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Sero-status of preschoolers and disclosure to schools

机译：学龄前儿童的血清状态和学校的披露

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Infants with HIV-infection have longevity due to improved Highly Active Antiretroviral Therapy (HAART), making many realise their developmental progression which includes access to schooling. However, there is scant information that focuses on disclosure of their positive sero-status to schools and how these children understand and communicate their illnesses. This paper reports on a study of experiences of children affected by HIV and AIDS in Kenya. Qualitative phenomenological data from children aged between 5 and 7 years and their teachers in Early Childhood Development and Education (ECDE) centres were collected using multiple methods. Thematic content analysis was utilised with several themes emerging from findings. Obstacles to disclosure, anticipation of exceptional care, accidental disclosures, lack of psychosocial structures, a need for specialised skills training for teachers, and lack of clear guidelines to assist in disclosure processes emerged as some of the challenges faced. The findings also provide insights into teachers' scaffolding efforts to educate children in understanding and communicating their illnesses, and forging support structures through relationships with their siblings and peers for care and management.
机译：由于改善高活性的抗逆转录病毒治疗（HAART），患有HIV感染的婴儿具有寿命，使许多人实现其发展进展，包括获得学校教育。但是，有很大的信息，专注于披露他们对学校的积极血清状态以及这些孩子如何理解和传达他们的疾病。本文报告了肯尼亚艾滋病毒影响的儿童经验研究。使用多种方法收集来自5至7岁以下儿童及其早期儿童发展和教育（ECDE）中心的儿童的定性现象学数据。主题内容分析用于从调查结果中出现的几个主题。披露的障碍，预期特殊护理，意外披露，缺乏心理社会结构，需要对教师的专业技能培训，以及缺乏明确的准则，以协助作为一些面临的一些挑战所出现的披露程序。这些调查结果还提供了对教师脚手架努力的洞察力，教育儿童了解和沟通他们的疾病，并通过与他们的兄弟姐妹和同行的关系来锻造支持结构。

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