Evaluating replacement childcare arrangements: methods for combining economic and child development outcome analyses
PUBLICATION YEAR: 2005
TITLE AUTHOR(S): C.Desmond, J.Kvalsvig
KEYWORDS: CARE OF HIV/AIDS ORPHANS, CHILD CARE, CHILD DEVELOPMENT, CHILD HEADED HOUSEHOLDS, HIV/AIDS, ORPHANS
Intranet: HSRC Library: shelf number 3365
HANDLE: 20.500.11910/7392
URI: http://hdl.handle.net/20.500.11910/7392
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
HIV/AIDS has many impacts, among which is the effect of the epidemic on children. Children may themselves be infected, they may be living with, and possibly caring for, ill parents or other family members, and many will lose one or both parents. There are numerous aspects that will be required in a comprehensive response to these impacts, one of which is the provision of care for those who have lost parents or whose parents are too ill to care for them. While only one aspect of the required response, this replacement1 care, involves difficult decisions. Governments, non-governmental organisations (NGOs) and individuals are already struggling with alternative approaches, or models, of providing support to children who need new care arrangements as a result of the loss or incapacitation of their caregiver. As the scale of the problem increases so efforts to respond to it will have to be expanded, including those aimed at providing replacement care. There are many different ways of providing care to children, so a number of alternative models of care are appearing. Some children remain in their original homes and another family member takes on the role of primary caregiver. At the other extreme, some children are removed from their homes and communities and live in formal institutions. In between these two extremes are a host of alternative models, from foster care to children?s villages and so on. While a range of options is required, as no one model will be appropriate in all situations and settings, decisions will have to be made as to which models should form the core of the response. Again it will not be a single set of models that should form the core in every setting, as circumstances may alter requirements. What is needed are ways to identify appropriate models and to supply decision makers with relevant information on the alternatives in order to support the policy making process. A variety of different types of information are required to inform decision makers in this area. This paper seeks to develop methods of providing some of that necessary information. Its emphasis is on linking the costs of models to their outcomes. As outlined in the following diagram, this is one part of what is required to support effective, equitable and efficient decision making.-
Related Research Outputs:
- The development, implementation and evaluation of interventions for the care of orphans and vulnerable children in Botswana, South Africa and Zimbabwe: A literature review of evidence-based interventions for home-based child-centred development
- Child-headed households: dissecting our understanding of who is at risk
- Willingness to care for children orphaned by HIV/AIDS: a study of foster and adoptive parents
- The truth is bad enough, or it should be!
- Building resilience: a rights-based approach to children and HIV/AIDS in Africa
- No small issue: children and families: universal action now
- Targeting AIDS orphans and child-headed households?: a perspective from national surveys in South Africa, 1995-2005
- The quality of material care provided by grandparents of their orphaned grandchildren in the context of HIV/AIDS and poverty: a study of Kopanong municipality, Free State
- A study of descriptive data for orphans and non-orphans on key criteria of economic vulnerability in two municipalities in South Africa
- Sickness, death and poverty - our bequest to orphans
- Slipping through the safety net
- The importance of caregiver-child interactions for the survival and healthy development of young children: a review
- The impact of HIV/AIDS on the development of children. HIV/AIDS, vulnerability and children: What does it mean for Southern Africa's security?
- Views and attitudes of members of the Mamelodi community regarding the care and support of orphans: findings of a survey and a series of in-depth interviews
- What does it take to care?
- Defining orphaned and vulnerable children
- Where the heart is: meeting the psychosocial needs of young children in the context of HIV/AIDS
- Just a little smile
- CHAMPioning families to fight AIDS
- National emergency response council on HIV/AIDS, Mbabane, Swaziland