The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania, and South Africa.


Hosegood, V; Floyd, S; Marston, M; Hill, C; McGrath, N; Isingo, R; Crampin, A; Zaba, B; (2007) The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania, and South Africa. Population studies, 61 (3). pp. 327-36. ISSN 0032-4728 DOI: https://doi.org/10.1080/00324720701524292

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Abstract

Using longitudinal data from three demographic surveillance systems (DSS) and a retrospective cohort study, we estimate levels and trends in the prevalence and incidence of orphanhood in South Africa, Tanzania, and Malawi in the period 1988-2004. The prevalence of maternal, paternal, and double orphans rose in all three populations. In South Africa - where the HIV epidemic started later, has been very severe, and has not yet stabilized - the incidence of orphanhood among children is double that of the other populations. The living arrangements of children vary considerably between the populations, particularly in relation to fathers. Patterns of marriage, migration, and adult mortality influence the living and care arrangements of orphans and non-orphans. DSS data provide new insights into the impact of adult mortality on children, challenging several widely held assumptions. For example, we find no evidence that the prevalence of child-headed households is significant or has increased in the three study areas.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Population Studies (1974-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: ALPHA Network
Centre for Maternal, Reproductive and Child Health (MARCH)
Population Studies Group
MEIRU
PubMed ID: 17979006
Web of Science ID: 251540600006
URI: http://researchonline.lshtm.ac.uk/id/eprint/8643

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