IDEAS home Printed from https://ideas.repec.org/a/eee/cysrev/v45y2014icp90-97.html
   My bibliography  Save this article

Child development in HIV-positive and HIV-affected children in South Africa and Malawi—What role for community organisations?

Author

Listed:
  • Skeen, Sarah
  • Tomlinson, Mark
  • Macedo, Ana
  • Miltz, Ada
  • Croome, Natasha
  • Sherr, Lorraine

Abstract

There is evidence that children who are HIV positive (HIV+) are at risk for poor developmental outcomes. The aims of this study were to use developmental screening tools to measure outcomes of children affected by HIV/AIDS attending community-based organisations (CBO) and to determine what types of CBO provision these children were receiving. In a cross-sectional study, we interviewed 979 children and their carers (4 to 13years) at 28 randomly selected CBOs funded by 11 major donors in South Africa and Malawi. Developmental outcomes were assessed using the Ten Questions childhood disability screening tool and the Strengths and Difficulties Questionnaire. Health-related quality of life was measured using the Paediatric Quality of Life Scale. Overall, 13.8% (n=135) were HIV+. HIV+ children were more likely to have developmental difficulties and lower health and educational quality of life, controlling for a range of factors. Developmental difficulties and poorer quality of life were predicted by being HIV+, living in South Africa, not attending school regularly, poor housing conditions and living with a sick family member. HIV+ children tended to have been enrolled in CBO programmes for a longer period compared to other children but reported lower rates of contact. A greater proportion of HIV+ children received medical services, psychosocial interventions and emotional support, compared to HIV− children. However, fewer HIV+ children were enrolled in play groups, early childhood intervention programmes and educational programmes. Screening for developmental problems using short tools is possible in community settings in order to identify children with developmental difficulties and plan services for children infected with and affected by HIV. This study highlights the important role of CBOs to intervene to improve child development outcomes. The delivery of evidence-based services that target child development outcomes will enable HIV-infected children to meet their developmental potential and promote their participation in their communities.

Suggested Citation

  • Skeen, Sarah & Tomlinson, Mark & Macedo, Ana & Miltz, Ada & Croome, Natasha & Sherr, Lorraine, 2014. "Child development in HIV-positive and HIV-affected children in South Africa and Malawi—What role for community organisations?," Children and Youth Services Review, Elsevier, vol. 45(C), pages 90-97.
    • Handle: RePEc:eee:cysrev:v:45:y:2014:i:c:p:90-97
    DOI: 10.1016/j.childyouth.2014.03.041
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0190740914001479
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.childyouth.2014.03.041?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Filmer, Deon, 2005. "Disability, poverty, and schooling in developing countries : results from 11 household surveys," Policy Research Working Paper Series 3794, The World Bank.
    2. Lucie Cluver, 2011. "Children of the AIDS pandemic," Nature, Nature, vol. 474(7349), pages 27-29, June.
    3. Cluver, Lucie & Orkin, Mark & Boyes, Mark E. & Sherr, Lorraine & Makasi, Daphne & Nikelo, Joy, 2013. "Pathways from parental AIDS to child psychological, educational and sexual risk: Developing an empirically-based interactive theoretical model," Social Science & Medicine, Elsevier, vol. 87(C), pages 185-193.
    4. Filmer, Deon, 2005. "Disability, poverty and schooling in developing countries : results from eleven household surveys," Social Protection Discussion Papers and Notes 35148, The World Bank.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lamichhane, Kamal & Sawada, Yasuyuki, 2013. "Disability and returns to education in a developing country," Economics of Education Review, Elsevier, vol. 37(C), pages 85-94.
    2. El-Saadani, Somaya & Metwally, Soha, 2019. "Inequality of opportunity linked to disability in school enrollment among youth: Evidence from Egypt," International Journal of Educational Development, Elsevier, vol. 67(C), pages 73-84.
    3. Janina Isabel Steinert & Lucie Dale Cluver & G. J. Melendez-Torres & Sebastian Vollmer, 2018. "One Size Fits All? The Validity of a Composite Poverty Index Across Urban and Rural Households in South Africa," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(1), pages 51-72, February.
    4. Marija Pantelic & Mark Boyes & Lucie Cluver & Mildred Thabeng, 2018. "‘They Say HIV is a Punishment from God or from Ancestors’: Cross-Cultural Adaptation and Psychometric Assessment of an HIV Stigma Scale for South African Adolescents Living with HIV (ALHIV-SS)," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 11(1), pages 207-223, February.
    5. Li, Xiaoming & Harrison, Sayward E. & Fairchild, Amanda J. & Chi, Peilian & Zhao, Junfeng & Zhao, Guoxiang, 2017. "A randomized controlled trial of a resilience-based intervention on psychosocial well-being of children affected by HIV/AIDS: Effects at 6- and 12-month follow-up," Social Science & Medicine, Elsevier, vol. 190(C), pages 256-264.
    6. Perry, Elizabeth W. & Culbreth, Rachel & Swahn, Monica & Kasirye, Rogers & Self-Brown, Shannon, 2020. "Psychological distress among orphaned youth and youth reporting sexual exploitation in Kampala, Uganda," Children and Youth Services Review, Elsevier, vol. 119(C).
    7. Foster, Holly & Brooks-Gunn, Jeanne, 2015. "Children's exposure to community and war violence and mental health in four African countries," Social Science & Medicine, Elsevier, vol. 146(C), pages 292-299.
    8. Michael L. Goodman & Beatrice J. Selwyn & Robert O. Morgan & Linda E. Lloyd & Moses Mwongera & Stanley Gitari & Philip H. Keiser, 2016. "Improved food quality, quantity and security among Kenyan orphans and vulnerable children: associations with participation in a multisectoral community-based program, age, gender, and sexual risk," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 8(2), pages 427-442, April.
    9. Deon Filmer & Kinnon Scott, 2012. "Assessing Asset Indices," Demography, Springer;Population Association of America (PAA), vol. 49(1), pages 359-392, February.
    10. Mirey Ovadiya & Giuseppe Zampaglione, 2009. "Escaping Stigma and Neglect : People with Disabilities in Sierra Leone," World Bank Publications - Books, The World Bank Group, number 5950, December.
    11. Megan K Ramaiya & Kristen A Sullivan & Karen O' Donnell & Coleen K Cunningham & Aisa M Shayo & Blandina T Mmbaga & Dorothy E Dow, 2016. "A Qualitative Exploration of the Mental Health and Psychosocial Contexts of HIV-Positive Adolescents in Tanzania," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-13, November.
    12. Gavan, Luana & Hartog, Kim & Koppenol-Gonzalez, Gabriela V. & Gronholm, Petra C. & Feddes, Allard R. & Kohrt, Brandon A. & Jordans, Mark J.D. & Peters, Ruth M.H., 2022. "Assessing stigma in low- and middle-income countries: A systematic review of scales used with children and adolescents," Social Science & Medicine, Elsevier, vol. 307(C).
    13. Sachin De Stone & Franziska Meinck & Lorraine Sherr & Lucie Cluver & Jenny Doubt & Frederick Mark Orkin & Caroline Kuo & Amogh Sharma & Imca Hensels & Sarah Skeen & Alice Redfern & Mark Tomlinson & UN, 2016. "Factors Associated with Good and Harsh Parenting of Pre-Adolescents and Adolescents in Southern Africa," Papers inwopa870, Innocenti Working Papers.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:cysrev:v:45:y:2014:i:c:p:90-97. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/childyouth .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.