Vulnerability Multiplied

Health Needs Assessment of 13-18-Year-Old Female Orphan and Vulnerable Children in Kenya

Rosy Chhabra, Nehama Teitelman, Ellen J. Silver, Jill Raufman, Laurie J. Bauman

Research output: Contribution to journalArticle

Abstract

Globally, orphans and vulnerable children (OVCs) affected/infected by HIV/AIDS face many health risks, including malnutrition, early/unprotected sex, early forced marriage, HIV and other sexually transmitted infections (STIs), substance abuse, child labor, and high rates of mental health problems. We conducted formative research on mental health issues and HIV/STI risk behavior in Kasarani, a large slum in Nairobi, to guide the development of future interventions. Collaborating with a local community hospital, we used focus groups in the community to gather information that was used to generate a survey of 261 OVCs aged 13-18 years. Focus groups converged in deeming that OVCs were a high-risk group, and girls were especially at higher health risk. Living within an impoverished environment makes these girls vulnerable to marginalization and exploitation. Specific concerns for girls included peer pressure, depression, suicidal ideation, sexual relationship with infected partners, lack of health education (specifically HIV/STI prevention information), and sexual exploitation by older men.

Original languageEnglish (US)
JournalWorld Medical and Health Policy
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Orphaned Children
Needs Assessment
Kenya
Sexually Transmitted Diseases
HIV
Health
Focus Groups
Mental Health
Poverty Areas
Unsafe Sex
Suicidal Ideation
Community Hospital
Risk-Taking
Marriage
Health Education
Malnutrition
Substance-Related Disorders
Acquired Immunodeficiency Syndrome
Depression
Research

Keywords

  • HIV/STI prevention
  • Mental health
  • OVC

ASJC Scopus subject areas

  • Health Policy

Cite this

@article{f8e6eaaf7102427cb4413e5b1d9f350e,
title = "Vulnerability Multiplied: Health Needs Assessment of 13-18-Year-Old Female Orphan and Vulnerable Children in Kenya",
abstract = "Globally, orphans and vulnerable children (OVCs) affected/infected by HIV/AIDS face many health risks, including malnutrition, early/unprotected sex, early forced marriage, HIV and other sexually transmitted infections (STIs), substance abuse, child labor, and high rates of mental health problems. We conducted formative research on mental health issues and HIV/STI risk behavior in Kasarani, a large slum in Nairobi, to guide the development of future interventions. Collaborating with a local community hospital, we used focus groups in the community to gather information that was used to generate a survey of 261 OVCs aged 13-18 years. Focus groups converged in deeming that OVCs were a high-risk group, and girls were especially at higher health risk. Living within an impoverished environment makes these girls vulnerable to marginalization and exploitation. Specific concerns for girls included peer pressure, depression, suicidal ideation, sexual relationship with infected partners, lack of health education (specifically HIV/STI prevention information), and sexual exploitation by older men.",
keywords = "HIV/STI prevention, Mental health, OVC",
author = "Rosy Chhabra and Nehama Teitelman and Silver, {Ellen J.} and Jill Raufman and Bauman, {Laurie J.}",
year = "2018",
month = "1",
day = "1",
doi = "10.1002/wmh3.267",
language = "English (US)",
journal = "World Medical and Health Policy",
issn = "1948-4682",
publisher = "Berkeley Electronic Press",

}

TY - JOUR

T1 - Vulnerability Multiplied

T2 - Health Needs Assessment of 13-18-Year-Old Female Orphan and Vulnerable Children in Kenya

AU - Chhabra, Rosy

AU - Teitelman, Nehama

AU - Silver, Ellen J.

AU - Raufman, Jill

AU - Bauman, Laurie J.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Globally, orphans and vulnerable children (OVCs) affected/infected by HIV/AIDS face many health risks, including malnutrition, early/unprotected sex, early forced marriage, HIV and other sexually transmitted infections (STIs), substance abuse, child labor, and high rates of mental health problems. We conducted formative research on mental health issues and HIV/STI risk behavior in Kasarani, a large slum in Nairobi, to guide the development of future interventions. Collaborating with a local community hospital, we used focus groups in the community to gather information that was used to generate a survey of 261 OVCs aged 13-18 years. Focus groups converged in deeming that OVCs were a high-risk group, and girls were especially at higher health risk. Living within an impoverished environment makes these girls vulnerable to marginalization and exploitation. Specific concerns for girls included peer pressure, depression, suicidal ideation, sexual relationship with infected partners, lack of health education (specifically HIV/STI prevention information), and sexual exploitation by older men.

AB - Globally, orphans and vulnerable children (OVCs) affected/infected by HIV/AIDS face many health risks, including malnutrition, early/unprotected sex, early forced marriage, HIV and other sexually transmitted infections (STIs), substance abuse, child labor, and high rates of mental health problems. We conducted formative research on mental health issues and HIV/STI risk behavior in Kasarani, a large slum in Nairobi, to guide the development of future interventions. Collaborating with a local community hospital, we used focus groups in the community to gather information that was used to generate a survey of 261 OVCs aged 13-18 years. Focus groups converged in deeming that OVCs were a high-risk group, and girls were especially at higher health risk. Living within an impoverished environment makes these girls vulnerable to marginalization and exploitation. Specific concerns for girls included peer pressure, depression, suicidal ideation, sexual relationship with infected partners, lack of health education (specifically HIV/STI prevention information), and sexual exploitation by older men.

KW - HIV/STI prevention

KW - Mental health

KW - OVC

UR - http://www.scopus.com/inward/record.url?scp=85047663499&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85047663499&partnerID=8YFLogxK

U2 - 10.1002/wmh3.267

DO - 10.1002/wmh3.267

M3 - Article

JO - World Medical and Health Policy

JF - World Medical and Health Policy

SN - 1948-4682

ER -