title: Orphans of the AIDS epidemic? The extent, nature and circumstances of child-headed households in South Africa.
abstract: There is widespread concern that the number of children living in "child-headed households" is rapidly increasing as a result of AIDS-related adult mortality in much of sub-Saharan Africa. Based on analyses of data from several representative national surveys over the period 2000-2007, this paper examines the extent to which this is the case in South Africa. It explores trends in the number of children living in child-only households and characterises these children relative to children living in households with adults (mixed-generation households). The findings indicate that the proportion of child-only households is relatively small (0.47% in 2006) and does not appear to be increasing. In addition, the vast majority (92.1%) of children resident in child-only households have a living parent. The findings raise critical questions about the circumstances leading to the formation of child-only households and highlight that they cannot for the main part be ascribed to HIV orphaning. Nonetheless, the number of children living in this household form is not insignificant, and their circumstances, when compared with children in mixed-generation households, indicate a range of challenges, including greater economic vulnerability and inadequate service access. We argue that a solitary focus on the HIV epidemic and its related orphaning as the cause of child-only households masks other important issues for consideration in addressing their needs, and risks the development of inappropriate policies, programmes and interventions.
authors.affiliation: Children's Institute, University of Cape Town, South Africa. helen.meintjes@uct.ac.za
authors.forename: Helen
authors.initials: H
authors.lastname: Meintjes
authors.forename: Katharine
authors.initials: K
authors.lastname: Hall
authors.forename: Double-Hugh
authors.initials: DH
authors.lastname: Marera
authors.forename: Andrew
authors.initials: A
authors.lastname: Boulle
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology*; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D054540:Child, Orphaned; D002675:Child, Preschool; D005191:Family Characteristics; D005260:Female; D006291:Health Policy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012959:Socioeconomic Factors; D013019:South Africa / Q000453:epidemiology; D035862:Vulnerable Populations
references.citation: Soc Sci Med. 2003 Jul;57(2):301-11
references.pmid: 12765710
references.citation: Afr J AIDS Res. 2005 Dec;4(3):147-59
references.pmid: 25865783
references.citation: Scand J Public Health Suppl. 2007 Aug;69:85-93
references.pmid: 17676508
references.citation: AIDS. 2004 Jun;18 Suppl 2:S55-65
references.pmid: 15319744
references.citation: Popul Stud (Camb). 2007 Nov;61(3):327-36
references.pmid: 17979006
references.citation: AIDS. 2001 Oct 19;15(15):2017-23
references.pmid: 11600831
references.citation: AIDS Care. 2008 Oct;20(9):1019-28
references.pmid: 18608066
references.citation: BMC Public Health. 2006 Feb 09;6:27
references.pmid: 16469104
references.citation: Afr J AIDS Res. 2005 May;4(1):21-8
references.pmid: 25865638