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AIDS Care
Psychological and Socio-medical Aspects of AIDS/HIV
Volume 16, 2004 - Issue 1
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Original Articles

Enabling households to support successful migration of AIDS orphans in southern Africa

Pages 3-10 | Published online: 03 Oct 2011
 

Abstract

Most southern African orphans are cared for by extended families but the implications of the spatial dispersal of such families are seldom recognized: orphans often have to migrate to new homes and communities. This paper, based on qualitative research conducted with children and guardians in urban and rural Lesotho and Malawi, examines orphans’ migration experiences in order to assess how successful migration might best be supported. Most children found migration traumatic in the short term, but over time many settled into new environments. Although much AIDS policy in southern Africa stresses the role of communities, the burden of care lay with extended family households. Failed migrations, which resulted in renewed migration and trauma, were attributable to one of two household-level causes: orphans feeling ill-treated in their new families or changes in guardians’ circumstances. Policy interventions to reduce disruption and trauma for young AIDS migrants should aim at facilitating sustainable arrangements by enabling suitable households to provide care. Reducing the economic costs of caring for children, particularly school-related costs, would: allow children to stay with those relatives (e.g. grandparents) best able to meet their non-material needs; reduce resentment of foster children in impoverished households; and diminish the need for multiple migrations.

Acknowledgments

This research was funded by the UK Department for International Development (DFID). DFID supports policies, programmes and projects to promote international development. DFID provided funds for this study as part of that objective but the views and opinions expressed are those of the authors alone. We gratefully acknowledge also the institutional support of the Institute of Southern African Studies, National University of Lesotho and the Department of Geography, Chancellor College, University of Malawi, and thank Motsilisi Motsieloa, Lloyd Chitera and Lumbani Pete for their work as research assistants on the project.

Notes

1This paper focuses on household/community level responses to children's migration. Possibilities for empowering individual children are discussed elsewhere (Young & Ansell, Citation2003b).

2Very few children are willing to attribute deaths in their families directly to AIDS, hence those whose parents had been ill or died from illnesses commonly associated with AIDS were included. Equally, the immediate cause of migration was often other than parental sickness or death, but AIDS was commonly the underlying reason.

3Pseudonyms are used to protect confidentiality.

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