Skip to main content

Advertisement

Log in

Orphanhood Prevalence, Living Arrangements and Orphanhood Reporting in Lesotho, Malawi and Zimbabwe

  • Published:
Child Indicators Research Aims and scope Submit manuscript

Abstract

This study explores the relationship between orphanhood prevalence, living arrangements and orphanhood reporting. Research on children’s orphanhood status and living arrangements is well established, but not so much in the context of orphanhood data quality assessment. The study provides a historical context of the measurement of orphanhood, the assessment of data quality, and concludes that in the context of sub-Saharan Africa, where child fostering is common, parental coresidency may be more inclusive and may provide a better understanding of children’s vulnerability than the survival status of parents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Notes

  1. Orphans are defined as children under 18 years who have at least one parent dead; and further disaggregated into maternal, paternal and double orphans for biological mother dead, biological father dead and both biological mother and biological father dead respectively (UNAIDS, UNICEF and USAID 2004).

  2. Southern Africa comprises Angola, Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia and Zimbabwe according to the Joint United Nations Programme on HIV and AIDS (UNAIDS 2010) and the African Union (African Union 2014).

  3. The response rate for individual interviews for three countries ranged between 93 and 98 % for the latest DHS surveys.

References

  • African Union. (2014). African Union Handbook 2014: A guide for those working with and within the African Union. Addis Ababa: African Union Commission and New Zealand Ministry of Foreign Affairs and Trade/Manat Aorere.

    Google Scholar 

  • Bah, S. (1999). Diagnostic tests on assessing the quality of maternal orphanhood data from the 1996 South African census and implications for the indirect estimation of adult mortality; PSC Discussion Papers Series. 13 (2001).

  • Blacker, J. (1984). Chapter IX: experiences in the use of special mortality questions in multi-purpose surveys: The single-round approach. In United Nations. Department of International Economic and Social Affairs. Data bases for mortality measurement. Papers of the Meeting of the United Nations/World Health Organization Working Group on Data Bases for Measurement of Levels, Trends and Differentials in Mortality, Bangkok, 20–23 October 1981. New York, (Population Studies, (84), 79–89.

  • Case, A., Paxson, C., & Ableidinger, J. (2004). Orphans in Africa: parental death, poverty, and school enrolment. Demography, 41(3), 483–508.

    Article  Google Scholar 

  • Chirwa, W. (2002). Social exclusion and inclusion: challenges to orphan care in Malawi. Nordic Journal of African Studies, 11(2001), 93–113.

    Google Scholar 

  • Corsi, D. J., Neuman, M., Finlay, J. E., & Subramanian, S. V. (2012). Demographic and health surveys: a profile. International Journal of Epidemiology, 41(6), 1602–1613.

    Article  Google Scholar 

  • Dixon-Mueller, R. (2008). How young is “too young”? Comparative perspectives on adolescent sexual, marital, and reproductive transitions. Studies in Family Planning, 39(4), 247–262.

    Article  Google Scholar 

  • Drah, B. (2012). Orphans in Sub-Saharan Africa: the crisis, the interventions, and the Anthropologist. Africa Today, 59(2), 3–21.

    Article  Google Scholar 

  • Eaton, J. W., Garnett, G. P., Takavarasha, F. R., Mason, P. R., Robertson, L., Schumacher, C. M., et al. (2013). Increasing adolescent HIV prevalence in eastern Zimbabwe – evidence of long-term survivors of mother-to-child transmission? PLoS One, 8(8).

  • Embleton, L., Ayuku, D., Kamanda, A., Atwoli, L., Ayaya, S., Vreeman, R., et al. (2014). Models of care for orphaned and separated children and upholding children’s rights: cross-sectional evidence from Western Kenya. BMC International Health and Human Rights, 14(9), 14–19.

    Google Scholar 

  • Fabic, M. S., Choi, Y., et al. (2012). A systematic review of demographic and health surveys: data availability and utilization for research. Bulletin of the World Health Organization, 90, 604–612.

    Article  Google Scholar 

  • Fisher, J. (1950). Orphans in the United States: number and living arrangements. Social Security Bulletin, 13(8), 13–18.

    Google Scholar 

  • Foster, G., & Williamson, J. (2000). A Review of current literature of the impact of HIV/AIDS on children in sub-Saharan Africa. AIDS, 14(Suppl. 3), S275–S284.

    Google Scholar 

  • Grant, M. J., & Yeatman, S. (2012). The Relationship between orphanhood and child fostering in Sub-Saharan Africa, 1990s–2000s. Population Studies, 66(3), 279–295.

    Article  Google Scholar 

  • Grassly, N., & Timæus, I. (2005). Methods to estimate the number of orphans as a result of AIDS and other causes in Sub-Saharan Africa. Journal of Acquired Immune Deficiency Syndromes, 39(3), 365–375.

    Article  Google Scholar 

  • Grassly, N., Lewis, J., Mahy, M., Walker, N., & Timaeus, I. (2004). Comparison of household-survey estimates with projections of mortality and orphan numbers in sub-Saharan Africa in the era of HIV/AIDS. Population Studies, 58(2001), 207–217.

    Article  Google Scholar 

  • Hobbs, F. (2004). Age and Sex Composition. In J. Siegel & D. Swanson (Eds.), The methods and materials of demography. London: Elsevier Inc.

    Google Scholar 

  • Hosegood, V., Floyd, S., Marston, M., Hill, C., McGrath, N., Isingo, R., et al. (2007). The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania and South Africa. Population Studies, 61(3), 327–336.

    Article  Google Scholar 

  • ICF International (2015). Lesotho - how to identify migrant-sending hhs? Retrieved January 2016, from http://userforum.dhsprogram.com/index.php?t=msg&goto=4365&.

  • Johnson, K., Grant, M., Khan, S., Moore, Z., Armstrong, A., & Sa, Z. (2009). Fieldwork-related factors and data quality in the demographic and health surveys program. DHS analytical studies No. 19. I. Calverton: Macro International.

  • Lesotho Bureau of Statistics. (2011). Population and housing census: Volume 11 census tables report. Lesotho: Maseru.

    Google Scholar 

  • Lloyd, C., & Desai, S. (1992). Children’s living arrangements in developing countries. Population Research and Policy Review, 11, 193–216.

    Article  Google Scholar 

  • Macro, I. C. F. (2011). Demographic and health survey interviwers’ manual. Calverton: ICF Macro.

    Google Scholar 

  • Malawi National Statistical Office. (2009). 2008 population and housing census main report.

  • Masquelier, B., & Soura, A. (2014). Orphaned children in sub-Saharan Africa: What can we learn from census data? In C. Odimegwu and J. Kekovole.(Ed.), Continuity and change in sub-Saharan African demography. Routledge.

  • McCaa, R., Accrombessy, F.D.E.T & Diallo, K. (2005). Calibrating orphanhood: The number of ophans according to recent censuses and health surveys already exceed UNAIDS estimates for 2010 for Kenya and Benin, and 4/5th for South Africa. Global Forum for Health Research IX, Mumbai, India, September 12–16, 2005.

  • Meintjes, H., & Giese, S. (2006). Spinning the epidemic: the making of mythologies of orphanhood in the context of aids. Childhood, 13(3), 407–430.

    Article  Google Scholar 

  • Mmari, K. (2011). Exploring the relationship between caregiving and health: perceptions among orphaned and non-orphaned adolescents in Tanzania. Journal of Adolescence, 34(2), 301–309.

    Article  Google Scholar 

  • Monasch, R., & Boerma, T. J. (2004). Orphanhood and childcare patterns in sub-Saharan Africa: an analysis of national surveys from 40 countries. AIDS, 18, S55–S65.

    Article  Google Scholar 

  • Oni, J. B. (1995). Fostered children’s perception of their health care and illness treatment in Ekiti Yoruba households, Nigeria. Health Transition Review, 5(1), 21–34.

    Google Scholar 

  • Palloni, A., & Lee, Y. J. (1992). Some Aspects of the Social HIV and its effects on women, children and families. Population Bulletin of the United Nations, 33, 64–87.

    Google Scholar 

  • Pullum, T (2006). An assessment of age and date reporting in the DHS surveys, 1985–2003. Methodological Reports No. 5. Calverton: Macro International Inc.

  • Reniers, G., Masquelier, B., & Gerland, P. (2010). Adult mortality trends in Africa. In R. G. Rogers & E. M. Crimmins (Eds.), International handbook of adult mortality. Netherlands: Springer.

    Google Scholar 

  • Robertson, L., Gregson, S., Madanhire, C., Walker, N., Mushati, P., Garnett, G., et al. (2008). Discrepancies between UN models and DHS survey estimates of maternal orphan prevalence: insights from analyses of survey data from Zimbabwe. Sexually Transmitted Infections, 84(Suppl. 1), i57–i62.

    Article  Google Scholar 

  • Robertson, L., Gregson, S., & Garnett, P. (2010). Sexual risk among orphaned adolescents: is country-level hiv prevalance an important factor? AIDS Care, 22(8), 927–938.

    Article  Google Scholar 

  • Rutstein, S. O. (2008). Finding the missing maternal and paternal orphans: A report submitted to the Joint United Nations Programme on HIV/AIDS (UNAIDS). Calverton: Macro International.

    Google Scholar 

  • Stover, J., Andreev, K., Slaymaker, E., Gopalappa, C., Sabin, K., Velasquez, C., et al. (2014). Updates to the spectrum model to estimate key HIV indicators for adults and children. AIDS, 28, S427–S434.

    Article  Google Scholar 

  • Tevera, D. (2015). International migration and development in Lesotho: a complex interrelationship. In W. H. Khonje (Ed.), Migration and development: Perspectives from small states. London: Commonwealth Secretariat.

  • Timaeus, I. (2008). Estimation and progression of dual orphans in populations with generalized HIV epidemics: Updated methods, Report to UNAIDS, 24 April 2008. London.

  • Udjo, E. O. (2005). An Examination of Recent Census and Survey Data on Mortality within the Context of HIV/AIDS. In T. Zuberi, A. Sibanda, & E. Udjo (Eds.), The Demography of South Africa. London: M.E. Sharpe.

    Google Scholar 

  • UN. (2015a). World population prospects: The 2015 Revision, DVD Edition.

  • UN. (2015b). Trends in International Migrant Stock: Migrants by Destination and Origin (United Nations Database, Pop/Db/Mig/Stock/Rev.2015).

  • UNAIDS. (2007). AIDS epidemic update. Geneva.

  • UNAIDS (2010). UNAIDS report on the global AIDS epidemic. Geneva.

  • UNAIDS (2013). Global report: UNAIDS report on the global AIDS epidemic 2013. Geneva.

  • UNAIDS (2016). HIV estimates with uncertainty bounds 1990–2014. Retrieved 16 April 2016, from http://www.unaids.org/en/resources/documents/2015/HIV_estimates_with_uncertainty_bounds_1990-2014.

  • UNAIDS, UNICEF, & USAID. (2004). Children on the Brink: A joint report of new orphan estimates and a framework for action. New York.

  • Urassa, M., Boerma, T. J., Ng’weshemi, J. Z. L., Isingo, R., Schapink, D., & Kumogola, Y. (1997). Orphanhood, child fostering and the AIDS epidemic in rural Tanzania. Health Transition Review, 7(Suppl. 2), 141–153.

    Google Scholar 

  • Woofter, J., Jr. (1945). Paternal orphans. Social Security Bulletin, 13(8), 5–6.

    Google Scholar 

  • Zimbabwe National Statistics Agency. (2013). Census 2012 National Report. Harare.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mercy Shoko.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shoko, M., Ibisomi, L. Orphanhood Prevalence, Living Arrangements and Orphanhood Reporting in Lesotho, Malawi and Zimbabwe. Child Ind Res 10, 929–943 (2017). https://doi.org/10.1007/s12187-016-9404-0

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12187-016-9404-0

Keywords

Navigation