Models of care for orphaned and separated children and upholding children’s rights: cross-sectional evidence from western Kenya
| Autor: | Lukoye Atwoli, Rachel Vreeman, Peter Gisore, Paula Braitstein, David Ayuku, Allan Kamanda, Lonnie Embleton, Samuel Ayaya, Julius Koech, Winstone M. Nyandiko |
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| Rok vydání: | 2014 |
| Předmět: |
Gerontology
medicine.medical_specialty Adolescent Human Rights United Nations media_common.quotation_subject Vulnerable children Sub-saharan africa Child Welfare Standard of living Vulnerable Populations Street children Foster Home Care Homeless Youth 03 medical and health sciences Children’s rights 0302 clinical medicine Residence Characteristics Development economics medicine Humans Longitudinal Studies 030212 general & internal medicine Child Care Child 10. No inequality media_common Convention on the Rights of the Child Chi-Square Distribution 030505 public health Orphans Human rights Descriptive statistics 4. Education Public health 1. No poverty Public Health Environmental and Occupational Health Extended family Orphanages Models Theoretical Kenya Government Programs Cross-Sectional Studies Child Orphaned 0305 other medical science Psychology Research Article Diversity (politics) |
| Zdroj: | BMC International Health and Human Rights |
| ISSN: | 1472-698X |
| Popis: | Background Sub-Saharan Africa is home to approximately 55 million orphaned children. The growing orphan crisis has overwhelmed many communities and has weakened the ability of extended families to meet traditional care-taking expectations. Other models of care and support have emerged in sub-Saharan Africa to address the growing orphan crisis, yet there is a lack of information on these models available in the literature. We applied a human rights framework using the United Nations Convention on the Rights of the Child to understand what extent children’s basic human rights were being upheld in institutional vs. community- or family-based care settings in Uasin Gishu County, Kenya. Methods The Orphaned and Separated Children’s Assessments Related to their Health and Well-Being Project is a 5-year cohort of orphaned children and adolescents aged ≤18 year. This descriptive analysis was restricted to baseline data. Chi-Square test was used to test for associations between categorical /dichotomous variables. Fisher’s exact test was also used if some cells had expected value of less than 5. Results Included in this analysis are data from 300 households, 19 Charitable Children’s Institutions (CCIs) and 7 community-based organizations. In total, 2871 children were enrolled and had baseline assessments done: 1390 in CCI’s and 1481 living in households in the community. We identified and described four broad models of care for orphaned and separated children, including: institutional care (sub-classified as ‘Pure CCI’ for those only providing residential care, ‘CCI-Plus’ for those providing both residential care and community-based supports to orphaned children , and ‘CCI-Shelter’ which are rescue, detention, or other short-term residential support), family-based care, community-based care and self-care. Children in institutional care (95%) were significantly (p Conclusions Each model of care we identified has strengths and weaknesses. The orphan crisis in sub-Saharan Africa requires a diversity of care environments in order to meet the needs of children and uphold their rights. Family-based care plays an essential role; however, households require increased support to adequately care for children. |
| Databáze: | OpenAIRE |
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