2023-09-28 14:46:10 +00:00
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abstract: 'Background: The purpose of this study was to understand the strategies
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employed by families that adopt Acquired Immune Deficiency Syndrome
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(AIDS)-orphaned children (Adoptive families) for coping with and
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mitigating the impact of AIDS in Mbeya Rural District, Tanzania. High
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numbers of AIDS orphaned children aged below 18 years in Mbeya Region
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have led to increasing the burden of families caring for them.
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Understanding the coping strategies and impact mitigation activities
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employed by adoptive families is important in order to develop
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programmes to help them.
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Methods: This study employed a qualitative method for data collection
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(one-on-one in-depth interviews). The respondents included 12 male and 8
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female heads of families that provide essential care for AIDS-orphaned
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children in Mbeya Rural District in Tanzania. The framework approach was
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used to analyse the data that were collected from 15 July to 15 August
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2010.
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Results: The study findings revealed that adoptive families faced
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several challenges including financial constraints due to increased
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needs for basic essentials such as health care expenses, school fees and
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food. Further impacts on adoptive families included shortage of work
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opportunities and limited time to address these challenges. To mitigate
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these challenges, adoptive families employed a range of coping
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strategies including selling family assets and renting out parts of
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cultivable land for extra cash. Task reallocation which involved the
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AIDS-orphaned children entering the labour force was also employed as a
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strategy to mitigate challenges and involved de-enrolling of children
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from schools so they could take part in income-generating activities in
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order to earn supplementary family income. The creation of additional
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income-generating activities such as poultry farming were other coping
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mechanisms employed, and these received support from both
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non-governmental organisations (NGOs) and governmental organisations,
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including the Isangati Agricultural Development Organization (local NGO)
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and the local government respectively.
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Conclusions: The current study identified challenges that adoptive
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families as well as the AIDS- orphaned children themselves faced in
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Mbeya Rural District, Tanzania. Recognition of these issues highlights
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the need for targeted interventions to address the underlying social
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determinants of human immunodeficiency virus or HIV and AIDS in affected
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populations in order to prevent further imposition of social, cultural
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and economic disadvantages on families that provide care for
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AIDS-orphaned children and the children themselves. These findings may
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prove useful in provoking discussions that may lead to HIV/AIDS
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prevention and the development of broader mitigation strategies to
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alleviate the impact of this scourge on families and communities in
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rural Tanzania, and in similar settings across the world.'
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affiliation: 'Mwanri, L (Corresponding Author), Flinders Univ S Australia, Sch Hlth
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Sci, Discipline Publ Hlth, GPO Box 2100, Adelaide, SA 5001, Australia.
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Fauk, Nelsensius Klau, Inst Resource Governance \& Social Change, Jl R W Monginsidi
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II,2 Kel Kelapa Lima, Kupang, Nusa Tenggara T, Indonesia.
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Mwakinyali, Silivano Edson, Natl Food Reserve Agcy, POB 5384, Dar Es Salaam, Tanzania.
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Putra, Sukma, Binus Univ Int, Jl Hang Lekir I 6, Jakarta 10270, Indonesia.
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Mwanri, Lillian, Flinders Univ S Australia, Sch Hlth Sci, Discipline Publ Hlth,
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GPO Box 2100, Adelaide, SA 5001, Australia.'
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article-number: '21'
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author: Fauk, Nelsensius Klau and Mwakinyali, Silivano Edson and Putra, Sukma and
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Mwanri, Lillian
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author-email: lillian.mwanri@flinders.edu.au
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author_list:
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- family: Fauk
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given: Nelsensius Klau
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- family: Mwakinyali
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given: Silivano Edson
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- family: Putra
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given: Sukma
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- family: Mwanri
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given: Lillian
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da: '2023-09-28'
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doi: 10.1186/s40249-016-0233-7
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eissn: 2049-9957
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files: []
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issn: 2095-5162
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journal: INFECTIOUS DISEASES OF POVERTY
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keywords: 'Adoptive families; AIDS-orphaned children; Coping strategies; HIV; AIDS;
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Mbeya Rural District; Tanzania'
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keywords-plus: IMPACT; HIV/AIDS; EPIDEMIC; HEALTH; SUPPORT; LABOR; CARE
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language: English
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month: FEB 7
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number-of-cited-references: '62'
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orcid-numbers: 'Fauk, Nelsensius/0000-0002-1325-2640
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Mwanri, Lillian/0000-0002-5792-7785'
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papis_id: 60d8e7e9620e1903dfe2c24bd75d1b1f
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ref: Fauk2017understandingstrateg
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researcherid-numbers: 'Fauk, Nelsensius/L-8024-2015
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Mwanri, Lillian/AGG-3711-2022'
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times-cited: '8'
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title: 'Understanding the strategies employed to cope with increased numbers of AIDS-orphaned
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children in families in rural settings: a case of Mbeya Rural District, Tanzania'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000394300900001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '3'
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volume: '6'
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web-of-science-categories: Infectious Diseases; Parasitology; Tropical Medicine
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year: '2017'
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