A psychosocial description of young orphans living in child-headed homes

Abstract

By 2010, it is projected that there will be 25 million orphans worldwide. It is anticipated that 2.3 million children will be orphaned due to AIDS in South Africa by 2020. Traditionally, the extended family has absorbed most people affected by the disease but there is a growing concern that families are finding it increasingly difficult to cope, perhaps reaching saturation point. In the absence of alternatives, some children end up living alone in child-headed households (CHHs), the numbers of which are rising at an alarming rate. Despite the increase in this living arrangement research is scarce on the psychosocial consequences of AIDS related orphanhood. This is more evident concerning very young orphans living in CHHs. This qualitative study explores psychosocial issues pertaining to young orphans living in CHHs from an ecosystemic perspective. Four participants, who worked in various capacities for two non-governmental organisations, were interviewed in-depth about their experiences of working with young orphans. The conversations were subjected to an interpretive analysis where, in collaboration with the participants, central themes and sub-themes were identified. Eleven main themes emerged from the analysis: why children live in child-headed households; issues surrounding the death of a parent; experiences of a young child living in a child-headed household; the experience of living in a child-headed household; stigma; relationships with relatives; relationships with peers; relationships with crèches and teachers; relationships with the community; relationships with non-governmental organisations; and relationship to government and essential services. Based on an integration of the findings, a model was presented depicting the ecosytemic factors affecting the very young child living in a CHH. Copyright