International Journal of HIV/AIDS Prevention, Education and Behavioural Science

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Challenges Facing Children Born with HIV: A Case Study of One Rural Schoolin Oshikoto Region of Namibia

Received: 07 May 2019    Accepted: 11 June 2019    Published: 24 June 2019
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Abstract

An increasing number of children born with the human immunodeficiency virus (HIV) are surviving well into adolescence and adulthood. This is a direct result of the roll-out of antiretroviral therapy to those infected. This study investigated the challenges facing children born with HIV in one rural school in the Oshikoto region of Namibia. The sample of the study constituted six learners who were purposively selected. Semi-structured interviews and a questionnaire were used to collect data. The results reveal that children know their HIV status and were mostly informed of their status by their caregivers. All the children are on antiretroviral treatment in line with the World Health Organisation (WHO) antiretroviral therapy guidelines, that recommends the initiation of treatment regardless of CD4 count or clinical stage. The results further showed that adherence to treatment remains a problem exacerbated by the secrecy around the virus. Children reported HIV related stigma and discrimination at the hands of adults or peers. Some participants reported feelings of hopelessness, anxiety, isolation and depression. The children’s education is also negatively affected by the HIV -positive status. As with other vulnerable children, the HIV-infected child faces many barriers to learning. The study recommends a comprehensive HIV education programme for all Namibians to mitigate the effects that come with misconceptions and a lack of understanding regarding the virus.

DOI 10.11648/j.ijhpebs.20190501.20
Published in International Journal of HIV/AIDS Prevention, Education and Behavioural Science (Volume 5, Issue 1, June 2019)
Page(s) 76-81
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

HIV/AIDS, Children, Psycho-Social, Education

References
[1] World Health Organization. (2013). Adolescents falling through gaps in HIV services. WHO: Geneva.
[2] Government Gazette of the Republic of Namibia. (2015). Child Care and Protection Act, 2015. Namibia: Windhoek.
[3] UNICEF (2011). Children and HIV & AIDS in Namibia. Retrieved from: www.unicef.org/namibia/UNICEF_Nam_2011_Children_and_Aids_Namibia.pdf
[4] Ministry of Health and Social Services (MoHSS). (2016). National guidelines for antiretroviral therapy. Windhoek: MoHSS.
[5] Ministry of Health and Social Services (MoHSS). (2014). National guidelines for antiretroviral therapy (4th ed.). Windhoek: MoHSS.
[6] Surkan, P. J., Mukheriee, J. S., Williams D. R. & Eustache E. (2010). Perceived stigma toward children affected by HIV/AIDS and their HIV-positive caregivers in central Haiti. AIDS Care, 22 (11), 803-815. doi: 10.1080/09540120903443392.
[7] Mofenson, L. M. & Cotton, M. F. (2013). The challenges of success: adolescents with perinatal HIV infection. Journal of the International AIDS society, 16 (1). doi: 10.7448/IAS.16.1.18650.
[8] Zanoni, B. C. (2013). Behavioural, psychiatric and cognitive problems in adolescents with perinatal HIV infection: Unrecognised consequences. HIV Nursing Matters, 4 (1), 14-17.
[9] Vranda, M. N., &Mothi, S. N. (2013). Psychosocial issues of children infected with HIV/AIDS. Indian J Pshychol Med, 35 (1), 19-22. doi: 10.4103/0253-7176.112195.
[10] Bertram, C., & Christiansen, I. (2014). Understanding research. An introduction to reading research. Pretoria: Van Schaik Publishers.
[11] Merriam, S. B. (1998). Qualitative research and case study applications in Education. Francisco: Jossy-Bass Publishers.
[12] Du Plooy-Cilliers, F., Davis, C. & Bezuidenhout, R. M. (2015). Research Matters. Cape Town: Juta& Company.
[13] Vaz, L. M. E., Eng, E., Maman, E., Tshikandu, T, T. &Behets, T. (2010). Telling children they have HIV: Lessons learned from findings of a qualitative study in Sub-Sahara Africa. AIDS Patient Care Stds, 24 (4), 247-256. doi: 10.1089/apc.2009.0217.
[14] Naanyu, W. J., Gensberg, B., Koech, B., Akinyi, J., Kamene, R., Ndege, S., Siika, A. M., Kimayo, S. & Braitstein, P. (2014). Health facility barriers to HIV linkage and retention in Western Kenya. BMC Health Serv Res, 19 (14), 646.doi: 10.1186/s12913-014-0646-6.
[15] Nsimba, S. E. D., Irunde, H. & Comoro, C. (2010). Barriers to ARV Adherence among HIV/AIDS Positive Persons taking Anti-retroviral Therapy in Two Tanzanian Regions 8-12 Months after Program Initiation. Journal of AIDS & Clinical Research, 1 (3). Doi: 10.4172/2155-6113.1000111.
[16] Azia, I. N., Mukumbang, F. C. & VanWyk, B. (2016). Barriers to adherence to antiretroviral treatment in a regional hospital in Vredenburg, Western Cape, South Africa. Southern African Journal of HIV Medicine, 17. 1-8. 10.4102/sajhivmed.v17i1.476.
[17] Van Dyk, A. (2013). HIV and AIDS education, care and counselling: A multidisciplinary approach. Cape Town: Pearson.
[18] Ministry of Education (2012). The Namibian school feeding programme transition case study. Windhoek: Ministry of Education.
[19] Weiser, S. D., Tuller, D. M., Frongillo, E. A., Senkungu, J Mukiibi, N. & Bangsberg, D. R. (2010) Food insecurity as a barrier to sustained antiretroviral therapy adherence in Uganda. US National Library of Medicine, 5 (4). https://doi.org/10.1371/journal.pone.0010340
[20] Negassie, B., Desalegn, T. & Mekuriaw, A. (2013). Effects on Nutritional factors on Adherence to Antiretroviral Therapy among HIV-infected adults: a case control study in Northern Ethiopia. BMC Infectious Diseases, 13, 233. https://doi.org/10.1186/1471-2334-13-233
[21] Siu, G. E., Kennedy, C. E. & Bakeera-Kitaka, S. (2016). Lived experiences, perceptions and treatment disclosure by HIV infected adolescents at the Transition Clinic of Mulago Hospital, Kampala. Eighteenth International AIDS Conference, Vienna, abstract TUAX0103, 2010.
[22] Dapaah, J. M &Senah, K. A. (2016). HIV/AIDS and Confidentiality; the case of two health centres in Ashanti Region of Ghana. BMC Med Ethics, 17 (1), 41. doi: 10.1186/s12910-016-0123-
[23] Angula, P., Ncama, B. P. & Frohlich, F. (2015). Assessment of HIV/AIDS stigma in a rural Namibian community. World Journal of AIDS, 5, 199-207. doi: 10.4236/wja.2015.53023
[24] Eyassu, M. A., Mothiba, T. M., & Mbambo-Kekana, N. P. (2016). Adherence to antiretroviral therapy among HIV and AIDS patients at the Kwa-Thema clinic in Gauteng Province, South Africa. African Journal of Primary Health Care & Family Medicine, 8 (2). doi: https://dx.doi.org/10.4102%2Fphcfm.v8i2.924
[25] Srithanaviboonchai, K., Chariyalertsak, S., Nontarak, J., Assanangkornchai, S., Kessomboon, P., Putwatana, P., Taneepanichskul, S. & Aekplakorn, W. (2017). Stigmatizing attitudes toward people living with HIV among general adult Thai population: Results from the 5th Thai National Health Examination Survey (NHES). https://doi.org/10.1371/journal.pone.0187231
[26] Bridges, E., Cheetham, N., Bayer, L., & Robbins, S. (2011). Young People Living with HIV around the World: Challenges to health and well-being persist. Washington D. C. http//www.advocates for youth.org/storage/advfy/young2.pdf. July 2018.
[27] Cooper, E. S, Risley, C. L., Drake, L. J. & Bundy, D. A. P. (2007). HIV as part of the life of children and youth, as life expectancy increases: Implications for education. Journal of International Cooperation in Education, 10 (1), 101-113.
[28] Lawan, U. M., Amole, G. T., Jahun, M. G. & Abute, J. E (2015). Psychosocial challenges and adherence to antiretroviral therapy among HIV-positive adolescents attending an ART center in Kano, northwestern Nigeria. Int J Med Sci Public Health, 4 (10): 1439-1444. doi: 10.5455/ijmsph.2015.27042015297.
Author Information
  • Department of Educational Psychology and Inclusive Education, University Namibia, Rundu, Namibia

  • Department of Educational Psychology and Inclusive Education, University Namibia, Ongwediva, Namibia

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    Emilia Ndapandula Mbongo, Anna Niitembu Hako. (2019). Challenges Facing Children Born with HIV: A Case Study of One Rural Schoolin Oshikoto Region of Namibia. International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 5(1), 76-81. https://doi.org/10.11648/j.ijhpebs.20190501.20

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    Emilia Ndapandula Mbongo; Anna Niitembu Hako. Challenges Facing Children Born with HIV: A Case Study of One Rural Schoolin Oshikoto Region of Namibia. Int. J. HIV/AIDS Prev. Educ. Behav. Sci. 2019, 5(1), 76-81. doi: 10.11648/j.ijhpebs.20190501.20

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    AMA Style

    Emilia Ndapandula Mbongo, Anna Niitembu Hako. Challenges Facing Children Born with HIV: A Case Study of One Rural Schoolin Oshikoto Region of Namibia. Int J HIV/AIDS Prev Educ Behav Sci. 2019;5(1):76-81. doi: 10.11648/j.ijhpebs.20190501.20

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  • @article{10.11648/j.ijhpebs.20190501.20,
      author = {Emilia Ndapandula Mbongo and Anna Niitembu Hako},
      title = {Challenges Facing Children Born with HIV: A Case Study of One Rural Schoolin Oshikoto Region of Namibia},
      journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science},
      volume = {5},
      number = {1},
      pages = {76-81},
      doi = {10.11648/j.ijhpebs.20190501.20},
      url = {https://doi.org/10.11648/j.ijhpebs.20190501.20},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijhpebs.20190501.20},
      abstract = {An increasing number of children born with the human immunodeficiency virus (HIV) are surviving well into adolescence and adulthood. This is a direct result of the roll-out of antiretroviral therapy to those infected. This study investigated the challenges facing children born with HIV in one rural school in the Oshikoto region of Namibia. The sample of the study constituted six learners who were purposively selected. Semi-structured interviews and a questionnaire were used to collect data. The results reveal that children know their HIV status and were mostly informed of their status by their caregivers. All the children are on antiretroviral treatment in line with the World Health Organisation (WHO) antiretroviral therapy guidelines, that recommends the initiation of treatment regardless of CD4 count or clinical stage. The results further showed that adherence to treatment remains a problem exacerbated by the secrecy around the virus. Children reported HIV related stigma and discrimination at the hands of adults or peers. Some participants reported feelings of hopelessness, anxiety, isolation and depression. The children’s education is also negatively affected by the HIV -positive status. As with other vulnerable children, the HIV-infected child faces many barriers to learning. The study recommends a comprehensive HIV education programme for all Namibians to mitigate the effects that come with misconceptions and a lack of understanding regarding the virus.},
     year = {2019}
    }
    

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    AB  - An increasing number of children born with the human immunodeficiency virus (HIV) are surviving well into adolescence and adulthood. This is a direct result of the roll-out of antiretroviral therapy to those infected. This study investigated the challenges facing children born with HIV in one rural school in the Oshikoto region of Namibia. The sample of the study constituted six learners who were purposively selected. Semi-structured interviews and a questionnaire were used to collect data. The results reveal that children know their HIV status and were mostly informed of their status by their caregivers. All the children are on antiretroviral treatment in line with the World Health Organisation (WHO) antiretroviral therapy guidelines, that recommends the initiation of treatment regardless of CD4 count or clinical stage. The results further showed that adherence to treatment remains a problem exacerbated by the secrecy around the virus. Children reported HIV related stigma and discrimination at the hands of adults or peers. Some participants reported feelings of hopelessness, anxiety, isolation and depression. The children’s education is also negatively affected by the HIV -positive status. As with other vulnerable children, the HIV-infected child faces many barriers to learning. The study recommends a comprehensive HIV education programme for all Namibians to mitigate the effects that come with misconceptions and a lack of understanding regarding the virus.
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