title: Perceptions of children and community members concerning the circumstances of orphans in rural Zimbabwe.
abstract: Focus group discussions and interviews were held with 40 orphans, 25 caretakers and 33 other community workers from a rural area near Mutare, Zimbabwe. Orphan concerns included feeling different from other children, stress, stigmatization, exploitation, schooling, lack of visits and neglect of support responsibilities by relatives. Many community members, while recognizing their limitations due to poverty, were already actively helping orphans and caretakers. Extended family networks are the primary resource for orphans, though some relatives exploit orphans or fail to fulfil their responsibilities. Interventions are suggested which support community coping mechanisms by strengthening the capacities of families to care for orphans. Outside organizations can develop partnerships with community groups, helping them to respond to the impact of AIDS, by building upon existing concern for orphan families. They can help affected communities to develop orphan support activities which encourage caring responses by community leaders and relatives and which discourage property-grabbing and orphan neglect. Material support channelled through community groups to destitute families at critical times can strengthen family coping mechanisms. Income-generating activities should build upon communities' existing capabilities and benefit the most vulnerable orphan households. Some communities are responding to the AIDS disaster by adaptations to cope with devastating changes taking place in their communities.
authors.affiliation: Paediatric Department, Mutare Provincial Hospital, Zimbabwe.
authors.forename: G
authors.initials: G
authors.lastname: Foster
authors.forename: C
authors.initials: C
authors.lastname: Makufa
authors.forename: R
authors.initials: R
authors.lastname: Drew
authors.forename: S
authors.initials: S
authors.lastname: Mashumba
authors.forename: S
authors.initials: S
authors.lastname: Kambeu
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000523:psychology*; D000223:Adaptation, Psychological; D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D005192:Family Health; D005260:Female; D005581:Foster Home Care / Q000523:psychology*; D006801:Humans; D008297:Male; D010465:Perception; D012423:Rural Health; D012944:Social Support; D015030:Zimbabwe