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HIV/Aids, declining family resources and the community safety net

Bibliographic Data

ID19443448
AuthorsJody Heymann (0000-0003-0008-4198, a Institute for Health and Social Policy , McGill University , 1130 Pine Avenue West, Montreal , H3A 1A3 , Canada), Rachel Kidman (0000-0001-7202-5571, a Institute for Health and Social Policy , McGill University , 1130 Pine Avenue West, Montreal , H3A 1A3 , Canada, corresponding author)
Year2009
Volume21
Issuesup1
Pages34-42
Publication date2009-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540120902927593
PMID22380977
OpenAlexW1970798763
LanguageEN
Citations received26
References cited19

Families play central roles in the HIV/AIDS pandemic, caring for both orphaned children and the ill. This extra caregiving depletes two family resources essential for supporting children: time and money. We use recent data from published studies in sub-Saharan Africa to illustrate deficits and document community responses. In Botswana, parents caring for the chronically ill had less time for their preschool children (74 versus 96 hours per month) and were almost twice as likely to leave children home alone (53% versus 27%); these children experienced greater health and academic problems. Caregiving often prevented adults from working full time or earning their previous level of income; 47% of orphan caregivers and 64% of HIV/AIDS caregivers reported financial difficulties due to caregiving. Communities can play an important role in helping families provide adequate childcare and financial support. Unfortunately, while communities commonly offer informal assistance, the value of such support is not adequate to match the magnitude of need: 75% of children's families in Malawi received assistance from their social network, but averaging only US$81 annually. We suggest communities can strengthen the capacity of families by implementing affordable quality childcare for 0-6 year olds, after-school programming for older children and youth, supportive care for ill children and parents, microlending to enhance earnings, training to increase access to quality jobs, decent working conditions, social insurance for the informal sector, and income and food transfers when families are unable to make ends meet

Business · Earnings · Economic growth · Economics · Environmental health · Pandemic · Poverty · Safety net · Working poor · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Poverty, Education, and Child Welfare · Psychology · Finance · Gerontology

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Unique citing works26
Citations per year1,53
Citation span2009 - 2025 (17)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 23

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