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Interrelatedness of child health, protection and well-being: An application of the SAFE model in Rwanda

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  • Betancourt, Theresa S.
  • Williams, Timothy P.
  • Kellner, Sarah E.
  • Gebre-Medhin, Joy
  • Hann, Katrina
  • Kayiteshonga, Yvonne

Abstract

This study examines the core components of children's basic security and well-being in order to examine issues central to improving child protection in Rwanda. Sources of data included 15 focus groups with adults, 7 focus groups with children ages 10–17, and 11 key informant interviews with child protection stakeholders, including representatives from international NGOs, community-based groups, and the Rwandan Government, all of which took place in April and May of 2010. Participants painted a complex picture of threats to children's basic security in Rwanda. Three key themes were pervasive across all interviews: (1) deterioration of social and community cohesion in post-genocide Rwanda; (2) the cascading effects of poverty; and (3) the impact of caregiver illness and death on the caregiving environment. Consistent with the SAFE (Safety/freedom from harm; Access to basic physiological needs and healthcare; Family and connection to others; Education and economic security) model of child protection, participants rarely elaborated on a child protection threat independent of other basic security needs and rights. Findings suggest a need for integrated approaches to child protection that recognize this interrelatedness and extend beyond issue-specific child protection responses. This study contributes to a growing body of work highlighting the interrelated nature of child protection threats and the implications of adaptive and dangerous survival strategies that children and families engage in to meet their basic security needs. Analysis of this interrelatedness provides a roadmap for improving policies and implementing integrated and robust child protection strategies in Rwanda and other settings.

Suggested Citation

  • Betancourt, Theresa S. & Williams, Timothy P. & Kellner, Sarah E. & Gebre-Medhin, Joy & Hann, Katrina & Kayiteshonga, Yvonne, 2012. "Interrelatedness of child health, protection and well-being: An application of the SAFE model in Rwanda," Social Science & Medicine, Elsevier, vol. 74(10), pages 1504-1511.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:10:p:1504-1511
    DOI: 10.1016/j.socscimed.2012.01.030
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    References listed on IDEAS

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    1. Zraly, Maggie & Nyirazinyoye, Laetitia, 2010. "Don't let the suffering make you fade away: An ethnographic study of resilience among survivors of genocide-rape in southern Rwanda," Social Science & Medicine, Elsevier, vol. 70(10), pages 1656-1664, May.
    2. Morley, Samuel & David Coady, 2003. "From Social Assistance to Social Development: Targeted Education Subsidies in Developing Countries," Peterson Institute Press: All Books, Peterson Institute for International Economics, number cgd376, October.
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    4. Betancourt, Theresa Stichick & Meyers-Ohki, Sarah & Stulac, Sara N. & Elizabeth Barrera, Amy & Mushashi, Christina & Beardslee, William R., 2011. "Nothing can defeat combined hands (Abashize hamwe ntakibananira): Protective processes and resilience in Rwandan children and families affected by HIV/AIDS," Social Science & Medicine, Elsevier, vol. 73(5), pages 693-701, September.
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