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Fosterage patterns in the age of AIDS: continuity and change

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  • Madhavan, Sangeetha

Abstract

An estimated 4 million children, or about 10% of the entire South African population, will be orphaned by the year 2015. There is growing consensus that the extended family system is no longer capable of providing for orphans given severe economic constraints. There is, therefore, an urgency to develop appropriate interventions to support families and take care of these children. This article examines some of the existing literature on child fosterage and uses it to highlight understudied aspects of the current situation of children orphaned through AIDS in South Africa. Of particular concern are the points of continuity and change in fosterage patterns before and after the onset of the epidemic in South Africa. I suggest that an understanding of the short- and long-term consequences for children orphaned by AIDS in South Africa calls for historical contextualisation given that child fostering, both voluntarily and involuntarily, has been a feature of black family life since well before the onset of HIV/AIDS. In addition, I demonstrate the value of examining kinship, family, and networks in order to fully understand the circumstances of fostering these children. The paper concludes with a call for more research on children orphaned by AIDS in South Africa that will provide not only more data, but also enrich theoretical approaches to studying patterns of child fosterage in Africa and elsewhere.

Suggested Citation

  • Madhavan, Sangeetha, 2004. "Fosterage patterns in the age of AIDS: continuity and change," Social Science & Medicine, Elsevier, vol. 58(7), pages 1443-1454, April.
  • Handle: RePEc:eee:socmed:v:58:y:2004:i:7:p:1443-1454
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    Citations

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    Cited by:

    1. Oleke, Christopher & Blystad, Astrid & Rekdal, Ole Bjørn, 2005. ""When the obvious brother is not there": Political and cultural contexts of the orphan challenge in northern Uganda," Social Science & Medicine, Elsevier, vol. 61(12), pages 2628-2638, December.
    2. Monica Grant & Sara Yeatman, 2014. "The Impact of Family Transitions on Child Fostering in Rural Malawi," Demography, Springer;Population Association of America (PAA), vol. 51(1), pages 205-228, February.
    3. Enid Schatz & Janet Seeley & Flavia Zalwango, 2018. "Intergenerational care for and by children: Examining reciprocity through focus group interviews with older adults in rural Uganda," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(63), pages 2003-2026.
    4. Lauren Bachan, 2014. "Anticipatory child fostering and household economic security in Malawi," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 30(40), pages 1157-1188.
    5. Fournier, Bonnie & Bridge, Andrea & Pritchard Kennedy, Andrea & Alibhai, Arif & Konde-Lule, Joseph, 2014. "Hear our voices: A Photovoice project with children who are orphaned and living with HIV in a Ugandan group home," Children and Youth Services Review, Elsevier, vol. 45(C), pages 55-63.
    6. Rachel Goldberg, 2013. "Family Instability and Early Initiation of Sexual Activity in Western Kenya," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 725-750, April.
    7. Shelley Clark & Cassandra Cotton, 2013. "Transitions to adulthood in urban Kenya," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 28(37), pages 1053-1092.
    8. Gloria Chepngeno‐Langat & Jane C. Falkingham & Nyovani J. Madise & Maria Evandrou, 2012. "Concern About HIV and AIDS Among Older People in the Slums of Nairobi, Kenya," Risk Analysis, John Wiley & Sons, vol. 32(9), pages 1512-1523, September.
    9. Wood, Kate & Chase, Elaine & Aggleton, Peter, 2006. "'Telling the truth is the best thing': Teenage orphans' experiences of parental AIDS-related illness and bereavement in Zimbabwe," Social Science & Medicine, Elsevier, vol. 63(7), pages 1923-1933, October.
    10. Rachel Goldberg & Susan Short, 2012. "“The Luggage that isn’t Theirs is Too Heavy…”: Understandings of Orphan Disadvantage in Lesotho," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 31(1), pages 67-83, February.
    11. Thurman, Tonya Renee & Snider, Leslie A. & Boris, Neil W. & Kalisa, Edward & Nyirazinyoye, Laetitia & Brown, Lisanne, 2008. "Barriers to the community support of orphans and vulnerable youth in Rwanda," Social Science & Medicine, Elsevier, vol. 66(7), pages 1557-1567, April.
    12. Abebe, Tatek & Aase, Asbjorn, 2007. "Children, AIDS and the politics of orphan care in Ethiopia: The extended family revisited," Social Science & Medicine, Elsevier, vol. 64(10), pages 2058-2069, May.
    13. Lauren Gaydosh, 2015. "Childhood Risk of Parental Absence in Tanzania," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1121-1146, August.
    14. Yamano, Takashi & Shimamura, Yasuharu & Sserunkuuma, Dick, 2006. "Living Arrangements and Schooling of Orphaned Children and Adolescents in Uganda," Economic Development and Cultural Change, University of Chicago Press, vol. 54(4), pages 833-856, July.
    15. Kasedde, Susan & Doyle, Aoife M. & Seeley, Janet A. & Ross, David A., 2014. "They are not always a burden: Older people and child fostering in Uganda during the HIV epidemic," Social Science & Medicine, Elsevier, vol. 113(C), pages 161-168.
    16. Cassandra Cotton, 2021. "An Enduring Institution? Child Fostering in Sub‐Saharan Africa," Population and Development Review, The Population Council, Inc., vol. 47(4), pages 1179-1206, December.
    17. Menashe-Oren, A. & Stecklov, G., 2017. "IFAD RESEARCH SERIES 17 - Population age structure and sex composition in sub-Saharan Africa: a rural-urban perspective," IFAD Research Series 280055, International Fund for Agricultural Development (IFAD).
    18. Ariyo, Esther & Mortelmans, Dimitri & Wouters, Edwin, 2019. "The African child in kinship care: A systematic review," Children and Youth Services Review, Elsevier, vol. 98(C), pages 178-187.
    19. Hejoaka, Fabienne, 2009. "Care and secrecy: Being a mother of children living with HIV in Burkina Faso," Social Science & Medicine, Elsevier, vol. 69(6), pages 869-876, September.
    20. Maia Green, 2012. "Co-producing ineffective states: social knowledge, social policy and social citizenship in Africa and in development," Global Development Institute Working Paper Series esid-014-12, GDI, The University of Manchester.
    21. Rachel E. Goldberg, 2013. "Family Instability and Pathways to Adulthood in Cape Town, South Africa," Population and Development Review, The Population Council, Inc., vol. 39(2), pages 231-256, June.
    22. Cassandra Cotton & Shelley Clark & Sangeetha Madhavan, 2022. "“One hand does not bring up a child:” Child fostering among single mothers in Nairobi slums," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 46(30), pages 865-904.
    23. Christopher Hearle & Kanchana Ruwanpura, 2009. "Contentious Care: Foster Care Grants and the Caregiver-Orphan Relationship in KwaZulu-Natal Province, South Africa," Oxford Development Studies, Taylor & Francis Journals, vol. 37(4), pages 423-437.
    24. Arlette Simo-Fotso, 2016. "Child Disability and Siblings’ Healthcare Expenditures in a Context of Child Fostering," Working Papers 224, Institut National d'Études Démographiques (INED).
    25. Sangeetha Madhavan & Enid Schatz & Samuel Clark & Mark Collinson, 2012. "Child Mobility, Maternal Status, and Household Composition in Rural South Africa," Demography, Springer;Population Association of America (PAA), vol. 49(2), pages 699-718, May.

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