Orphanhood and vulnerability: a conduit to poor child health outcomes in Rwanda

Amoako Johnson, Fiifi, Padmadas, Sabu S. and Smith, Peter W.F. (2010) Orphanhood and vulnerability: a conduit to poor child health outcomes in Rwanda. AIDS Care, 22, (3), 314-323. (doi:10.1080/09540120903193682). (PMID:20390511).


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The HIV epidemic in sub-Saharan Africa has caused many children to become orphaned and vulnerable. Recent studies show that orphaned and vulnerable children (OVC) lack the basic necessities for survival and development. These children are particularly at high risk of poor health and poverty. Although the poor health outcomes of these children are well documented, the complexities of the factors that mediate their health outcomes have not been systematically studied. The aim of this paper is to examine how the complex relationships between and within the proximate and socio-economic determinants mediate the poor health outcomes of children through their OVC status. The analyses considered graphical chain modelling of morbidity data from a sample of 3745 children aged below five years from the 2005 Rwandan Demographic and Health Survey. The results show that OVC status influences the risk of childhood morbidity both directly and indirectly and also as a conduit through which other significant proximate factors and socio-economic factors operate.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1080/09540120903193682
ISSNs: 0954-0121 (print)
1360-0451 (electronic)
Keywords: orphaned and vulnerable children, child morbidity, rwanda, graphical chain models, demographic and health surveys
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RJ Pediatrics
Divisions : University Structure - Pre August 2011 > School of Social Sciences
ePrint ID: 79235
Accepted Date and Publication Date:
March 2010Published
Date Deposited: 23 Mar 2010
Last Modified: 31 Mar 2016 13:15
Centre for Population Change: Understanding Population Change in the 21st Century
Funded by: ESRC National Centre for Research Methods (RES-625-28-0001)
Led by: Jane Cecelia Falkingham
1 January 2009 to 31 December 2013
URI: http://eprints.soton.ac.uk/id/eprint/79235

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