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EFFECTS OF HIV AND AIDS ON SURVIVING BREADWINNER CHILDREN. Roland Edgar Mhlanga Nelson R Mandela School of Medicine University of KwaZulu-Natal DURBAN South Africa. Breadwinner Children, HIV and AIDS. Children are from God – harm them at your peril
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EFFECTS OF HIV AND AIDS ON SURVIVING BREADWINNER CHILDREN Roland Edgar Mhlanga Nelson R Mandela School of Medicine University of KwaZulu-Natal DURBAN South Africa
Breadwinner Children, HIV and AIDS • Children are from God – harm them at your peril • KwaZulu-Natal – epicentre of epidemic in South Africa with prevalence of >40% • Poverty • Stigma • Caring for children
Breadwinner Children, HIV and AIDS • UN CRC • Poverty, hunger and destitution force children into trafficking rings • Over 500 000 orphans in South Africa but true number is not known • Child-headed households – needs of children • Drop out of school, stigma, poverty
Breadwinner Children, HIV and AIDS • Work • Agricultural • Housemaid – sexual exploitation – pregnancy – poverty • Home industries • Gugu with three siblings and a grant • Commercial or subsistence sex workers • Hlengiwe lost her uterus
Breadwinner Children, HIV and AIDS RESPONSE • Government sponsored and monitored child care facilities • Monitoring of programme • Support of children psychologically and socially with community participation • Large experimentation • The ruins that are children’s lives
Breadwinner Children, HIV and AIDS • “A street has never given birth to a child” on Street Kid, Oliver Mtukudzi • Botswana model • Protection against sexual and emotional abuse, nurturing • Committee for the Rights of the Child
Breadwinner Children, HIV and AIDS I cried when Mama died There was silence I cried when we were thrown out There was silence Till when will you be silent? Till I am silent? Do you not love me? You told God you care about me!