Evidence in support of foster care during acute refugee crises.
OBJECTIVE
The United Nations High Commissioner on Refugees (UNHCR) and United Nations Children's Fund (UNICEF) policy encourages foster care during refugee emergencies. We examined evidence to support this policy using data from the 1994 Rwandan refugee crisis.


METHODS
The association of weight gain and acute illness with family status (foster children vs children living with their biological families) was examined using latent growth curve and repeated measures logistic regression analysis.


RESULTS
Weight gain for all children averaged 0.40 kg/month and was associated with child's age but not with family status, child's or caregiver's sex, caregiver's marital status, possession of blankets or plastic sheeting, severe malnutrition, month of enrollment, or acute illness. Illness was not more common among foster children than among children living with their biological families.


CONCLUSIONS
This analysis supports the UNHCR/UNICEF recommendation of fostering for unaccompanied children during an acute refugee crisis.
Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, USA. aduerr@hvtn.org
Ann
A
Duerr
Samuel F
SF
Posner
Mark
M
Gilbert
D000208:Acute Disease / Q000453:epidemiology*; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D002669:Child Welfare / Q000706:statistics & numerical data*; D002675:Child, Preschool; D015023:Democratic Republic of the Congo / Q000453:epidemiology; D005190:Family; D005260:Female; D005522:Food Services; D005581:Foster Home Care / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D044342:Malnutrition / Q000453:epidemiology*; D015999:Multivariate Analysis; D012036:Refugees / Q000706:statistics & numerical data*; D012432:Rwanda / Q000208:ethnology; D014480:United Nations; D015430:Weight Gain