A family is a basic unit of society. Among the many functions that are performed by a family, is the task of providing for its children's needs while simultaneously transmitting the society's way of life. The functioning of the family takes place through a parent-child relationship. It is therefore significant for the family to carry out parental tasks in order to give a sense of security, a sense of companion and belonging, a sense of responsibility, sense of purpose and direction to its members. Although there are many factors that pose a threat to family functioning, the scourge of the HIV/AIDS pandemic cannot be underestimated. As the disease has advanced over time, it has negatively impinged on the children's lives. Children are losing their parents to HIV/AIDS opportunistic illnesses and this has resulted in the burgeoning of child-headed households. The phenomenon of a child-headed household presents a shift from a structural family since a significant subsystem of a family (i.e the parental subsystem) is non-existent. The study presents an in-depth investigation into the social functioning of a child-headed household. The aim was to come to a better understanding about issues that surround households that are headed by children. The social institutions with whom the household co-exists have been scrutinised in order to determine the ways in which these institutions impact upon the social functioning of child-headed households. The study highlights that child-headed households are a deviation from the norm and they create a situation where needs of children are unmet and their rights are eroded. The role of social work in mobilising resources to meet the unmet needs and championing for the rights of the children has been investigated. Case studies of ten families were conducted in the three districts of KwaZulu-Natal an area in South Africa that has widely been reported as hardest hit by the pandemic. A research team was constituted which designed a protocol for conducting case studies and collected data. Social workers also participated in the study with an aim of exploring guidelines for social service delivery with regard to a child-headed household. The study found that children are increasingly exposed to aspects of multiple care-giving through lack of parental care and a changing family structure. It was also revealed that the HIV/AIDS pandemic is shattering children's lives and reversing many hard won children's rights. In spite of the transition in the family life cycle, the family remains the central institution in the children's lives. The scourge of HIV/AIDS poses a great challenge to society. Children are left on their own without visible means of support. The problems of children develop into great magnitude in spite of policies that are in place. The findings of the study point to implications for a practice model that is aimed at co-ordinating services for effective service delivery. The researcher has presented suggested guidelines based on the findings of the study. These guidelines include the role of social work in ensuring that the social functioning of the children in child-headed households is enhanced and that social justice for these children is promoted. A protocol for intervention in child-headed households is provided. This would ensure that interventions in bringing about desired change in the lives of the children, produce sustainable results on a significant scale. / Social work / D. Phil.(Social Work)

Statistics on HIV/AIDS are alarming. Very little is known about how communities are actually coping with this disease and what methods seem to be working to empower them to deal with it. Psychosocial distress is one of the dimensions of the impact of AIDS on children and families, and stresses the necessity to enhance the capacities of extended families and friends to be able to deal with these psychosocial issues. Using qualitative research and a case study as the strategy of inquiry, this dissertation of limited scope explores and describes the factors influencing the capacity of extended families in providing psychosocial support to AIDS orphans. A literature study was done to give a theoretical overview on the following aspects: * AIDS orphans * The extended family and HIV/AIDS To reach the first objective of this study, an empirical study was done and semi-structured interviews were used to obtain information from four extended families in the Mukwe area of the Kavango Region in Namibia. The literature study and the empirical study enabled the researcher to draw conclusions on the factors which influence the capacity of extended families to provide psychosocial support to AIDS orphans. The information was analysed, interpreted and published in this research report so as to reach the other objectives of this study. / Social Work / M. Diac. (Play therapy)

The AIDS pandemic has generated a large number of orphaned and vulnerable children (OVC) in Swaziland, as it affects the reproductive age group. Most of the OVC are being cared for by their grandparents who are old, poor and suffer from degenerating diseases of old age. The purpose of this study was to explore and describe the needs and support available for OVC under the care of grandparents in the informal settlements of Mbabane, Swaziland in order to develop guidelines for their care and support. A qualitative, exploratory, descriptive and contextual study was conducted to identify the needs of the OVC and type of support provided by organizations for these children. Data was collected using unstructured and semi-structured interviews. The study was conducted in three phases each addressing a research objective. In the first phase which was to identify the needs of OVC, twelve grandparents who cared for OVC in the informal settlements participated. For the second phase seven managers of organizations that provide support to OVC in the informal settlements participated. The third phase was the development of guidelines by the researcher and validated by participants and experts. The study highlighted the needs of OVC, the nature of the existing support structure and type of support provided by organizations for these children. The findings revealed that the OVC have developmental support, protection support, psychosocial support and support for survival needs. The themes identified from the analysis of the type of support provided by organizations were developmental, partnership, protection, psychosocial and support for survival needs. The organizations' support was inconsistent and inadequate to meet these needs due to the large number of OVC. Some of the weaknesses of organizations were indicated as donor dependency and lack of coordination and collaboration among organizations. The study highlighted partnership as fundamental to the successful implementation of the guidelines. / Health Studies / D. Litt. et Phil. (Health Studies)

The aim of this study was to explore the experiences of children orphaned by HIV/AIDS and its impact on their identity development. The qualitative research paradigm was chosen for the purpose of this study. In depth interviews were held with three young adults who lost one or both parents to HIV/AIDS when they were young. Hermeneutics thematic analysis was used to analyse the data. The study’s results identified different psychosocial issues associated with HIV/AIDS which were considered to be an influence in the lives of participants and their identity development. The results indicate that HIV/AIDS still has a strong and negative connotation which influenced the participants’ attitude and behaviour, including the development of their sense of identity. / Psychology / M.A. (Clinical Psychology)

Ethiopia faces large and growing numbers of child household heads, mainly due to AIDS-related parental deaths. Many of them are vulnerable to abuse and are forced to look after themselves and their siblings, drop out of school and find work. This exploratory study employed qualitative research methods using purposive sampling. The aim was to ascertain how child household heads affected by AIDS adapted to changed life circumstances. The study entailed fieldwork for five weeks in Addis Ababa, the capital of Ethiopia, where evidence was gathered from 10 selected households headed by children (aged 12 to18), their siblings and key informants. It was found that all the children in the study are in dismal living conditions although some reported feelings of satisfaction and happiness. The need to provide special recognition and support to child household heads and their siblings by policy makers and service providers in Ethiopia is highlighted. / M.A. (Social Behaviour Studies in HIV/AIDS) / Social Work

Dealing with HIV and AIDS and parental illness and death are realities many teenagers have to face, yet little is known about their psychosocial well-being. This study gauged the psychosocial well-being of teenaged orphans in a rural area in KwaZulu-Natal. Using a narrative approached, data were collected by means of interviews. The study examined the nature of social support available to teenaged orphans and their subjective experiences of well-being. Findings suggest that these teenagers were confronted with drastic changes before and after the deaths of their parents. The ramifications of these and the different ways of coping with orphanhood were explored. Foster parents and other care-givers were found to provide differentially in the needs of the teenagers and this impacted on their well-being and coping. This study extends the literature on children made vulnerable by HIV and AIDS by considering the specific experiences of teenagers. / Social Work / M.A. (Social Behaviour Studies in HIV/AIDS)

Orphans from child care institutions and from extended families attend the same schools as non-orphans. They are often given the same psycho-social support yet it is clear that they have different psycho-social needs. Their backgrounds are usually different from those of other adolescent learners because, often, they would have observed or nursed sick parents who eventually died from AIDS-related illnesses. This qualitative study aimed at investigating the psycho-social needs of orphaned adolescent learners in child care institutions and those in extended families in the context of HIV and AIDS. The study further sought to find out how the psycho-social needs affected the HIV- and AIDS-affected orphans’ school performance and social behaviour. In-depth interviews were conducted with four orphaned learners from child care institutions and four from extended families using open-ended questions. Thematic analysis was used to analyse the data. Findings of the study were that the psycho-social needs of AIDS-affected orphans in families were met by relatives more than those of AIDS-affected orphans in child care institutions. The results of the study also revealed that there was not much difference in school performance between HIV- and AIDS-affected orphans from extended families and those from child care institutions. Thus this study contributes to Sociological and Behavioural literature in the area of HIV and AIDS as well as the education literature of the vulnerable groups like orphans. The school offered psycho-social support en masse with no special programme for orphans affected by HIV and AIDS for fear of stigmatising the orphans. / Health Studies / M.A. (Social Behaviour Studies in HIV/AIDS)

The study explored the psychosocial needs of Orphans and Vulnerable Children (OVCs) affected by HIV and AIDS in Gokomere, a rural area of Masvingo Province, Zimbabwe. The participants of the study included OVCs, caregivers and members of non-governmental organisations (NGOs) and faith-based organisations (FBOs). The data was gathered using semi-structured in-depth interviews and a focus group discussion. The audio-taped data was transcribed, coded and interpreted to generate themes, categories and sub-categories. The main psychosocial needs of OVCs affected by HIV and AIDS were found to be the need for relationships, succession planning, social protection and emotional and spiritual support. Kinship care emerged to be the most important form of care for OVCs while home-based care and child-headed households emerged as new forms of care for OVCs. This study recommends that coordinated efforts by the government, NGOs/FBOs/CBO and the community at large is needed to address the challenges facing OVCs affected by HIV and AIDS. / Health Studies / M.A. (Social Behaviour Studies in HIV/AIDS)

Placement of orphans under kinship foster care is a common occurrence in social work practice, especially around Bushbuckridge in Mpumalanga Province. Social workers are facing the challenge of an alarming increase in foster care cases due to the HIV and AIDS pandemic in the area. Thus the social workers are trapped in a situation of having to place orphans in kinship foster care, without adequate preparation nor the opportunity to explore the feelings and experiences of being in a child-headed household. This study aimed at exploring and describing the experiences and expectations of orphans who were in charge of child-headed households, regarding their preparation for being placed in kinship foster care and their subsequent placement in such care. Research findings revealed that some orphaned children who had previously been heading a child-headed household and were now placed in kinship foster care were continuing to head the households despite the fact that an order had been issued by the children’s court for them to be under the care and guidance of kin foster parents. The non-involvement of orphaned heads of households in any decisions that affect them emerged in the findings of the study as a critical issue. Another important finding was that some orphaned children in kinship foster care experienced the abuse of the foster care grant by their kin foster parents. The research study has made provision for conclusions and recommendations to all role-players responsible for placing child-headed households in kinship foster care in order to enhance the efficacy of kin foster care placement. / Department of Social Work / M.A. (Social Science (Mental Health))

The AIDS pandemic has generated a large number of orphaned and vulnerable children (OVC) in Swaziland, as it affects the reproductive age group. Most of the OVC are being cared for by their grandparents who are old, poor and suffer from degenerating diseases of old age. The purpose of this study was to explore and describe the needs and support available for OVC under the care of grandparents in the informal settlements of Mbabane, Swaziland in order to develop guidelines for their care and support. A qualitative, exploratory, descriptive and contextual study was conducted to identify the needs of the OVC and type of support provided by organizations for these children. Data was collected using unstructured and semi-structured interviews. The study was conducted in three phases each addressing a research objective. In the first phase which was to identify the needs of OVC, twelve grandparents who cared for OVC in the informal settlements participated. For the second phase seven managers of organizations that provide support to OVC in the informal settlements participated. The third phase was the development of guidelines by the researcher and validated by participants and experts. The study highlighted the needs of OVC, the nature of the existing support structure and type of support provided by organizations for these children. The findings revealed that the OVC have developmental support, protection support, psychosocial support and support for survival needs. The themes identified from the analysis of the type of support provided by organizations were developmental, partnership, protection, psychosocial and support for survival needs. The organizations' support was inconsistent and inadequate to meet these needs due to the large number of OVC. Some of the weaknesses of organizations were indicated as donor dependency and lack of coordination and collaboration among organizations. The study highlighted partnership as fundamental to the successful implementation of the guidelines. / Health Studies / D. Litt. et Phil. (Health Studies)