title: Can Schools Support HIV/AIDS-Affected Children? Exploring the 'Ethic of Care' amongst Rural Zimbabwean Teachers.
abstract: How realistic is the international policy emphasis on schools 'substituting for families' of HIV/AIDS-affected children? We explore the ethic of care in Zimbabwean schools to highlight the poor fit between the western caring schools literature and daily realities of schools in different material and cultural contexts. Interviews and focus groups were conducted with 44 teachers and 55 community members, analysed in light of a companion study of HIV/AIDS-affected pupils' own accounts of their care-related experiences. We conceptualise schools as spaces of engagement between groups with diverse needs and interests (teachers, pupils and surrounding community members), with attention to the pathways through which extreme adversity impacts on those institutional contexts and social identifications central to giving and receiving care. Whilst teachers were aware of how they might support children, they seldom put these ideas into action. Multiple factors undermined caring teacher-pupil relationships in wider contexts of poverty and political uncertainty: loss of morale from low salaries and falling professional status; the inability of teachers to solve HIV/AIDS-related problems in their own lives; the role of stigma in deterring HIV/AIDS-affected children from disclosing their situations to teachers; authoritarian teacher-learner relations and harsh punishments fuelling pupil fear of teachers; and lack of trust in the wider community. These factors undermined: teacher confidence in their skills and capacity to support affected pupils and motivation to help children with complex problems; solidarity and common purpose amongst teachers, and between teachers and affected children; and effective bridging alliances between schools and their surrounding communities-all hallmarks of HIV-competent communities. We caution against ambitious policy expansions of teachers' roles without recognition of the personal and social costs of emotional labour, and the need for significant increases in resources and institutional recognition to enable teachers to adopt support roles. We highlight the need for research into how best to create opportunities for teacher recognition in deprived and disorganised institutional settings, and the development of more culturally appropriate notions of caring.
authors.affiliation: Department of Social Psychology, The London School of Economics and Political Science, London, United Kingdom.
authors.forename: Catherine
authors.initials: C
authors.lastname: Campbell
authors.affiliation: Department of Social Psychology, The London School of Economics and Political Science, London, United Kingdom.
authors.forename: Louise
authors.initials: L
authors.lastname: Andersen
authors.affiliation: Biomedical Research and Training Institute, Harare, Zimbabwe.
authors.forename: Alice
authors.initials: A
authors.lastname: Mutsikiwa
authors.affiliation: School of Applied Human Sciences, University of KwaZulu Natal, Durban, South Africa.
authors.forename: Claudius
authors.initials: C
authors.lastname: Madanhire
authors.affiliation: Department of Infectious Disease Epidemiology, Imperial College School of Public Health, London, United Kingdom.
authors.forename: Constance
authors.initials: C
authors.lastname: Nyamukapa
authors.affiliation: Department of Infectious Disease Epidemiology, Imperial College School of Public Health, London, United Kingdom.
authors.forename: Simon
authors.initials: S
authors.lastname: Gregson
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000523:psychology; D000293:Adolescent; D000328:Adult; D002648:Child; D004989:Ethics; D006801:Humans; D008875:Middle Aged; D012424:Rural Population; D012574:Schools; D012959:Socioeconomic Factors; D015030:Zimbabwe / Q000453:epidemiology