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首页> 外文期刊>AIDS care. >Epidemiology of health and vulnerability among children orphaned and made vulnerable by HIV/AIDS in sub-Saharan Africa.
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Epidemiology of health and vulnerability among children orphaned and made vulnerable by HIV/AIDS in sub-Saharan Africa.

机译：撒哈拉以南非洲孤儿和艾滋病毒/艾滋病易感儿童的健康和脆弱性流行病学。

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The HIV/AIDS epidemic in sub-Saharan Africa has already orphaned a generation of children, and it is projected that by 2010, 18 million African children under the age of 18 are likely to be orphans from this single cause (UNICEF, 2005, The state of the Worlds Children: Childhood under threat. New York: UNICEF). Results from a Kellogg funded OVC project (Skinner et al., 2004, Definition of orphaned and vulnerable children. Cape Town: HSRC) supported the construct that the loss of either or both parents would indicate a situation of likely vulnerability of children. A key problem in the literature on the impact of orphanhood on the well-being of children, families and communities, is that the focus of assertions and predictions is often on the negative impact on 'AIDS orphans', or households. There are hardly any studies that compare the experiences of orphans with non-orphans. This paper thus attempts to fill that gap. It uses epidemiological data to explore the epidemiology of health and vulnerability of children within the context of AIDS in sub-Saharan Africa. Because of data limitations, only the following aspects are examined: (i) orphan status; (ii) household structure (in particular, grandparent headedness and female-headedness); (iii) illness of parents; (iv) poverty; and (v) access to services, especially schooling, health, social services. While recognizing the limitations of the analysis, data presented in this paper indicates that orphans in sub-Saharan Africa are more vulnerable than non-orphans. The authors conclude with some suggestions for policy makers and programme implementers, highlighting the importance of focusing on interventions that will have maximum impact on the health and well-being of children.
机译：撒哈拉以南非洲的艾滋病毒/艾滋病流行病已经使一代儿童成为孤儿，据预测，到2010年，这一单一原因的孤儿可能有1800万非洲18岁以下的孤儿（联合国儿童基金会，2005年，世界儿童状况：童年受到威胁（纽约：联合国儿童基金会）。凯洛格（Kellogg）资助的OVC项目的结果（Skinner等人，2004，《孤儿和弱势儿童的定义》，开普敦：HSRC）支持这种构造，即失去父母一方或父母双方都会表明儿童可能处于脆弱状态。关于孤儿对儿童，家庭和社区福祉的影响的文献中的一个关键问题是，断言和预测的重点通常是对“艾滋孤儿”或家庭的负面影响。几乎没有任何研究可以将孤儿和非孤儿的经历进行比较。因此，本文试图填补这一空白。它使用流行病学数据探讨了在撒哈拉以南非洲艾滋病流行背景下儿童健康和脆弱性的流行病学。由于数据限制，仅检查以下方面：（i）孤儿身份; （ii）家庭结构（尤其是祖父母和女父母的身份）; （iii）父母生病; （iv）贫穷; （v）获得服务，特别是学校教育，保健，社会服务。尽管认识到分析的局限性，但本文提供的数据表明，撒哈拉以南非洲的孤儿比非孤儿更容易受到伤害。作者最后为政策制定者和计划实施者提供了一些建议，强调了重点放在将对儿童的健康和福祉产生最大影响的干预措施上的重要性。

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