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Global Social Welfare

, Volume 3, Issue 2, pp 107–117 | Cite as

Improving Health and Social Outcomes for Children through the Use of a Community Caregiver Service Provision Model in Côte d’Ivoire

  • Andrew M. Muriuki
  • Samuel Y. Andoh
  • Hannah Newth
  • Kendra Blackett-Dibinga
  • Djedje Biti
Article

Abstract

Côte d’Ivoire has one of the highest adult HIV prevalence rates in West Africa; HIV has directly affected an estimated 440,000 orphans and vulnerable children (OVC). Some support programs use community caregivers (CC) to provide care and support to children left vulnerable by the epidemic. The purpose of this study was to examine the impact that the use of a CC service provision model had on outcomes for children orphaned or made vulnerable by HIV/AIDS in Côte d’Ivoire. A sequential mixed-methods design was used, making use of both quantitative (survey) and qualitative (focus group and interview) data collection and analysis. The study found that CC has had a significant impact on OVC’s lives, improving both social and clinical outcomes. OVC working with a CC had greater access to care than those not supported by a CC. Findings suggest the CC intervention model should be formalized and embedded into the government welfare and healthcare system in Côte d’Ivoire.

Keywords

HIV AIDS Côte d’Ivoire Community caregivers Community-based care Local NGO 

References

  1. Ankrah, E. M. (1993). The impact of HIV/AIDS on the family and other significant relationships: the African clan revisited. AIDS Care, 5(1), 5–22. doi: 10.1080/09540129308258580.CrossRefGoogle Scholar
  2. Atwinea, B., Cantor-Graaea, E., & Bajunirwe, F. (2005). Psychological distress among AIDS orphans in rural Uganda. Social Science & Medicine, 61(3), 555–564.CrossRefGoogle Scholar
  3. Beard, B. J. (2005). Orphan care in Malawi: current practices. Journal of Community Health Nursing, 22(2), 105.CrossRefGoogle Scholar
  4. Belay, E., & Radeny, S. (2009). Fifth assessment of child wellbeing using the csi tool positive change: children, communities and care (PC3) p rogram.Google Scholar
  5. Benner, P. E., Tanner, C. A., & Chesla, C. A. (1996). Expertise in nursing practice: caring, clinical judgment, and ethics. New York: Springer Pub. Co.Google Scholar
  6. Bernstein, A. J., & Van Rooyen, C. A. J. (1994). Sociocultural factors and their importance in working with people with AIDS in South Africa. Maatskaplike Werk/Social Work, 30(4), 375–382.Google Scholar
  7. Bryant, M., Beard, J., Sabin, L., Brooks, M. I., Scott, N., Larson, B. A., et al. (2012). PEPFAR’s support for orphans and vulnerable children: some beneficial effects, but too little data, and programs spread thin. Health Affairs, 31(7), 1508–1518. doi: 10.1377/hlthaff.2012.0230.CrossRefGoogle Scholar
  8. Christopher, J., Le May, A., Lewin, S., & Ross, D. (2011). Thirty years after Alma-Ata: a systematic review of the impact of community health workers delivering curative interventions against malaria, pneumonia and diarrhoea on child mortality and morbidity in sub-Saharan Africa. Human Resources for Health, 9(1), 27.CrossRefGoogle Scholar
  9. Friedman, I. (2005). CHWs and community caregivers: towards a unified model of practise. South African Health Review, 176–188.Google Scholar
  10. Gonzalez, J. S., Penedo, F. J., Antoni, M. H., Durán, R. E., McPherson-Baker, S., Ironson, G., et al. (2004). Social support, positive states of mind, and HIV treatment adherence in men and women living with HIV/AIDS. Health Psychology, 23(4), 413–418. doi: 10.1037/0278-6133.23.4.413.CrossRefGoogle Scholar
  11. Greene, J. C., & Caracelli, V. J. (1997). Defining and describing the paradigm issue in mixed-method evaluation. New Directions for Evaluation, 1997(74), 5–17. doi: 10.1002/ev.1068.CrossRefGoogle Scholar
  12. Hayes, S. (2010). Valuing and compensating caregivers for their contributions to community health and development in the context of HIV and AIDS: an agenda for action. New York: The Huairou Commission.Google Scholar
  13. Hermann, K., Van Damme, W., Pariyo, G., Schouten, E., Assefa, Y., Cirera, A., et al. (2009). Community health workers for ART in sub-Saharan Africa: learning from experience—capitalizing on new opportunities. Human Resources for Health, 7(1), 31.CrossRefGoogle Scholar
  14. Hosegood, V. (2009). The demographic impact of HIV and AIDS across the family and household life-cycle: implications for efforts to strengthen families in sub-Saharan Africa. AIDS Care, 21(sup1), 13. doi: 10.1080/09540120902923063.CrossRefGoogle Scholar
  15. Jacquemin, M. Y. (2004). Children’s domestic work in Abidjan, Cote d’Ivoire: the Petites Bonnes have the floor. Childhood, 11(3), 383–397. doi: 10.1177/0907568204044889.CrossRefGoogle Scholar
  16. Jacquemin, M. Y. (2006). Can the language of rights get hold of the complex realities of child domestic work? The case of young domestic workers in Abidjan, Ivory Coast. Childhood, 13(3), 389–406. doi: 10.1177/0907568206066358.CrossRefGoogle Scholar
  17. Johnson, R. B., Onwuegbuzie, A. J., & Turner, L. A. (2007). Toward a definition of mixed methods research. Journal of Mixed Methods Research, 1(2), 112–133. doi: 10.1177/1558689806298224.CrossRefGoogle Scholar
  18. Kang’ethe, S. M. (2009). Challenges impacting on the quality of care to persons living with HIV/AIDS and other terminal illnesses with reference to Kanye community home-based care programme. Sahara: Journal of Social Aspects of HIV/AIDS, 6(1), 24–32. doi: 10.1080/17290376.2009.9724926.CrossRefGoogle Scholar
  19. Larson, B. A. (2010). Costs, outcomes, and cost-effectiveness of OVC interventions. Boston (MA): Boston University Center for Global Health and Development.Google Scholar
  20. Linsk, N., Mabeyo, Z., Omari, L., Petras, D., Lubin, B., Abate, A. A., et al. (2010). Para-social work to address most vulnerable children in sub-Sahara Africa: a case example in Tanzania. Children and Youth Services Review, 32(7), 990. doi: 10.1016/j.childyouth.2010.03.026.CrossRefGoogle Scholar
  21. O’Laughlin, K. N., Wyatt, M. A., Kaaya, S., Bangsberg, D. R., & Ware, N. C. (2012). How treatment partners help: social analysis of an African adherence support intervention. AIDS and Behavior, 16(5), 1308–1315. doi: 10.1007/s10461-011-0038-4.CrossRefGoogle Scholar
  22. Peel, S. (2010). End-of-project report on OVC related activities of Save the Children in Côte d’Ivoire: Save the Children in Côte d’Ivoire.Google Scholar
  23. PEPFAR. (2012). PEPFAR in Côte d’Ivoire.Google Scholar
  24. Rosenberg, A., Hartwig, K., & Merson, M. (2008). Government-NGO collaboration and sustainability of orphans and vulnerable children projects in southern Africa. Evaluation and Program Planning, 31(1), 51. doi: 10.1016/j.evalprogplan.2007.08.005.CrossRefGoogle Scholar
  25. Save the Children. (2012). Building capacity for OVC care in 7 regions of Cote d’Ivoire: Save the Children.Google Scholar
  26. Ssengonzi, R. (2009). The impact of HIV/AIDS on the living arrangements and well-being of elderly caregivers in rural Uganda. AIDS Care, 21(3), 309. doi: 10.1080/09540120802183461.CrossRefGoogle Scholar
  27. Szumilas, M. (2010). Explaining odds ratios. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(3), 227.CrossRefGoogle Scholar
  28. Tan, H., Wilson, A., & Olver, I. (2009). Ricoeur’s theory of interpretation: an instrument for data interpretation in hermeneutic phenomenology. International Journal of Qualitative Methods, 8, 1–15.Google Scholar
  29. Taylor, M., & Kvalsvig, J. D. (2008). Scaling up support for children in HIV-affected families by involving early childhood development workers: community views from KwaZulu-Natal, South Africa. Development Southern Africa, 25(1), 61. doi: 10.1080/03768350701836202.CrossRefGoogle Scholar
  30. Teddlie, C., & Tashakkori, A. (2009). Foundations of mixed methods research: integrating quantitative and qualitative approaches in the social and behavioral sciences. Los Angeles: Sage.Google Scholar
  31. Thurman, T. R., Kidman, R., & Taylor, T. M. (2014). Does investment in home visitors lead to better psychological health for HIV-affected families? Results from a quasi-experimental evaluation in South Africa. AIDS Care, 26(Suppl 1), S2. doi: 10.1080/09540121.2014.906555.CrossRefGoogle Scholar
  32. UNAIDS. (2012). President’s Emergency Plan for AIDS Relief (PEPFAR) in Côte d’Ivoire. Retrieved Feb. 2015, from http://photos.state.gov/libraries/abidjan/29158/Peptalk/PEPFAR_in_CI-bh-11_march2013.pdf.
  33. UNFPA. (2006). HIV/AIDS, Gender and sex work. Retrieved Oct 30, 2015, from https://www.unfpa.org/hiv/docs/factsheet_genderwork.pdf.
  34. UNHCR. (2013). UNHCR Global Report 2013, Côte d’Ivoire. Retrieved Oct 30, 2015, from http://www.unhcr.org/539809f220.html.
  35. UNICEF. (2013). Children and AIDS: sixth stocktaking report, 2013: UNICEF.Google Scholar
  36. Uys, L. R. (2002). The practice of community caregivers in a home-based HIV/AIDS project in South Africa. Journal of Clinical Nursing, 11(1), 99.CrossRefGoogle Scholar
  37. WHO. (2011). Standards and operational guidance for ethics review of health-related research with human participants (No. ISBN 978 92 4 150294 8). Geneva, Switzerland: World Health Organization.Google Scholar
  38. WHO. (2012). The community health officer: a key link in the health system in Togo (No. World Health Organization). Togo: World Health Organization.Google Scholar
  39. William, C., & Biti, D. (2013). Building capacity for OVC care and support in 7 regions of Côte d’Ivoire. Abidjan: Save the Children.Google Scholar

Copyright information

© Springer International Publishing 2016

Authors and Affiliations

  • Andrew M. Muriuki
    • 1
  • Samuel Y. Andoh
    • 2
  • Hannah Newth
    • 3
  • Kendra Blackett-Dibinga
    • 1
  • Djedje Biti
    • 3
  1. 1.Save the ChildrenWestportUSA
  2. 2.Institut National de Santé Publique (INSP)AbidjanCôte d’Ivoire
  3. 3.Save the Children Cote d’IvoireAbidjan 16Côte d’Ivoire

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