawal and subsequent depression, In quantitative study Beck Depression Inventory was also used to determine the levels of depression (mild, moderate, and/or severe levels) and it was discovered that HIV/AIDS orphans experience moderate to severe depression. The study further looked on whether demographic factors including (age, gender, religion, home language, number of siblings, and level of education) have an impact on the experience of depression. Qualitative study findings also discovered that HIV/AIDS orphans do not experience the relationship with their caregivers as being supportive. Furthermore, mixing with non-orphaned peers was reported to be a mission and emotionally distressing. Qualitative study also discovered that HIV/AIDS orphans lack many adults whom they can trust and who they could be able to express their feelings, as result they try to find their own ways of coping with their circumstances. However, quantitative study also looked at three ways of coping (cognitive, behavioural and avoidance ways of coping) that could be used by HIV/AIDS orphans. This was achieved through the use of ways of coping scales. The findings of this study discovered that HIV/IADS orphans use cognitive and avoidance ways of coping more than behavioural ways of coping. Furthermore, the study looked at whether there is a relationship between ways of coping and biographic factors (age, gender, religion, home language, number of siblings, and level of education). It was discovered that HIV/AIDS orphans are psychologically distressed and need to be transferred for psychological therapy after the loss of their parents.

A number of researchers have explored the toll of AIDS on the children who have become orphans as a result of the disease; others have investigated the roles of aid-giving agencies on the alleviation of the orphans' situation. However, despite researchers' pointing to the germaneness of community and goodwill agency liaison, no study had examined the impact of such collaboration on the resources available to the orphans. To this end, the heads-of-household of 532 AIDS orphans under 18 years old in Kenya's Nyanza province were surveyed to investigate the impact of community-referral on the state of AIDS orphans with regard to homelessness, birth registration, food security, school attendance, and sibling separation. The theoretical framework for the study was rooted on the interplay of resource-availability and stressors on AIDS orphans. Results of regression analysis showed that double orphans ate fewer meals than maternal or paternal orphans. There was an inverse relationship between the number of AIDS orphans in a home and the likelihood of homelessness; older orphans tended to not be separated from their siblings; double orphans were more likely than single orphans to be separated from their siblings; school absenteeism was higher among older orphans and when the head-of-household was female; community-referred, male children, offsprings of the respondents tended to have birth registration. The results of the assessment will be pertinent to stakeholders as a framework to guide program planning and implementation as they address the needs of AIDS orphans in Nyanza province and other similar communities.

O número de órfãos em decorrência da aids continuará a aumentar na próxima década, particularmente nos países onde não há tratamento efetivo e universal para a aids. No mundo, 14 milhões de crianças são órfãs devido à aids, a maioria delas vive em países em desenvolvimento; entretanto, no Brasil, o número de órfãos por aids não é conhecido. Este estudo objetivou identificar as características dos órfãos por aids em Porto Alegre e verificar os fatores associados à institucionalização destas crianças. Foi realizado um estudo de corte transversal das crianças de 0-15 anos de idade, filhos de indivíduos falecidos por aids no período de 1998-2001, residentes em Porto Alegre/RS. Os dados foram coletados em inquérito domiciliar com questionário estruturado. As crianças foram rastreadas a partir dos atestados de óbitos e dos registros dos Serviços de Saúde. A abordagem dos domicílios e cuidadores foi feita de modo a garantir absoluta privacidade, evitando discriminação e estigma para os órfãos e suas famílias. A proporção de órfãos/óbito de adulto foi 2:1. Do total de crianças localizadas (853), 70 por cento são órfãs de pai e 50 por cento , de mãe. Do total 20 por cento são órfãos duplos. São meninas 52 por cento . Quanto à cor da pele: pretas/pardas-56,5 por cento ; brancas 43 por cento . A idade mediana por ocasião do óbito paterno e materno foi 7 anos (0,00-19 P25=4 P75=11) e 8 anos (0,01-17 P25=5 P75=11), respectivamente. A idade média do pai por ocasião do óbito foi 36 anos (DP 8,0) e da mãe, 33,7 anos (DP 7,7); 64,0 por cento das mães e 72 por cento dos pais tinham ou tem diagnóstico de aids; 40,6 por cento das crianças vivem com a mãe, 24,5 por cento , com os avós (idade média 60 anos DP 7,45); 11,5 por cento , com tios e 5,1 por cento , em abrigos; 88,3 por cento dos cuidadores são do sexo feminino; 56,4 por cento estudaram menos de 5 anos; 58 por cento não possuem atividade remunerada; 10,2 por cento (54) das crianças que fizeram o teste anti-HIV são portadoras do HIV/Aids e, dessas, 32 por cento estão institucionalizadas; 45 por cento das crianças vivem separadas de seus irmãos. Com base na OR ajustada, pode-se estimar que ser portador do HIV/aids aumenta a ocorrência de crianças vivendo em instituição em 4,3 vezes; crianças órfãs de mãe, em 5,9 vezes, e órfãs duplas, em 3,7 vezes e ter mãe não branca, em 4,0 vezes. Há um número de órfãos considerável em Porto Alegre e as condições de vulnerabilidade persistem, pois, além de perderem seus pais, estão em famílias empobrecidas. Melhorar as condições de vida e evitar a institucionalização dos órfãos devido à aids requer intervenções que resultem no aumento da sobrevida das mulheres com HIV/aids e que fortaleça, econômica e psicologicamente, as famílias afetadas. A redução do estigma e da discriminação pelo HIV/aids é outro desafio que se têm que enfrentar. / The numbers of orphans due to AIDS will continue to increase over the next decade, particularly in countries where there is no effective and universal treatment for AIDS. Around the world, 14 million children have been orphaned due to AIDS. The majority of these children live in developing countries; This study aimed at identifying the characteristics of orphans due to AIDS in a city in Porto Alegre/RS and identify the factors associated with institutionalization of orphans due to AIDS. A cross-sectional study was made among children aged 0-15 years who are the children of all individuals that lived in Porto Alegre (State of Rio Grande do Sul) and died of AIDS during 1998-2001. The data were collected using a structured questionnaire. The children were traced via the death certificates and healthcare service records. The data were analyzed via Stata. Results: The ratio of orphans/adult deaths was 2:1. Of the total number of children located (853), 70 per cent were orphaned from their father and 50 per cent from their mother; 20 per cent were doubly orphaned. 52 per cent were girls. With regard to skin color, 56.5 per cent were black and 43 per cent were white. The median ages at the time of the mothers or fathers death were 7 years (0-19 P25=4 P75=11) and 8 years (0-17 P25=5 P75=11), respectively. The fathers mean age at the time of death was 36 years (SD=8.0), and the mothers 33.7 years (SD=7.7); 64.0 per cent of the mothers and 72 per cent of the fathers had or have a diagnosis of AIDS. 40.6 per cent of the children are living with their mother, 24.5 per cent with the grandparents (average age of 60 years; SD = 7.45), 11.5 per cent with uncles or aunts and 5.1 per cent in charitable homes. 88.3 per cent of the caregivers are female; 56.4 per cent have less than 5 years of schooling; 56 per cent do not have any remunerated activity. 10.2 per cent (54) of the children who did the anti-HIV test have HIV/AIDS and of these, 32 per cent are institutionalized. 45 per cent of the children live separated from their siblings. In multivariate analysis, HIV positive multiplied the childs chances of living in an institution by a factor of 4.3, losing its mother by 5.9, losing both parents by 3.7, and having a non-white mother by 4.0. Conclusions: This study provides population-based data on what has become of the children of persons dying of AIDS. Improving the quality of life and averting institutionalization of orphans due to AIDS requires interventions to promote the survival of mothers living with AIDS as well as specific interventions for child family placement. Reducing the stigma of HIV infection in children and racial discrimination present challenges in Brazil.

O número de órfãos em decorrência da aids continuará a aumentar na próxima década, particularmente nos países onde não há tratamento efetivo e universal para a aids. No mundo, 14 milhões de crianças são órfãs devido à aids, a maioria delas vive em países em desenvolvimento; entretanto, no Brasil, o número de órfãos por aids não é conhecido. Este estudo objetivou identificar as características dos órfãos por aids em Porto Alegre e verificar os fatores associados à institucionalização destas crianças. Foi realizado um estudo de corte transversal das crianças de 0-15 anos de idade, filhos de indivíduos falecidos por aids no período de 1998-2001, residentes em Porto Alegre/RS. Os dados foram coletados em inquérito domiciliar com questionário estruturado. As crianças foram rastreadas a partir dos atestados de óbitos e dos registros dos Serviços de Saúde. A abordagem dos domicílios e cuidadores foi feita de modo a garantir absoluta privacidade, evitando discriminação e estigma para os órfãos e suas famílias. A proporção de órfãos/óbito de adulto foi 2:1. Do total de crianças localizadas (853), 70 por cento são órfãs de pai e 50 por cento , de mãe. Do total 20 por cento são órfãos duplos. São meninas 52 por cento . Quanto à cor da pele: pretas/pardas-56,5 por cento ; brancas 43 por cento . A idade mediana por ocasião do óbito paterno e materno foi 7 anos (0,00-19 P25=4 P75=11) e 8 anos (0,01-17 P25=5 P75=11), respectivamente. A idade média do pai por ocasião do óbito foi 36 anos (DP 8,0) e da mãe, 33,7 anos (DP 7,7); 64,0 por cento das mães e 72 por cento dos pais tinham ou tem diagnóstico de aids; 40,6 por cento das crianças vivem com a mãe, 24,5 por cento , com os avós (idade média 60 anos DP 7,45); 11,5 por cento , com tios e 5,1 por cento , em abrigos; 88,3 por cento dos cuidadores são do sexo feminino; 56,4 por cento estudaram menos de 5 anos; 58 por cento não possuem atividade remunerada; 10,2 por cento (54) das crianças que fizeram o teste anti-HIV são portadoras do HIV/Aids e, dessas, 32 por cento estão institucionalizadas; 45 por cento das crianças vivem separadas de seus irmãos. Com base na OR ajustada, pode-se estimar que ser portador do HIV/aids aumenta a ocorrência de crianças vivendo em instituição em 4,3 vezes; crianças órfãs de mãe, em 5,9 vezes, e órfãs duplas, em 3,7 vezes e ter mãe não branca, em 4,0 vezes. Há um número de órfãos considerável em Porto Alegre e as condições de vulnerabilidade persistem, pois, além de perderem seus pais, estão em famílias empobrecidas. Melhorar as condições de vida e evitar a institucionalização dos órfãos devido à aids requer intervenções que resultem no aumento da sobrevida das mulheres com HIV/aids e que fortaleça, econômica e psicologicamente, as famílias afetadas. A redução do estigma e da discriminação pelo HIV/aids é outro desafio que se têm que enfrentar. / The numbers of orphans due to AIDS will continue to increase over the next decade, particularly in countries where there is no effective and universal treatment for AIDS. Around the world, 14 million children have been orphaned due to AIDS. The majority of these children live in developing countries; This study aimed at identifying the characteristics of orphans due to AIDS in a city in Porto Alegre/RS and identify the factors associated with institutionalization of orphans due to AIDS. A cross-sectional study was made among children aged 0-15 years who are the children of all individuals that lived in Porto Alegre (State of Rio Grande do Sul) and died of AIDS during 1998-2001. The data were collected using a structured questionnaire. The children were traced via the death certificates and healthcare service records. The data were analyzed via Stata. Results: The ratio of orphans/adult deaths was 2:1. Of the total number of children located (853), 70 per cent were orphaned from their father and 50 per cent from their mother; 20 per cent were doubly orphaned. 52 per cent were girls. With regard to skin color, 56.5 per cent were black and 43 per cent were white. The median ages at the time of the mothers or fathers death were 7 years (0-19 P25=4 P75=11) and 8 years (0-17 P25=5 P75=11), respectively. The fathers mean age at the time of death was 36 years (SD=8.0), and the mothers 33.7 years (SD=7.7); 64.0 per cent of the mothers and 72 per cent of the fathers had or have a diagnosis of AIDS. 40.6 per cent of the children are living with their mother, 24.5 per cent with the grandparents (average age of 60 years; SD = 7.45), 11.5 per cent with uncles or aunts and 5.1 per cent in charitable homes. 88.3 per cent of the caregivers are female; 56.4 per cent have less than 5 years of schooling; 56 per cent do not have any remunerated activity. 10.2 per cent (54) of the children who did the anti-HIV test have HIV/AIDS and of these, 32 per cent are institutionalized. 45 per cent of the children live separated from their siblings. In multivariate analysis, HIV positive multiplied the childs chances of living in an institution by a factor of 4.3, losing its mother by 5.9, losing both parents by 3.7, and having a non-white mother by 4.0. Conclusions: This study provides population-based data on what has become of the children of persons dying of AIDS. Improving the quality of life and averting institutionalization of orphans due to AIDS requires interventions to promote the survival of mothers living with AIDS as well as specific interventions for child family placement. Reducing the stigma of HIV infection in children and racial discrimination present challenges in Brazil.

Submitted in fulfilment of the requirements of the Master of Arts (Community work) in the Department of Social Work in the Faculty of Arts at the University of Zululand, 2018. / Recent studies indicate that there has been a dramatic increase in the number of school going HIV/AIDS orphans in South Africa. The study purpose was to explore the experiences of primary school educators supporting learners who are HIV/AIDS orphans and vulnerable children in the uMkhanyakude District, KwaZulu-Natal. KwaZulu-Natal has the highest number of orphans. The study targeted primary school educators in UMkhanyakude District, KwaZulu-Natal. A qualitative research approach was adopted for this study; due to using such an approach, the sample was selected through a non-probability sample technique with purposive sampling. Unstructured interviews were used to collect data from members of School Management Teams and focus groups were facilitated to gather data from class educators. Content analysis was used to analyse data. Three main themes emerged from the data analysis process: difficulties faced by educators; opportunities available for educators supporting OVC’s; and challenges educators face when supporting HIV/AIDS orphans and vulnerable children. Findings of the study were that educators face challenges such as dealing with socially unacceptable behaviour of HIV/AIDS orphans and vulnerable children. They indicated that it led to stress and depression. Opportunities for supporting orphans were limited since schools do not have policies and resources to provide support to HIV/AIDS orphans and vulnerable children. Both educators and SMT revealed that they have limited knowledge of policies and skills to create school-based supportive environments. Challenges such as: a lack of resources, unresponsive guardians of orphans, poor attendance and performance of HIV/AIDS orphans and vulnerable children were discovered. Recommendations were based on the training and development needed by educators. Educators unanimously agreed that outsourcing professionals, such as school social workers and psychologists, could help them cope with these predicaments they face. Secondly, involving community-based structures was another recommendation to ensure that everyone in the community plays a role in supporting educators. / UniZulu Foundation

No description available.