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Alternative care giving in the context of Aids in southern Africa: complex strategies for care

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  • Lorraine van Blerk

    (The University of Reading, Whiteknights, Reading, UK)

  • Nicola Ansell

    (Brunel University, Kingston Lane, Uxbridge, UK)

Abstract

This paper examines the various mechanisms by which alternative care giving occurs in the context of the AIDS pandemic in southern Africa. High infection rates and the clustering of illness and death among families and communities, has resulted in large numbers of orphans coupled with an extended family support system which is already over-burdened and in some cases disintegrating. Drawing on a series of case studies from qualitative research carried out with young people, aged between 10 and 17 years, and their guardians in urban and rural communities in Malawi and Lesotho, the changing nature and increasing complexity of family, household and community relationships around care giving are discussed. The concept of inter-generational contracts as a mechanism through which extended families operate is used to explore the diverse arrangements for the care of young people, and their increased involvement as carers for family and surrogate family members. The paper identifies three ways in which contracts are changing in relation to orphan care. For many there is a reduction in the time frame within which contracts take place, the contracts have become more explicit and there is an emerging inequality in the provision of resources related both to the stigmatisation of orphans and the greater impoverishment of care givers. Copyright © 2006 John Wiley & Sons, Ltd.

Suggested Citation

  • Lorraine van Blerk & Nicola Ansell, 2007. "Alternative care giving in the context of Aids in southern Africa: complex strategies for care," Journal of International Development, John Wiley & Sons, Ltd., vol. 19(7), pages 865-884.
    • Handle: RePEc:wly:jintdv:v:19:y:2007:i:7:p:865-884
    DOI: 10.1002/jid.1328
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    References listed on IDEAS

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    1. J. Allister McGregor & James G Copestake & Geof D Wood, 2000. "The inter-generational bargain: an introduction," Journal of International Development, John Wiley & Sons, Ltd., vol. 12(4), pages 447-451.
    2. Deininger, Klaus & Garcia, Marito & Subbarao, K., 2003. "AIDS-Induced Orphanhood as a Systemic Shock: Magnitude, Impact, and Program Interventions in Africa," World Development, Elsevier, vol. 31(7), pages 1201-1220, July.
    3. David Collard, 2000. "Generational transfers and the generational bargain," Journal of International Development, John Wiley & Sons, Ltd., vol. 12(4), pages 453-462.
    4. Ankrah, E.Maxine, 1991. "AIDS and the social side of health," Social Science & Medicine, Elsevier, vol. 32(9), pages 967-980, January.
    5. Nyambedha, Erick Otieno & Wandibba, Simiyu & Aagaard-Hansen, Jens, 2003. "Changing patterns of orphan care due to the HIV epidemic in western Kenya," Social Science & Medicine, Elsevier, vol. 57(2), pages 301-311, July.
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    Cited by:

    1. Sophie Bowlby, 2012. "Recognising the Time—Space Dimensions of Care: Caringscapes and Carescapes," Environment and Planning A, , vol. 44(9), pages 2101-2118, September.

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