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Exploring the Care Relationship between Grandparents/Older Carers and Children Infected with HIV in South-Western Uganda: Implications for Care for Both the Children and Their Older Carers

机译:探索乌干达西南部的祖父母/年长者和感染艾滋病毒的儿童之间的护理关系:对儿童及其年长者的护理意义

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摘要

The care of children orphaned by HIV/AIDS in sub-Saharan Africa is often undertaken by grandparents, yet little is known about the care relationship between grandparent and grandchild. Our aim was to examine this relationship to understand the needs and responsibilities of both the HIV positive child and older carer and the nature of the relationship, and to assess the implications for care for the children and the older carers. A qualitative study was conducted with 40 purposively sampled children (13–17 years) and their older carers (50 years and above). Participants were recruited from two clinics in south-western Uganda. Up to three semi-structured interviews were held with each participant. Data were analysed using a thematic framework approach. We found that the care relationship was mostly reciprocal: HIV positive children depended on carers for basic and health needs and carers counted on the children for performing tedious household tasks. The relationship was also characterised by challenges, sometimes causing tension between child and carer. We conclude that: (1) interventions targeting HIV positive children need to also address the needs of older carers, and (2) carers and children would benefit from psychosocial support and social protection.
机译:在撒哈拉以南非洲,因艾滋病毒/艾滋病成为孤儿的儿童通常由祖父母来照料,但对祖父母与孙子之间的照料关系知之甚少。我们的目的是检查这种关系,以了解艾滋病毒呈阳性的儿童和年长的看护者的需求和责任以及这种关系的性质,并评估对儿童和年长的看护者的照料含义。对40个有目​​的的儿童(13-17岁)及其较大的照料者(50岁及以上)进行了定性研究。参与者是从乌干达西南部的两个诊所招募的。每个参与者最多进行三个半结构化访谈。使用主题框架方法分析数据。我们发现护理关系主要是对等的:艾滋病毒呈阳性的孩子依靠照顾者来满足基本和健康需求,而照顾者则依靠这些孩子完成繁琐的家务。这种关系的特征还在于挑战,有时会引起儿童与照顾者之间的紧张关系。我们得出的结论是:(1)针对艾滋病毒阳性儿童的干预措施还需要满足年龄较大的看护者的需求,(2)护老者和儿童将从心理社会支持和社会保护中受益。

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