Orphans in post-conflict Liberia

Seeking care in fractured communities

Dados Bibliográficos

ID2395451
AutoresElizabeth J Levey (0000-0002-5577-2505, Harvard University, autor correspondente), Benjamin L Harris (University of Liberia), Lance D Laird (0000-0003-4831-3850, Boston University), Isaac Kekulah (Illinois College), Christina P C Borba (0000-0003-3559-9351, Boston University), David C Henderson (0000-0001-8755-4505, Boston University), Anne E Becker (0000-0001-9129-6510, Harvard University)
Ano2022
Volume59
Fascículo3
Páginas235-248
Data de publicação2022-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoTranscultural Psychiatric Research Review (JOURNAL)
Identificadores do periódicoISSN: 0041-1108 • E-ISSN: 0315-4386
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/13634615211066696
PMID35021921
OpenAlexW4206302876
IdiomaEN
Citações recebidas2
Referências citadas24

Orphans in post-conflict settings have unique needs that have not been well-characterized. In post-conflict Liberia, maternal orphans are more likely to be without care than paternal orphans. This study examined the experiences of maternal orphans in Liberia, as they attempted to care for themselves and seek care from others, and the barriers they faced. In-depth interviews were conducted with 75 post-conflict Liberian orphans. We performed a secondary narrative analysis of interview transcripts from all maternal or double orphans (n = 17). We identified similar elements across narratives: traumatic loss, disconnection from family and community, and the desire for a savior. Female high-risk orphans were more likely to have formal substitute caregiving arrangements in which they were living with someone who was a relative or had been selected by a relative. Male orphans more commonly lacked arranged substitute care, but this allowed them to form relationships with substitute caregivers of their choosing. Sex also played a role in the provision of caregiving; substitute care was provided by women. Findings highlighted the syndemic relationship between poverty, violence, transactional sex, trauma, and substance use that traps high-risk Liberian orphans. Interventions are needed to improve access to mental health care, sober communities, housing, and education support. The need to integrate these services into indigenous institutions and address barriers related to stigma is explored

Disconnection · Foster care · Indigenous · Lived experience · Mental health · Narrative inquiry · Psychological intervention · Qualitative research · Stigma (botany) · Global Maternal and Child Health · Intergenerational Family Dynamics and Caregiving · Migration, Health and Trauma · Poverty, Education, and Child Welfare