The effect of maternal and child early life factors on grade repitition among HIV exposed and unexposed children in rural KwaZulu-Natal, South Africa
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2015
TITLE AUTHOR(S): J.M.Mitchell, T.J.Rochat, B.Houle, A.Stein, M.L.Newell, R.M.Bland
KEYWORDS: CHILDREN, EARLY CHILDHOOD DEVELOPMENT (ECD), EDUCATION, GRADE REPETITION, HIV/AIDS, KWAZULU-NATAL PROVINCE, WELL-BEING (HEALTH)
Print: HSRC Library: shelf number 9030
HANDLE: 20.500.11910/1612
URI: http://hdl.handle.net/20.500.11910/1612
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Receiving an education is essential for children living in poverty to fulfil their potential. Success in the early years of schooling is important as children who repeat grade one are particularly at risk for future dropout. We examined early life factors associated with grade repetition through logistic regression and explored reasons for repeating a grade through parent report. In 2012-2014 we re-enrolled children aged 7-11 years in rural KwaZulu-Natal who had been part of an early life intervention. Of the 894 children included, 43.1% had repeated a grade, of which 62.9% were boys. Higher maternal education (aOR 0.44; 95% CI 0.2-0.9) and being further along in the birth order (aOR 0.46; 95% CI 0.3-0.9) reduced the odds of grade repetition. In addition, maternal HIV status had the strongest effect on grade repetition for girls (aOR 2.17; 95% CI 1.3-3.8), whereas for boys, it was a fridge in the household (aOR 0.59; 95% CI 0.4-1.0). Issues with school readiness was the most common reason for repeating a grade according to parental report (126/385, 32.7%), while school disruptions was an important reason among HIV-exposed boys. Further research is needed to elucidate the pathways through which HIV affects girls' educational outcomes and potentially impacts on disrupted schooling for boys. Our results also highlight the importance of preparation for schooling in the early years of life; future research could focus on gaining a better understanding of mechanisms by which to improve early school success, including increased quality of reception year and investigating the protective effect of older siblings.-
Related Research Outputs:
- Children learn lessons of suffering
- Fragile families' experiences of caring for HIV-positive children: selected cases from the Eastern Cape and KwaZulu-Natal
- Exploring perspectives on early childhood development and education practices to support young children
- Exploring perspectives on ECDE practices to support young children: summary report
- Improving school children's mental health in an era of HIV/AIDS
- Defining orphaned and vulnerable children
- A monitoring dilemma: orphans and children made vulnerable by HIV/AIDS
- Associations with HIV status in children with diarrhoea in Cape Town, South Africa
- Report on experiences in the Amandlamadoda (menpower) sexual and reproductive project in Umkhanyakude, KwaZulu-Natal
- Children's perspectives on death and dying in southern Africa in the context of the HIV/AIDS epidemic
- Impact of HIV/AIDS on children in South Africa: the case of orphans and vulnerable children
- Going to scale: a randomised community trial to determine the cost-effectiveness of alternative interventions to support highly vulnerable children and families in the context of HIV, AIDS and poverty
- We are volunteering: communities' responses to children in need
- Book review: Foster, G., Levi, C., and Williamson, J. (eds.) 2005. A generation at risk: the global impact of HIV/AIDS on orphans and vulnerable children. Cambridge: Cambridge University Press, ISBN 978-0-521-652643
- The psychological, social and development needs of babies and young children and their caregivers living with HIV and AIDS
- Editorial: strenghtening families for the care and protection of children affected by HIV and AIDS
- Rifampin pharmacokinetics in children, with and without human immunodefiency virus infection, hospitalized for the management of severe forms of tuberculosis
- Improving hospital care for young children in the context of HIV/AIDS and poverty
- Strengthening families to support children affected by HIV and AIDS
- Community perceptions and understanding of the risk factors that affect children who are sexually abused