Experiences of children heading households in the wake of the human immunodeficiency virus/acquired immune deficiency syndrome (HIV/Aids) epidemic in South Africa

The phenomenon of child-headed households has emerged from an escalating rate of orphanhood resulting from human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS). While the issue has received much media attention in South Africa, very little scientific information focusing particularly on the psychosocial experiences of the children has been published. In the present paper 14 children in Gauteng and KwaZulu Natal provinces of South Africa, heading households as a result of HIV/AIDS-related parental death, were interviewed in depth to explore their psychosocial experiences and perceptions. Interpretative phenomenological analysis was utilized to analyse the data. The findings indicate that pre-parental death experiences were characterized by complex experiences of illness in the household. The death of a parent(s) was itself experienced with great difficulty and sense of loss, with a theme of apportioning blame for parental death on other people emerging from the interviews. Post-bereavement, the defining psychosocial challenges included perceived lost childhood and self, sense of abandonment, concerns over day-to-day survival and grappling with conflicting demands on both physical and emotional energy. It also emerged that for some respondents these experiences were aggravated by negative attitudes and treatment from other people in their communities. In the light of these results increased support, including professional attention where indicated, is encouraged

Abandonment (legal · Blame · Human immunodeficiency virus (HIV · Political science · Psychiatry · Psychosocial · Family Support in Illness · Medicine · Migration, Health and Trauma · Poverty, Education, and Child Welfare · Psychology · Immunology

• Bereavement among South African adolescents following a sibling's death from Aids

  Craig Demmer, Nina Rothschild•African Journal of AIDS Research•2011

  Añadir item

• The capacity of the extended family safety net for orphans in Africa

  G Foster•Psychology, Health & Medicine•2000

  Añadir item

• Psychological well-being of orphans in Dar El Salaam, Tanzania

  Open Access•V Makame, S Grantham-McGregor et al.•Acta Paediatrica•2002

  Añadir item

• Guardianship of orphans and vulnerable children. A survey of current and prospective South African caregivers

  Melvyn Freeman, Nkululeko Nkomo•AIDS Care•2006

  Añadir item

• Risk and protective factors for psychological well-being of children orphaned by Aids in Cape Town

  Lucie D Cluver, L Cluver et al.•AIDS Care•2007

  Añadir item

• Listening to children and young people affected by parental HIV

  Viviene E Cree, Helen Kay et al.•AIDS Care•2006

  Añadir item

• Orphans of the Aids epidemic in the United States

  Rex Forehand, Jennifer Pelton et al.•AIDS Care•1999

  Añadir item

• The children left to stand alone

  Sidsel Roalkvam•African Journal of AIDS Research•2005

  Añadir item

• Loveness and her brothers

  C Bawa Yamba•African Journal of AIDS Research•2005

  Añadir item

• Health transition review

  Open Access•Carlos Ε A Coimbra, Carlos E A Coimbra Jr•Cadernos de Saude Publica•1992

  Añadir item

• The General Household Survey

  Open Access•F R Oliver•Social Policy and Administration•1974

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