Psychosocial Challenges Facing Orphaned Children and Caregivers in Tanzanian Institutionalized Orphanage Centres
Abstract
This study investigated psychosocial challenges facing orphaned children and caregivers as well as possible intervention strategies that could be adopted to mitigate these challenges in the institutionalised orphaned children centres in Ubungo Municipal, Dar es Salaam. The study used a qualitative research approach and a descriptive research design. A purposive sampling technique was employed to select six orphanage centres. The study had a sample of 67 participants including children receiving orphanage care at the institutionalised orphaned children centres, caregivers and directors of the centres who were selected through purposive sampling technique. Data were collected using in-depth interviews and a non-observation method and were sorted and coded based on themes and presented according to the research questions. Thematic analysis was used in qualitative data. Findings from the study revealed that orphaned children were supported with various services including food, clothes, accommodation, health services, spiritual and educational support, life skills, sports and games. It was found further that the orphans were faced with a lack of adequate health facilities including health insurance coverage, educational materials, sports gear and in some centres inadequate clean and safe water. Caregivers lack counselling knowledge and skills. Therefore, the study recommends community participation in providing care to orphaned children and equipping caregivers with relevant knowledge and skills to perform their duties competently
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Abebe, T., & Aase, A. (2007). Children, AIDS and politics of orphan care in Ethiopia: The extended family revisited. Social Science and Medicine, 64 (10), 2058-2069.
Atwine, B., Cantor-Graae, F. & Bajunirine, F. (2005). Psychological distress among AIDS orphans in rural Uganda. Journal of Social Science and Medicine, 61(3), 555-564.
Atwine, B., Cantor-Grace, E. & Bujunirwe, F. (2021). Psychological distress among AIDS orphans in Rural Uganda. Social Science and Medicine, 61, 555-564.
Baaroy, J., & Webb, D. (2008). Who are the most vulnerable? Disaggregating orphan categories and identifying child outcome status in Tanzania. Vulnerable Children and Youth Studies, 3(2), 92-101.
Beek, M., & Schofield, G. (2004). Providing a secure base: Tuning in to children with severe learning difficulties in long-term foster care. Adoption & Fostering, 28(2), 8-19.
Bettmann, J. E., Mortensen, J. M., & Akuoko, K. O. (2015). Orphanage caregivers’ perceptions of children’s emotional needs. Children and Youth Services Review, 49, 71-79.
Boutin, J. L. (2006). An ounce of prevention: restructuring NGO street and vulnerable children programs in Tanzania (Doctoral dissertation, Doctoral dissertation, MA Dissertation, Boston University.
Brannon, L. (2008). Gender: Psychological perspectives (5th Ed). Boston: Pearson Education.
Bricki, N., & Green, J. (2007). A guide to using qualitative research methodology. Retrieved August 20, 2021 from: http://fieldresearch.msf.org/bitstream
Campbell, C., Anderson, L., Mutsikiwa, A., Pufall, E., Scovdal M., Madauhire, C. Nyamukapa, C., & Greyson S., (2014). Factors shaping the HIV competency of two primary schools in rural Zimbabwe. International Journal of Development: 10.1016/j.ijedudev.
Caserta, T. A. (2017). The psychological wellbeing of orphans and youth in Rwanda: Analysis of predictors, vulnerability factors and buffers. Publications of the Department of Social Science, Social Psychology: University of Helsinki, pp.226-236.
Chitiyo M, Changara DM & Chitiyo, G. (2008). Providing psychological support to special needs children: A case of orphans and vulnerable children in Zimbabwe. International Journal of Education Development, 28:384-392
Christian Alliance for Orphans. (2014). Global orphans facts. Retrieved September 12, 2021 from http://www.christianalliancefororphans.org/resources/orphans-fact.
Daniel, M. & Runkundo, P., (2016). Children orphaned by AIDS in Uganda: Can they thrive under orphanage care? Social Work & Society, 14(1), 1-17.
Eiroa-Orosa, F. J. (2020). Understanding psychosocial well-being in the context of complex and multidimensional. Int. J. Environ. Res. Public Health, 17(16), 5937.
Erango, M. A. & Ayka, Z. A. (2015). Psychosocial support and parents’ social life determine the self-esteem of orphan children. Risk Management Health Policy. 8: 169-173.
Evangelou, M. (2009). Early years learning and development: Literature review.
Golding, K. S., Dent, H. R., Nissim, R., & Stott, L. (Eds.). (2006). Thinking psychologically about children who are looked after and adopted: Space for Reflection. John Wiley & Sons.
Huynh, H. V., Limber, S. P., Gray, C. L., Thompson, M. P., Wasonga, A. I., Vann, V., ... & Whetten, K. (2019). Factors affecting the psychosocial wellbeing of orphan and separated children in five low-and middle-income countries: Which is more important, quality of care or care setting? PLoS One, 14(6), e0218100.
Ismail, L. B., Hindawi, H., Awamleh, W., & Alawamleh, M. (2018). The key to successful management of child care centres in Jordan. International Journal of Child Care and Education Policy, 12(1), 1-19.
Joffe, H. & Yardley, L., (2004). Content and thematic analysis: Research methods for clinical and health psychology. California: Sage Publication.
Juma, S. K. (2008). Social and psychological problems facing orphaned children in Zanzibar: Papers in Education and Development, Vol. 28, 139-160.
Kamali, A., Seeley, JA., Nunn, AJ., Kengeya, KJF., Ruberantwari, A., Mulder, DW. (1996). The orphan problem: experience of a sub-Saharan Africa rural population in the AIDS epidemic. AIDS Care,8 (5):509-516.
Kayombo, E. J., Mbwambo, Z. H., & Massila, M. (2005). Role of traditional healers in psychosocial support in caring for the orphans: A case of Dar-es Salaam City, Tanzania. Journal of Ethnobiology and Ethnomedicine, 1(1), 1-7.
Kichonge, A. S. (2007). Towards improving care and support to in orphans Tanzania: The case of selected orphanage centres in Arusha region. Master Dissertation. University of Dar es Salaam, Tanzania.
Kothari, C.R. (2004). Research methodology. New Delhi: New Age.
Kuo, C., Operario, D. & Cluver, L. (2010). Depression amongst carers of AIDS-orphaned and other-orphaned children in Umlazi Township. South Africa. Glob Public Health, 7(3), 253-269.
Larose S, Bernier A, Tarabulsy GM (2005). Attachment state of mind, learning dispositions, and academic performance during the college transition. Development Psychology 41(1):281.
Makuu, M. J. (2017). Family matters: Strengthening alternative care systems for orphans and vulnerable children in Dar es Salaam, Tanzania. Doctoral Thesis (Social work). Botswana, University of Botswana.
Makuu, M. J. (2019). Situation analysis of orphans and vulnerable children in existing alternative care systems in Dar es Salaam, Tanzania. Social Work & Society, 17(1), 1-17.
Masmas, T. N., Jansen, H., Da Silva, D., Høj, L., Sandström, A. & Aaby, P. (2012). Survival among motherless children in rural and urban areas in Guinea Bissau. Journal of Acta Paediatricia, 93(1), 99-105.
Mears, M., Singletary, J., & Rogers, R. (2011). Strategies for supporting orphans and vulnerable children: An exploratory study of an exemplary model of care in Kenya. Child & Youth Services, 32(4), 286-302.
Mchau, M. G. (2010). Adequacy of psychosocial care services provided to orphaned children by caregivers in Temeke District, Dar es Salaam Region, Tanzania. Master of Art (Applied Social Psychology) Unpublished Thesis. University of Dar es Salaam.
Mgeni, W. (2013). Care practices for children living in orphanage centres in Morogoro and Dar es Salaam regions. Unpublished Master Dissertation, Sokoine University of Agriculture, Morogoro.
Mohamed, M., & Rajab, M. (2016). Qualitative analysis methods. College of Business Technological: University Dublin.
Msoka, A. & Holroyd, E. (2018). Children’s perspectives of their psychosocial wellbeing in Tanzanian orphanages. International Journal of Nursing and Midwifery, 10(5), 41-46.
Murray, L. K., Skavenski, S., Kane, J. C., Mayeya, J., Dorsey, S., Cohen, J. A. & Bolton, P. A. (2015). Effectiveness of trauma-focused cognitive behavioural therapy among trauma-affected children in Lusaka, Zambia: A randomised clinical trial. JAMA Pediatrics, 169(8), 761-769.
Ntuli, B., Mokgatle, M., & Madiba, S. (2020). The psychosocial wellbeing of orphans: The case of early school leavers in socially depressed environment in Mpumalanga Province, South Africa. Plos One, 15(2), 1-17.
Nyawasha, T. S., & Chipunza, C. (2012). An assessment of psychosocial and empowerment support interventions for orphans and vulnerable children in Zimbabwe. Journal of Human Ecology, 40(1), 9-16.
Pillay, J. (2016). Factors leading to orphans and vulnerable children living in community-based homes. Journal of Psychology in Africa, 26(6), 558-561.
REPSSI (2009). Mainstreaming psychosocial care and support through child participation psychosocial well-being series. https://www.forgood.co.za/cause/profile/repssi-regional-psychosocialsupport-initiative.
REPSSI (2011). Psychosocial care and support for older careers of orphaned and vulnerable children: Policy guidelines. Nairobi: Help Age International.
REPSSI (2016). Psychosocial wellbeing for all ages. Johannesburg. https://www.forgood.co.za/cause/profile/repssi- regional- psychosocialsupport-initiative
Save the Children. (2013). Save the children’s child protection strategy 2013-2015. Kingdom: Save the Children.
Schenk, K. D., Michaelis, A., Sapiano, T. N., Brown, L.& Weiss, E. (2010). Improving the lives of vulnerable children: implications of horizons research among orphans and other children affected by AIDS. Public Health Rep., 125(2):325-336.
Scott, J. (1991). Social network analysis: A handbook. Sage Publications, Inc., Washington, DC.
Stover, J., Bollinger, L., Walker, N., & Monasch, R. (2005). Resource needs to support orphans and vulnerable children in sub-Saharan Africa. Health Policy and Planning, 22(1), 21-27.
Stroebe, M., Schut, H., Nauta, M. H. (2016). Is homesickness a mini-grief? Development of a dual process model. Clinical Psychology Science, 4 (2):344- 358.
Subbarao, K. & Coury, D. (2004). Reaching out to Africa's Orphans: A framework for public action. Washington, DC: World Bank.
Tadesse, S., Dereje, F., & Belay, M. (2014). Psychosocial wellbeing of orphan and vulnerable children at orphanages in Gondar Town, North West Ethiopia. Journal of Public Health and Epidemiology, 6(10), 293-301.
Fitzgerald, T., C., Millstein, R. A., Von Hippel, C., Howe, C. J., Tomasso, L. P., Wagner, G. R., & VanderWeele, T. J. (2019). Psychological wellbeing as part of the public health debate? Insight into dimensions, interventions, and policy. BMC Public Health, 19 (1), 1-11.
UNICEF 2006). Care for children affected by HIV &AIDS. New York: Research Centre.
UNICEF (2010). Children and aids program. United Republic of Tanzania.
UNICEF (2017). Press release, viewed at Retrieved August 30, 2021, from https://www.unicef.org/media/media_45279.html
Van Dyk, A. C. (2007). Occupational stress experienced by caregivers working in the HIV/AIDS field in South Africa. African Journal of AIDS Research, 6(1), 49-66.
Vedasto, V. (2015). The effectiveness of caregivers’ psychosocial service provision to orphaned children: a case study of orphanages in Kinondoni municipality (Doctoral dissertation, University of Dar es Salaam).
World Bank. (2004). Most vulnerable children in Tanzania: Access to education and patterns of non- attendance.https://www.fhi360.org/sites/default/files/media/documents/Tanzania_Vulnerability.pdf
Yang, H., Wu, Z., Duan, S., Li, Z., Li, X., Shen, M, & Stanton, B. (2011). Living environment and schooling of children with HIV-infected parents in southwest China. AIDS Care 18(7):647-655.
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