Evidence base for children affected by HIV and AIDS in low prevalence and concentrated epidemic countries: applicability to programming guidance from high prevalence countries
| Autor: | Bart Burkhalter, Allison Gamble Kelley, Lynne Miller Franco, Marie-Eve Hammink, Larissa Jennings, Arjan de Wagt |
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| Rok vydání: | 2012 |
| Předmět: |
Gerontology
Male medicine.medical_specialty Health (social science) Evidence-based practice Social Psychology Adolescent International Cooperation Population Psychological intervention Child Welfare India Nutritional Status orphans Vulnerable Populations Article low prevalence countries Food Supply Acquired immunodeficiency syndrome (AIDS) Child of Impaired Parents Health care HIV Seropositivity medicine Prevalence Humans education Child Socioeconomic status Health policy education.field_of_study Acquired Immunodeficiency Syndrome business.industry Public health Public Health Environmental and Occupational Health Infant Newborn Infant Social Support HIV medicine.disease AIDS Child Preschool Evidence-Based Practice Population Surveillance Educational Status Female vulnerable children business Brazil |
| Zdroj: | AIDS Care |
| ISSN: | 1360-0451 |
| Popis: | As global commitment grows to protect and support children affected by HIV and AIDS, questions remain about how best to meet the needs of these children in low prevalence settings and whether information from high prevalence countries can appropriately guide programming in these settings. A 2007 search for the evidence in low prevalence settings on situational challenges of HIV and AIDS-affected children and interventions to address these challenges identified 413 documents. They were reviewed and judged for quality of documentation and scientific rigor. Information was compiled across eight types of challenges (health and health care, nutrition and food security, education, protection, placement, psychosocial development, socioeconomic status, and stigma/ discrimination); and also assessed was strength of evidence for situational and intervention findings. Results were compared to three programming principles drawn from research in high prevalence countries: family-centered preventive efforts, treatment, and care; family-focused support to ensure capacity to care for and protect these children; and sustaining economic livelihood of HIV and AIDS-affected households. Findings show that children affected by HIV and AIDS in low prevalence settings face increased vulnerabilities similar to those in high prevalence settings. These findings support seeking and testing programmatic directions for interventions identified in high prevalence settings. However, low prevalence settings/countries are extremely diverse, and the strength of the evidence base among them was mixed (strong, moderate, and weak in study design and documentation), geographically limited, and had insufficient evidence on interventions to draw conclusions about how best to reduce additional vulnerabilities of affected children. Information on family, economic, sociocultural, and political factors within local contexts will be vital in the development of appropriate strategies to mitigate vulnerabilities. |
| Databáze: | OpenAIRE |
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