Infants and Young Children Affected by HIV/AIDS

  • Linda Richter
  • Alan Stein
  • Lucie Cluver
  • Julia de Kadt


The first suspected cases of paediatric AIDS were recorded in 1981 in the United States, but were only reported in the medical literature in December 1982 (Ammann, 1997; CDC, 1982a, b; Shilts, 1987). The existence of paediatric AIDS, along with the possibility of transmission vertically and through blood products, was not widely accepted until the end of 1983 (Ammann, 1997). In South Africa, there is little information on children infected with HIV prior to 1997’s emergence of Nkosi Johnson’s story. However, the already high level of HIV prevalence among pregnant women when data first became available in 1990 suggests that significant numbers of children must have been born with HIV since the early 1980s.


Vertical Transmission Early Child Development Vulnerable Child South African Child Child Support Grant 
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  1. Abubakar, A., Van Baar, A., Van de Vijver, F., Holding, P., and Newton, C. (2008). Paediatric HIV and neurodevelopment in sub-Saharan Africa: a systematic review. Tropical Medicine and International Health, 13(7), 880–887.PubMedCrossRefGoogle Scholar
  2. Adler, R. (2000). Psychosocial issues in pediatric human immunodeficiency virus. Seminars in Speech and Language, 21(1), 79–87.PubMedCrossRefGoogle Scholar
  3. Ammann, A. (1997). Pediatric AIDS immunologist: advocate for the children. An oral history conducted in 1992 and 1993 by Sally Smith Hughes, Ph.D. The AIDS epidemic in San Francisco: The medical response, 19811984, Volume III. Regional Oral History Office, the Bancroft Library, University of California.Google Scholar
  4. Andrews, G., Skinner, D., and Zuma, K. (2006). Epidemiology of health and vulnerability among children orphaned and made vulnerable by HIV/AIDS in sub-Saharan Africa. AIDS Care, 18(3), 269–276.PubMedCrossRefGoogle Scholar
  5. Ansell, N., and van Blerk, L. (2004). Children’s migration as a household/family strategy: coping with AIDS in Malawi and Lesotho. Journal of Southern African Studies, 30(3), 673–690.CrossRefGoogle Scholar
  6. Antle, B., Wells, L., Goldie, R., Dematteo, D., and King, S. (2001). Challenges of parenting for families living with HIV/AIDS. Social Work, 46(2), 159–169.PubMedCrossRefGoogle Scholar
  7. Bam, I., Kritzinger, A., and Louw, B. (2003). Die vroeë kommunikasieontwikkeling van ’n groep babas met pediatriese MIV/Vigs in sorgsentrums. Health SA Gesondheid, 8(2), 34–47.CrossRefGoogle Scholar
  8. Barnes, J., and Stein, A. (2000). Effects of parental psychiatric and physical illness on child development. In M.G. Gelder, J. Lopez-Ibor, and N. Andreasen (Eds.), New Oxford Textbook of Psychiatry Volume 2 (pp. 759–775). Oxford: Oxford University Press.Google Scholar
  9. Basaza, R., Kaija, D., and Ochola-Odonga, D. (2007). The impact of HIV and AIDS on children: lights and shadows in the ‘successful case’ of Uganda. In G. Cornia (Ed.), AIDS, public policy and child well-being (2nd Ed) (pp. 31–66). Florence: UNICEF Innocenti Research Centre.Google Scholar
  10. Belsey, M. (2006). AIDS and the family: policy options for a crisis in family capital. New York: United Nations, Department of Economic and Social Affairs.Google Scholar
  11. Berry, L., and Guthrie, T. (2003). Rapid assessment: The situation of children in South Africa. Cape Town: Children’s Institute, University of Cape Town.Google Scholar
  12. Bobat, R., Moodley, D., Coutsoudis, A., Coovadia, H., and Gouws, E. (2001). Growth in early childhood in a cohort of children born to HIV-1 infected women from Durban, South Africa. Annals of Tropical Paediatrics, 21(3), 203–210.PubMedCrossRefGoogle Scholar
  13. Bock, J., and Johnson, S. (2008). Grandmothers’ productivity and the HIV/AIDS pandemic in sub-Saharan Africa. Journal of Cross-Cultural Gerontology, 25(2), 131–145.CrossRefGoogle Scholar
  14. Bolton, P., Bass, J., Neugebauer, R., Verdeli, H., Clougherty, K., Wickramaratne, P., Speelman, L., Ndogoni, L., and Weissman, M. (2003). Group interpersonal psychotherapy for depression in rural Uganda: a randomized controlled trial. Journal of the American Medical Association, 289(23), 3117–3124.PubMedCrossRefGoogle Scholar
  15. Bowlby, J. (1969). Attachment (2nd Ed). New York: Basic Books.Google Scholar
  16. Bradshaw, D., and Nannan, N. (2006). Mortality and morbidity among women and children. In P. Ijumba, and A. Padarath (Eds.), The South African Health Review 2006 (pp. 127–150). Durban: Health Systems Trust.Google Scholar
  17. Bronfenbrenner, U. (1986). Ecology of the family as a context for human development: Research perspectives. Developmental Psychology, 22(6), 723–742.CrossRefGoogle Scholar
  18. Brookes, H., Shisana, O., and Richter, L. (2004). The national household HIV prevalence and risk survey of South African children. Pretoria: Human Sciences Research Council.Google Scholar
  19. Brown, L., Lourie, K., and Pao, M. (2000). Children and adolescents living with HIV and AIDS: A review. Journal of Child Psychology and Psychiatry, 41(1), 81–96.PubMedCrossRefGoogle Scholar
  20. CDC (1982a). Possible transfusion-associated acquired immune deficiency syndrome (AIDS) – California. Morbidity and Mortality Weekly Report, 31(48), 652–654.Google Scholar
  21. CDC (1982b). Unexplained immunodeficiency and opportunistic infections in infants – New York, New Jersey, California. Morbidity and Mortality Weekly Report, 31(49), 665–667.Google Scholar
  22. Chandan, U., and Richter, L. (2008). Programmes to strengthen families: reviewing the evidence from high income countries. Harvard University: Joint Learning Initiative for Children affected by AIDS (JLICA).Google Scholar
  23. Cluver, L., and Gardner, F. (2007). Mental health of children orphaned by AIDS: A review of international and southern African research. Journal of Child and Adolescent Mental Health, 19(1), 1–17.CrossRefGoogle Scholar
  24. Cluver, L., and Operario, D. (2008). The intergenerational link between the impacts of AIDS on children, and their subsequent vulnerability to HIV infection: a study of the evidence to inform policy on HIV prevention and child and adolescent protection. Oxford: Joint Learning Initiative for Children affected by AIDS (JLICA).Google Scholar
  25. Cluver, L., Gardner, F., and Operario, D. (2007). Psychological distress amongst AIDS-orphaned children in urban South Africa. Journal of Child Psychology and Psychiatry, 48(8), 755–763.PubMedCrossRefGoogle Scholar
  26. Cornia, G., and Zagonari, F. (2007). The HIV and AIDS impact on the rural and urban economy. In G. Cornia (Ed.), AIDS, public policy and child well-being (2nd Ed) (pp. 185–205). Florence: UNICEF Innocenti Research Centre.Google Scholar
  27. Dellis, A. (2007). Evidence for advocacy: Civil society programme interventions for children and families living in communities affected by HIV and AIDS in South Africa. Durban: Human Sciences Research Council.Google Scholar
  28. du Toit, D., and van der Merve, N. (2006). The effect of a physical activity programme on the selfesteem of pre-primary HIV-directly affected learners. South African Journal for Research in Sport, Physical Education and Recreation, 28(2), 55–71.Google Scholar
  29. Earl-Taylor, M. (2002). HIV/AIDS, the stats, the virgin cure and infant rape. Science in Africa. Accessed October 7 2008.
  30. Engle, P. (2008). National plans of action for orphans and vulnerable children in Sub-Saharan Africa: Where are the youngest children? Working Papers in Early Childhood Development No 50. The Hague: Bernard van Leer Foundation.Google Scholar
  31. Engle, P., Black, M., Behrman, J., Cabral de Mello, M., Gertler, P., Kapiriri, L., Martorell, R., and Young, M. (2007). Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. The Lancet, 369(9557), 229–242.CrossRefGoogle Scholar
  32. Ford, K., and Hosegood, V. (2005). AIDS mortality and the mobility of children in KwaZulu Natal, South Africa. Demography, 42(4), 757–768.PubMedCrossRefGoogle Scholar
  33. Foster, G. (2005). Bottlenecks and drip-feeds: channelling resources to communities responding to orphans and vulnerable children in southern Africa. London: Save the Children.Google Scholar
  34. Foster, G., Levine, C., and Williamson, J. (Eds.) (2005). A generation at risk: The global Impact of HIV/AIDS on orphans and vulnerable children. Cambridge: Cambridge University Press.Google Scholar
  35. Frank, D., Klass, P., Earls, F., and Eisenberg, L. (1996). Infants and young children in orphanages: one view from pediatrics and child psychiatry. Pediatrics, 97(4), 569–578.PubMedGoogle Scholar
  36. Graff Zivin, J., Thirumurthy, H., and Goldstein, M. (2006). AIDS treatment and intrahousehold resource allocations: children’s nutrition and schooling in Kenya. Working paper 12689. National Bureau of Economic Research.Google Scholar
  37. Gray, G., Van Niekerk, R., Struthers, H., Violari, A., Martinson, N., McIntyre, J., and Naidu, V. (2006). The effects of adult morbidity and mortality on household welfare and the well-being of children in Soweto. Vulnerable Children and Youth Studies, 1(1), 15–28.CrossRefGoogle Scholar
  38. Govender, L., Rochat, T., Richter, L., and Rollins, N. (2006). Paediatric nursing in the context of the HIV/AIDS epidemic in resource-poor settings – balancing the "art and the science". Journal of Holistic Nursing Practice, 20(5), 247–254.Google Scholar
  39. Guma, M., and Henda, N. (2004). The socio-cultural context of child-abuse: A betrayal of trust. In L. Richter, A. Dawes, and C. Higson-Smith (Eds.), The sexual abuse of young children in Southern Africa: In search of solutions (pp. 95–109). Pretoria: HSRC Press.Google Scholar
  40. Hackl, K., Somlai, A., Kelly, J., and Kalichman, S. (1997). Women living with HIV/AIDS: The dual challenge of being a patient and a caregiver. Health and Social Work, 22(1), 53–62.PubMedCrossRefGoogle Scholar
  41. Hunter, S. (2000). Orphans and other vulnerable children: A framework for programming. Washington DC: Synergy Project Draft Report.Google Scholar
  42. Jewkes, R. (2004). Child sexual abuse and HIV infection. In L. Richter, A. Dawes, and C. Higson-Smith (Eds.), The sexual abuse of young children in Southern Africa: In search of solutions (pp. 129–142). Pretoria: HSRC Press.Google Scholar
  43. Kauchali, S., and Davidson, L. (2006). Commentary: The epidemiology of neurodevelopmental disorders in Sub-Saharan Africa—moving forward to understand the health and psychosocial needs of children, families, and communities. International Journal of Epidemiology, 35(3), 689–690.PubMedCrossRefGoogle Scholar
  44. Knight, W., Mellins, C., Levenson, R., Arpadi, S., and Kairam, R. (2000). Effects of pediatric HIV infection on mental and psychomotor development. Journal of Pediatric Psychology, 25(8), 583–587.PubMedCrossRefGoogle Scholar
  45. Koekkoek, S., Eggermont, L., De Sonnerville, L., and Jupimai, T. (2006). Effects of highly active antiretroviral therapy (HAART) on psychomotor performance in children with HIV disease. Journal of Neurology, 253(12), 1615–1624.PubMedCrossRefGoogle Scholar
  46. Kotchick, B., Forehand, R., Brody, G., Armistead, L., Simon, P., Morse, E., and Clark, L. (1997). The impact of maternal HIV infection on parenting in inner-city African American families. Journal of Family Psychology, 11(4), 447–461.CrossRefGoogle Scholar
  47. Kotras, H. (2001). Exploring the developmental profiles of black South African HIV+. infants using the revised Griffiths Scales of Mental Development. Unpublished Dissertation.Google Scholar
  48. Linsk, N., and Mason, S. (2004). Stress on grandparents and other relatives caring for children affected by HIV/AIDS. Health & Social Work, 29(2), 127–136.CrossRefGoogle Scholar
  49. Luo, C., and Coulter, B. (2002). Diagnosis of pediatric HIV infection. In M. Essex, S. Mboup, P. Kanki, R. Marlink, and R. Tlou (Eds.), AIDS in Africa (2nd ed., pp. 458–468). New York: Kluwer Academic/Plenum Publishers.CrossRefGoogle Scholar
  50. Marinda, E., Humphrey, J., Iliff, P., Mutasa, K., Nathoo, K., Piwoz, E., Moulton, L., Salama, P., Ward, B., and ZVITAMBO Study Group (2007). Child mortality according to maternal and infant HIV status in Zimbabwe. The Pediatric Infectious Disease Journal, 26(6), 519–526.PubMedCrossRefGoogle Scholar
  51. McGrath, N., Bellinger, D., Robins, J., Msamanga, G., Tronick, E., and Fawzi, W. (2006). Effect of maternal multivitamin supplementation on the mental and psychomotor development of children who are born to HIV-1–infected mothers in Tanzania. Pediatrics, 117(2), e216–e225.PubMedCrossRefGoogle Scholar
  52. McLoyd, V.C. (1998). Socioeconomic disadvantage and child development. American Psychologist, 53(2), 185–204.PubMedCrossRefGoogle Scholar
  53. Meintjies, H., and Giese, S. (2006). Spinning the epidemic: The making of mythologies of orphanhood in the context of AIDS. Childhood, 13(3), 407–430.CrossRefGoogle Scholar
  54. Meyers, T., Moultrie, H., Sherman, G., Cotton, M., and Eley, B. (2006). Management of HIV-infected children. In P. Ijumba, and A. Padarath (Eds.), The South African Health Review 2006 (pp. 235–256). Durban: The Health Systems Trust.Google Scholar
  55. Michaels, D., Eley, B., Ndhlovu, L., and Rutenberg, N. (2006). Exploring current practices in paediatric ARV roll-out and integration with early childhood programmes in South Africa: A rapid situational analysis. Washington, DC: Population Council.Google Scholar
  56. Miller, T., Easley, K., Zhang, W., Orav, E., Bier, D., Luder, E., Ting, A., Shearer, W., Vargas, J., and Lipshultz, S. (2001). Maternal and infant factors associated with failure to thrive in children with vertically transmitted Human Immunodeficiency Virus-1 Infection: The prospective, P2C2 Human Immunodeficiency Virus multicenter study. Pediatrics, 108(6), 1287–1296.PubMedCrossRefGoogle Scholar
  57. Monasch, R., and Boerma, J. (2004). Orphanhood and childcare patterns in Sub-Saharan Africa: an analysis of national surveys from 40 countries. AIDS, 18(suppl. 2), S55–S65.PubMedCrossRefGoogle Scholar
  58. Murray, L., and Cooper, P. (2003). Intergenerational transmission of affective and cognitive processes associated with depression: infancy and the preschool years. In I. Goodyer (Ed.), Unipolar depression: a lifespan perspective (pp. 17–46). Oxford: Oxford University Press.Google Scholar
  59. Naeem-Sheik, A., and Gray, G. (2005). HIV disclosure in children. The Southern African Journal of HIV Medicine, 21, 46–48.Google Scholar
  60. Nelson, C. (2007). A neurobiological perspective on early human deprivation. Child Development Perspectives, 1(2), 13–18.CrossRefGoogle Scholar
  61. Newell, M-L., Brahmbatt, H., and Ghys, P. (2004a). Child mortality and HIV infection in Africa: A review. AIDS, 18(Suppl2), S27–S34.PubMedCrossRefGoogle Scholar
  62. Newell, M.-L., Coovadia, H., Cortina-Borja, M., Rollins, N., Gaillard, P., and Dabis, F. (2004b). Mortality of infected and uninfected infants born to HIV-infected mothers in Africa: a pooled analysis. The Lancet, 3641(9441), 1236–1243.CrossRefGoogle Scholar
  63. Olds, D. (2006). The nurse-family partnership: An evidence-based preventive intervention. Infant Mental Health Journal, 27(1), 5–25.CrossRefGoogle Scholar
  64. Olds, D., Sadler, L., and Kitzman, H. (2007). Programs for parents of infants and toddlers: recent evidence from randomized trials. Journal of Child Psychology and Psychiatry, 48(3–4), 355–391.PubMedCrossRefGoogle Scholar
  65. Patel, V., DeSouza, N., and Rodrigues, M. (2003). Postnatal depression and infant growth and development in low income countries: a cohort study from Goa, India. Archives of Disease in Childhood, 88(1), 34–37.PubMedCrossRefGoogle Scholar
  66. Peterson, N., Drotar, D., Olness, K., Guay, L., and Kiziri-Mayengo, R. (2001). The relationship of maternal and child HIV infection to security of attachment among Ugandan infants. Child Psychiatry and Human Development, 32(1), 3–17.PubMedCrossRefGoogle Scholar
  67. Popich, E., Louw, B., and Eloff, I. (2007). Caregiver education as a prevention strategy for communication disorders in South Africa. Infants & Young Children, 20(1), 64–81.CrossRefGoogle Scholar
  68. Potterton, J. (2007). A longitudinal study of neurodevelopmental delay in HIV infected children. Unpublished Doctoral Dissertation.Google Scholar
  69. Ramphele, M. (1993). A bed called home: Life in the migrant labour hostels in Cape Town. Cape Town: David Philip.Google Scholar
  70. Reddi, A., and Leeper, S. (2008). Antiretroviral therapy adherence in children: outcomes from Africa. AIDS, 22(7), 906–907.PubMedCrossRefGoogle Scholar
  71. Reidy, M., Taggart, M-E., and Asselin, L. (1991). Psychosocial needs expressed by the natural caregivers of HIV infected children. AIDS Care, 3(3), 331–343.PubMedCrossRefGoogle Scholar
  72. Richter, L. (1994). Economic stress and its influence on the family and caretaking patterns. In A. Dawes, and D. Donald (Eds.), Childhood and adversity in South Africa: Psychological perspectives from South African Research (pp. 28–50). Cape Town: David Philip.Google Scholar
  73. Richter, L. (2004). Children affected by HIV/AIDS – What happened in Bangkok? HIVAN Editorial. Accessed 7 October 2008.
  74. Richter, L. (2006). The role of the health sector in strengthening systems to support children’s healthy development in communities affected by HIV/AIDS. Geneva: World Health Organization.Google Scholar
  75. Richter, L. (2008). No small issue: Children and families. Plenary presentation at the XVIIth International AIDS Conference: Universal Action Now. Mexico City.Google Scholar
  76. Richter, L., and Desmond, C. (2007). Children in communities affected by HIV and AIDS: Emerging issues. The Hague: Bernard van Leer Foundation.Google Scholar
  77. Richter, L., and Higson-Smith, C. (2004). The many kinds of sexual abuse of young children. In L. Richter, A. Dawes, and C. Higson-Smith (Eds.), The sexual abuse of young children in Southern Africa: In search of solutions (pp. 21–35). Cape Town: HSRC Press.Google Scholar
  78. Richter, L., Dawes, A., and Higson-Smith, C. (Eds.), (2004a). The sexual abuse of young children in Southern Africa: In search of solutions. Pretoria: HSRC Press.Google Scholar
  79. Richter, L., Manegold, J., and Pather, R. (2004b). Family and community interventions for children affected by AIDS. Research monograph commissioned by the Social Aspects of HIV/AIDS and Health Research Programme of the Child, Youth & Family Development Research Programme, HSRC. Cape Town: HSRC Press.Google Scholar
  80. Richter, L., Foster, G., and Sherr, L. (2006). Where the heart is: Meeting the psychosocial needs of young children in the context of HIV/AIDS. Toronto: Bernard Van Leer Foundation.Google Scholar
  81. Rochat, T., Richter, L., Doll, H., Buthelezi, N., Tomkins, A., and Stein, A. (2006). Depression among pregnant rural South African women undergoing HIV testing. JAMA, 295(12), 1376–1378.PubMedCrossRefGoogle Scholar
  82. Rochat, T., Mitchell, C., and Richter, L. (2008). The psychological, social and developmental needs of babies and young children and their caregivers living with HIV and AIDS. Pretoria: UNICEF and the Department of Health.Google Scholar
  83. Sandison, A. (2005). Exploring the developmental profile of Black HIV-positive/AIDS infants and children: A longitudinal study. Unpublished Master’s Thesis.Google Scholar
  84. Sherr, L. (2005). Young children and HIV/AIDS: Mapping the field. Working Paper No 33. The Hague: Bernard van Leer Foundation.Google Scholar
  85. Sherr, L. (2006). Access for all – An analysis of children-related abstracts at the International AIDS Conference, Bangkok. Vulnerable Children and Youth Studies, 1(1), 71–80.CrossRefGoogle Scholar
  86. Sherr, L., and Varrall, R. (2007). An analysis of abstracts from the Toronto AIDS conference – Did we deliver for children? Online Outreach Paper 1. The Hague: Bernard van Leer Foundation.Google Scholar
  87. Shilts, R. (1987). And the band played on: Politics, people and the AIDS epidemic. New York: St Martin’s Press.Google Scholar
  88. Shisana, O., and Simbayi, L (2002). Nelson Mandela/HSRC study of HIV/AIDS: South African national HIV prevalence, behavioural risks and mass media. Household survey 2002. Cape Town: HSRC Press.Google Scholar
  89. Shisana, O., Connolly, C., Rehle, T., Mehtar, S., and Dana, P. (2008). HIV risk exposure among South African children in public health facilities. AIDS Care, 20(7), 755–763.PubMedCrossRefGoogle Scholar
  90. Shonkoff, J., and Phillips, D. (Eds.) (2000). From Neurons to neighborhoods: The science of early childhood development. Washington, D.C: National Academy Press.Google Scholar
  91. Shun-King, M., Mhlanga, R., and De Pinho, H. (2006). The context of maternal and child health. In P. Ijumba, and A. Padarath (Eds.), The South African Health Review 2006 (pp. 107–126). Durban: Health Systems Trust.Google Scholar
  92. Silver, E., Baumann, L., Camacho, S., and Hudis, J. (2003). Factors associated with psychological distress in urban mothers with late-stage HIV/AIDS. AIDS and Behaviour, 7(4), 421–431.CrossRefGoogle Scholar
  93. Stein, A., Krebs, G., Richter, L., Tomkins, A., Rochat, T., and Bennish, M. (2005). Babies of a pandemic: Infant development and maternal HIV. Archives of Disease in Childhood, 90, 116–118.PubMedCrossRefGoogle Scholar
  94. Subbarao, K., and Coury, D. (2004). Reaching out to Africa’s Orphans: A framework for public action. Washington, DC: World Bank.CrossRefGoogle Scholar
  95. UNAIDS (2004). 2004 report on the global AIDS epidemic. Geneva: UNAIDS.Google Scholar
  96. UNAIDS (2008). 2008 report on the global AIDS epidemic. Geneva: UNAIDS.Google Scholar
  97. UNICEF (2006). Africa’s orphaned and vulnerable generations: children affected by AIDS. New York: UNICEF.Google Scholar
  98. UNICEF (2008). Enhanced protection for children affected by AIDS: A companion paper to the framework for the protection, care and support of orphans and vulnerable children living in a world with HIV and AIDS. New York: UNICEF.Google Scholar
  99. UNICEF/UNAIDS (2004). The framework for the protection, care and support of orphans and vulnerable children living in a world with HIV and AIDS. New York: UNICEF.Google Scholar
  100. Van Damme, W., Kober, K., and Laga, M. (2006). The real challenges for scaling up ART in sub-Saharan Africa. AIDS, 20(5), 653–656.PubMedCrossRefGoogle Scholar
  101. Varga, C., Sherman, G., Maphosa, J., and Jones, S. (2005). Psychosocial consequences of early diagnosis of HIV status in vertically exposed infants in Johannesburg, South Africa. Health Care for Women Internationa l, 26(5), 387–397.PubMedCrossRefGoogle Scholar
  102. Weiner, L., Theut, S., Steinberg, S., Riekert, K., and Pizzo, P. (1994). The HIV-infected child: Parental responses and psychosocial implications. American Journal of Orthopsychiatry, 64(3), 485–492.CrossRefGoogle Scholar
  103. Williamson, J. (2000). Finding a way forward: Principles and strategies to reduce the impacts of AIDS on children and families. Washington, DC: USAID.Google Scholar
  104. Woolard, I. (2003). Social assistance grants: Impact of government programmes using administrative data sets. Project 6.2 of the Ten Year Review Research Programme, Southern African Regional Poverty Network. Accessed 7 October 2008.
  105. Wooten, J. (2005). We are all the same: A story of a boy’s courage and a mother’s love. New York: The Penguin Press.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Linda Richter
    • 1
  • Alan Stein
    • 2
  • Lucie Cluver
    • 3
  • Julia de Kadt
    • 4
  1. 1.University of KwaZulu-NatalNatalSouth Africa
  2. 2.University of OxfordOxfordUSA
  3. 3.Department of Social Policy and Social WorkOxford UniversityOxfordUSA
  4. 4.Human Sciences Research CouncilDurbanSouth Africa

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