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Defining vulnerability A case study from Zambia

Defining vulnerability A case study from Zambia. Interagency Task Team on Children and HIV and AIDS Washington, DC 23-24 th April 2007. Katie Schenk, Lewis Ndhlovu, Stephen Tembo, Andson Nsune, Chozi Nkhata, RAPIDS. ECR. Reaching AIDS-affected People with

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Defining vulnerability A case study from Zambia

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  1. Defining vulnerabilityA case study from Zambia Interagency Task Team on Children and HIV and AIDS Washington, DC 23-24th April 2007 Katie Schenk, Lewis Ndhlovu, Stephen Tembo, Andson Nsune, Chozi Nkhata, RAPIDS

  2. ECR Reaching AIDS-affected People with Integrated Development and Support

  3. Outline • Introduction • Aims, methods • Results • Quantitative and qualitative • Lessons learnt • Implications for programs

  4. Study Aims • To explore community conceptualizations of vulnerability • To examine vulnerability factors – characteristics and prevalence • To discuss implications for community-based care and support interventions

  5. Methods • 6 sentinel sites • Quantitative approaches: household surveys • Qualitative approaches: focus group discussions and in-depth interviews • Ethical issues

  6. Results

  7. Sociodemographics

  8. Household Composition 1000 Female-headed 800 Male-headed 13% 600 Number of households 22% 400 73% 200 22% 29% 0 1 adult 2 adults 3-4 adults 5-6 adults 7+ adults Number of adult members

  9. Problems • LACK OF FOOD • health problems (adult and child) • increasing number of orphans • agricultural production problems (esp lack of farming inputs) • lack of money, material goods, earning opportunities • insufficient schooling support for children

  10. Which Households? • Female-headed households • Elderly-headed households • Widow-headed households • Households with a member who is chronically ill or disabled • Households with a child member who has been orphaned or taken in • Households headed by children • Households that are simply poor

  11. Orphanhood and Fostering

  12. Child-headed Households • Qualitative vs quantitative data • “My parents died 4 years ago and being the eldest I look after 6 siblings. I have to put food on the table and pay school fees, especially for those in secondary school.” • “I have taken up responsibility of looking after my siblings. I like school but attending school won’t put food on the table or pay for the much needed school fees. I would rather work on the farms and earn an income for my family.” Female youths, Chongwe

  13. Vulnerability Characteristics

  14. Vulnerability Prevalence

  15. Vulnerability Distribution

  16. Lessons Learnt

  17. Implications for Programs • Importance of community input • Targeting • Data requirements • Further research • Clustering, thresholds • SES • Link to outcomes

  18. Thank you kschenk@pcdc.org www.rapids.org.zm www.popcouncil.org/hivaids/orphans.html www.popcouncil.org/horizons

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