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AIDS Care
Psychological and Socio-medical Aspects of AIDS/HIV
Volume 22, 2010 - Issue 5
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ORIGINAL ARTICLES

Livelihoods, care and the familial relations of orphans in eastern Africa

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Pages 570-576 | Received 05 Mar 2009, Published online: 12 Mar 2010
 

Abstract

Although the impact of AIDS-induced mortality and morbidity is well-researched, few studies explore the interaction and reciprocity of care between children and their households. Drawing on participatory research methods (interviews, focus groups, photo-essays, story writing and observations), we bring together the findings of two qualitative studies from rural communities in Ethiopia and Kenya involving 94 orphans and their households. We argue that children's contributions to household livelihoods are pivotal to the coping of households affected by AIDS. Despite various socio-economic constraints placed on their childhood, orphans' access to the household-based resources of extended families enhances their ability to obtain long-term means for their livelihoods. Care for orphaned children is also influenced by reciprocity in terms of household labour contributions, the care of sick family members and generating and contributing income in return for adult protection and provisions. We conclude that a one-dimensional view of orphans as “burdens” not only overshadows the meaningful contributions they make to their families, but also diverts attention away from interventions grounded in their felt needs and capacities.

Acknowledgements

The authors would like to thank the children and families for their active participation in the research. They are also grateful to the two anonymous reviewers for their insightful comments on earlier versions of this paper. Tatek Abebe thanks the Research Council of Norway for funding the study and the fieldwork trips to Ethiopia. Morten Skovdal expresses his gratitude to London School of Economics for its financial support to conduct the research in Kenya.

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