Sunday, November 2, 2003

This presentation is part of : At Risk Children: Needs, Models and Implications

Orphan Children and HIV/AIDS in Botswana: Conflicts, Controversies, and Challenges

Nthabiseng A. Phaladze, PhD, RN and B. N. Ngwenya, PhD, MSW. Nursing Education, University of Botswana, Gaborone, Botswana
Learning Objective #1: Understand key issues which directly impact on orphans as a vulnerable group in Botswana
Learning Objective #2: Appreciate and explore social issues that usually lead to child neglect and abuse

In Sub-Saharan Africa generally and in Botswana in particular, deaths related to HIV infection and AIDS in urban and rural communities have had a substantial socio-cultural impact. As mortality of adults increases, so does the social displacement of surviving dependents from established families, especially children. As of July 2001, 28, 841 orphans have been registered from various regions in the country. Officially, an orphan is defined as a child below the age of 18 who has lost one parent or two biological or adoptive parents. Also included are “social orphans,” that is, children who have been socially abandoned or expelled from home without any arrangements for reasonable care or supervision. Orphans need special attention if they are to lead a normal and happy childhood. Since AIDS orphans might have additional health needs, there is need for structures to be put in place to cater for them. Consequently, there is also a need to review policies related to orphans care. The aims of this chapter are: (a) to provide an overview the key issues which directly impact on orphans as a vulnerable group in Botswana. (b) explore social issues that usually lead to neglect and abuse of orphans and (c) make policy recommendations.

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