This study set out to pilot the Inclusive Quality Assessment (IQA) process adapted for use in British Columbia in 1998 from the Inside Quality Assurance tool of the University of North London Centre for Environmental and Social Studies in Aging. The current study was exploratory to determine the tool's suitability and appropriateness in a non-Western culture. The IQA tool was successllly implemented in a selected orphanage where it was administered to assess the quality of care provided to orphans. This exercise involved the participation of orphans and caregivers in identifying their needs and how to fulfill them. It also involved the role of the frontline managers in planning and improving the quality and assurance of care to orphans in their institution. The researcher concludes that this tool is appropriate for regular evaluation of s e ~ c e s in childcare facilities and home settings but will require effective policy formulation and implementation to make it a reality in Zambia.

This study focused on the psychosocial effects of parental loss on children orphaned by HIV/AIDS. The primary aim of the research was to explore the psychosocial effects of parental loss on children orphaned by HIV/AIDS through the eyes of the caregivers. Five participants were selected for this study using convenience sampling. The data was collected using face-to-face semi-structured interviews. The interviews were analysed using thematic content analysis and themes were extracted and presented. The results of this study indicate that children orphaned by HIV/AIDS living in the children’s home experience many psychosocial problems. Further research on the psychosocial issues specific to orphaned children raised in children’s homes in rural areas is recommended / Psychology / M. A. (Clinical Psychology)

published_or_final_version / Social Work / Master / Master of Social Work

The goal of this study was to explore the experiences of children who were orphaned on account of HIV and AIDS as well as the experiences of their caregivers, thereby improving the knowledge base of practitioners working with children and their caregivers.This qualitative study was designed to answer the following research questions: • What are the experiences of children orphaned on account of HIV and AIDS? • What consequences does the HIV and AIDS pandemic have on children? • How do children cope with AIDS-related loss and grief? • What are the caregiver’s roles, experiences and perceptions regarding children orphaned on the account of HIV and AIDS? • What resources and support systems are available to caregivers in fulfilling their roles in relation to children? The social ecological model provided the theoretical framework for this study. Qualitative data was collected through personal interviews with eleven children and ten caregivers. This was supported by observational visits to the homes of the participants and secondary analysis of case files. The major themes that emerged were the phenomenon of absent fathers and the dominant role that women play. The caregivers had to keep their grief to themselves and more urgent stressors took priority in their lives. Grief was often held in abeyance as the caregivers had to focus on daily survival needs. Poverty overshadowed the lives of all the participants and a large portion of the South African population. Despite this the resilience on the part of the child participants was remarkable. Emanating from these themes, recommendations for social work practice and implications for future research are proposed. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

The study explored transforming social development project management practice into delivering sustainable benefits for orphans in Zimbabwe, in particular and more generally, in southern Africa. The endemic failures to deliver basic services to vulnerable children despite increased efforts necessitated this enquiry. Applying multiple research methods in combination, namely, guided story-telling and interviews, document review and media tracking, and practitioner-experiential-action-research (PEAR), the study confirmed that orphans in Zimbabwe lived under conditions of extreme deprivation and vulnerability (EDV). Management of service delivery for orphans was dependent on unpredictable short-term donor funding, undermined by a hostile ‘adult-world’ and political environment, bad governance, poverty, and AIDS. Public service delivery and social welfare system in Zimbabwe had collapsed, marred by corruption. Programmes were not informed by an accurate understanding of orphans and their desperate carers. Social development intents were not practiced. The situation was conducive to “corrupting” the otherwise “spiritual” - responsible, astute and ambitious child. Within such a milieu, traditional project management designed for ordered situations became inappropriate. Based on new understanding of orphans and their service delivery milieu derived from research findings, I propose a systems-oriented project management framework based on “pluralism”, “holism”, “totality” and “experiential learning”. The framework takes a multi-paradigmatic approach to solving complex problems of vulnerable children, mixing positivist, interpretive, emancipatory and postmodern systems ideas. The framework requires a balancing of morality and scientific empiricism in order to attain sustainable child development. In this regard, the thesis proposes ‘moral capabilities’ and additional project management knowledge suitable to the challenges of orphans in southern Africa. The systems approach promotes comprehensive delivery of basic needs of orphans, and continuous improvement of their long term holistic development. According to the framework, success of projects is measured by accrued benefits from the perspective of orphans, and not that of service providers. For its application, the framework adapts the project-spiral cycle, replacing the project life-cycle, recognizing that the needs of orphans go beyond single short-term project cycles. The spiral cycle builds on the strengths of conscious-experiential-learning in service delivery, and on dialogue and collective consensus with poor communities targeted by service delivery management systems. / Thesis (Ph.D.)-University of KwaZulu-Natal, Westville, 2010.

Introduction: the number of orphans world wide including Malawi, has increased greatly due to the Acquired Immune-Deficiency Syndrome (AIDS). The increased number of orphans has led to the development of community based strategies for continuity of care to orphans. People in various communities offer themselves as volunteers to care for the orphans with an aim to providing the best care possible. Due to the increased number of orphans, the caretakers are challenged in the provision of care, to promote the health status of the children. Purpose: The purpose of the study was to determine the knowledge and health information needs of caretakers in orphan care at the Mphatso day care centre in Lilongwe, Malawi. Methodology: A descriptive qualitative approach was used to determine the knowledge and health information needs of caretakers of orphans. Using a descriptive qualitative research method, the researcher interviewed eight participants working as volunteers at Mphatso Orphan Day Care Centre in Lilongwe, Malawi. Data analysis: In the study, a general content analysis approach was used. In this approach, the audio taped data were transcribed verbatim and translated from Chichewa to English soon after data collection prior to the next day of interview. Transcribing verbatim was done by listening to the tape recorded interviews several times until all the data were captured. Data were thereafter, displayed, reduced and organized into categories and sub categories. Results: Results generated from the study revealed that the caretakers benefit from training prior to the adoption of the caring role. The caretakers were also knowledgeable about the health challenges of the orphans, the concept of caring and health information needs that can help them provide the best care possible to the orphans. Conclusion: Children are facing the tragedy oflosing one or both parents to AIDS. Ifone parent is infected with HIV, there is a high probability that the other parent is also infected and so the entire family faces the threat of illness and later on death. Despite the death of these parents, the children left behind require the continuity of care. Volunteers shoulder the responsibility of caring for the children left by the deceased families. As such, there is need to support those who have dedicated their time to the orphans. Apart from material and financial resources, there is need to support the caretakers of orphans in institutions of care with health information relevant to orphan care. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

This study focused on the psychosocial effects of parental loss on children orphaned by HIV/AIDS. The primary aim of the research was to explore the psychosocial effects of parental loss on children orphaned by HIV/AIDS through the eyes of the caregivers. Five participants were selected for this study using convenience sampling. The data was collected using face-to-face semi-structured interviews. The interviews were analysed using thematic content analysis and themes were extracted and presented. The results of this study indicate that children orphaned by HIV/AIDS living in the children’s home experience many psychosocial problems. Further research on the psychosocial issues specific to orphaned children raised in children’s homes in rural areas is recommended / Psychology / M. A. (Clinical Psychology)

Thesis (MTech(Public Management))--Cape Peninsula University of Technology, 2006 / One of the challenges facing the South African community is the HIV/AIDS epidemic. The epidemic not only disrupts the economy but one of its emerging impacts is through the children who are left orphaned. The challenge has come at a time when economic circumstances are making it difficult for extended families to lend a helping hand to children who are orphaned as a result of HIV/AIDS. The children left behind are usually left on their own or are absorbed through care and support centres which are being becoming popular. The challenge of these care and support centres has come at a time when an increase in abuse by the personnel of care and support centres has emerged internationally. Communities can no longer turn a blind eye to the atrocities that are being experienced by the children within these centres. This challenge is double edged as communities feel isolated by the care and support centres which are based within their communities. The challenge is how communities can breach the gap between children within care and support centres and children who are left on their own. The care and support centres available for HIV/AIDS orphans in Khayelitsha are predominantly run by foreign donors, which limit community participation. This has led to the isolation of community members and care and support centre staff and the core problem of this study will address the evaluation of the care and support centres. Questions such as what happens to children's properties after their parents' death, and do they belong in care and support centres or within their communities arise. These are the areas which will be scrutinized in the study. Areas in which this thesis will attempt to provide insights and make concrete recommendations. Simultaneously with the extensive exploration of care and support centres available for HIV/AIDS orphans theories include the : • Available care and support centres • Community participation within care and support centres • The concept of "ubuntu' in relation to family existence It is hoped that the focus on the care and support centres available for HIV/AIDS orphans will make some contribution to effective care and support centres in this areas, thereby increasing community participation which in turn will revive the concept of ubuntu within communities. Finally, recommendations such as the direct involvement of community members is required to attain which services the care and support centres can offer to the community and how the community play an active role within care and support centres will be offered in this thesis, as informed by the survey results, to effectively manage care and support centres for HIV/AIDS orphans in Khayelitsha.

The study seeks to explore and identify factors that prevent AIDS orphans in presenting themselves for Voluntary Counselling and Testing (VCT). Socio-cultural factors, notably, stigma and the resultant discrimination by community members, have been presented by many researchers as the main aetiological factors that hinder the use of VCT by AIDS orphans. It is on the basis of this that this study was conducted to identify factors that hinder AIDS orphans from accessing VCT. The study used a qualitative approach following an explorative and descriptive, contextual research design and was conducted at Ubuntu Education Fund, Port Elizabeth. Purposive sampling was used to determine a sample of AIDS orphans. Participants of the study had to be orphaned as a result of AIDS, isiXhosa-speaking, between 12-17 years, living in the care of a primary care-giver and had not presented themselves for VCT. Data was collected by means of semi-structured interviews. Semi-structured interviews are suitable in cases where the researcher is interested in an issue that is complex or personal (De Vos, Strydom, Fouche and Deloport, 2005). Data was analyzed according to the framework provided by Tesch (1990) as described in Creswell (2003). The major findings of this study were that people are locked in a ‘poverty-of-the mind cycle’, in respect of HIV and AIDS, and this is exacerbated by educational impoverishment and general poverty. The recommendations that emanated from this study are made from policy and service delivery perspectives. It is recommended that in order for AIDS orphans to access VCT they should be developed and empowered through sustainable programmes that enhance their capacities to the outmost realization of their potential. It is also recommended that health and other professionals should encourage AIDS orphans and community members to present themselves for VCT and thus curb the spread of HIV and AIDS.

M.Ed. / Orphans living in child-headed households within underprivileged communities are amongst the most vulnerable children, and protection of their rights deserves to be the main focus of all individuals, governments and agencies dealing with such children. There is a need to stimulate broad-based discussion, heightened awareness of, and sensitivity to their plight, special needs and ... rights.