Public policies and the orphans of AIDS in Africa

Abstract

International help to care for Africa's orphans is essential not only for their immediate welfare but also to protect the long term prosperity of these countries. A researcher in child health and former Ugandan government peace minister assess how to make the best use of resources.
The AIDS epidemic is wreaking havoc in sub-Saharan Africa. The HIV seroprevalence among young adults is nearly 40% in some countries,1 and millions of children have lost their parents. Although the extended family can alleviate these children's plight, it is unrealistic to assume that the children can escape from poverty without massive support from agencies such as the World Bank and the United States Agency for International Development. We visited Ethiopia, Malawi, and Tanzania in March 2002 as consultants to the World Bank to assess the ongoing programmes and to suggest strategies for improving child welfare. This article outlines our findings from visiting over 20 non-governmental organisations and national ministries responsible for caring for orphans of AIDS.