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Children’s Issues

 

Fifty percent of the population of Africa is under the age of 15.  The wide range of children’s problems is reflective of the development issues that affect adult, but some are more specific. HIV/AIDS has resulted in close to ten million orphans across the continent.  Wars have not only created orphans (Morah), but also proved to be particularly damaging to children’s health (Boyden) and psychosocial development (Chauvin).

Since the ratification of the Convention on the Rights of the Child by all countries in Africa (except Somalia which does not have a government), child rights issues have become increasingly important. Prominent among these is the incarceration of children with adults in prison (Nzeyimana) and child soldiers.

 

Author(s):         Boyden, J.

Title:     Children's experience of conflict related emergencies: some implications for relief policy and practice

Source:             Disasters, 18 (3): 254-67, 1994

Keywords:       war, children, emergency

Reviewer:         MEDLINE Abstract

Description:     

This paper challenges the limited models of childhood, conflict and relief which determine most humanitarian interventions targeting children in conflict related emergencies. In particular, it notes the tendency of relief programmes to focus on "spectacular" groups of children (orphans, child combatants and refugees) at the expense of larger child populations indirectly affected by conflict. This relief bias is attributed to an inappropriate 'apocalypse model' of conflict which sees relief interventions only as repair. The bias also lies in a mistakenly universalistic model of childhood and a medical paradigm which pathologizes children's experience in conflict and characterizes children as passive victims rather than active survivors. The paper argues for greater recognition of the wider social experience of children in conflict, and for relief practice which takes account of childhood resilience and children's different roles and capacities in coping with conflict. Appropriate interventions must engage with the wide variety of indigenous coping mechanisms involving children and not simply replicate a standard package of relief interventions in every emergency, based on simplistic and universalistic interpretations of children's experience of conflict.

 

Authors:           Chauvin, L.,  Mugaju, J., and Comlavi, J.

Title:     Evaluation of the Psychosocial Trauma Recovery Programme in Rwanda

Source: Evaluation and Programming Planning, 21 (4), 385-392, 1998

Key words:      psychosocial, war, children, Rwanda, UNICEF

Reviewer:         Jacqueline Aligula, UNICEF, Kenya

Description:

After the genocide that occurred in Rwanda between April and July of 1994, a Joint Rwanda and UNICEF Psychosocial Trauma Recovery Programme was set up to address issues arising from the crisis of the genocide.  The Authors address the psychosocial needs of traumatized children and their caregivers in conformity with Article 39 of the Convention on the Child’s Rights (CRC). Their objective was to collect information to facilitate decision-making for the next phase of the Trauma Recovery Programme and to address other crises in Rwanda.

The Authors give background information of the programme and the method used to conduct surveys for research.  The evaluation methodology was developed bearing in mind the peculiarities in the situation in Rwanda.  As there was no baseline data to work with, the Authors focused mainly on comparison of stated objectives with implementation plans, examining the efficiency and effectiveness of the programme.  Both qualitative and quantitative analyses are used.  Epidemiological surveys covering a group of 3030 children aged between 8-19, conducted over a period of eight months focused mainly on children’s exposure to traumatic experiences during the genocide and the extent of their “stress reactions“.  Results from a second survey carried out representing a sub-sample of the 3030 children showed that the majority of the children had been exposed to multiple traumatic events during the genocide. This resulted in the establishment of a National Trauma Center in 1995.

The Authors faced serious obstacles during the evaluations, which limited the availability of baseline data, for example, killing of skilled personnel, extensive looting and damage of infrastructure during the war.  This led them to focus on available information from a desk-top review, from semi-structured interviews, direct field observations, development of pilot testing monitoring tools and consultations /seminars with key stakeholders.

The Authors concluded by pointing out lessons learned and recommendations that they coined as the optic “5C’s”.  These were: Capacity building - to support and continue training in this area. Clinical Support: - to ensure proper support through Health Centers.  Collection of Data - to integrate activities with the Ministry of Public Health efforts.  Community-oriented approach – to sensitize the community through education and Coordination  - for the National Trauma Centre to assume a strong role in coordination of the “5C’s”

 

Authors:           Morah, E., Mebrathu, S., and Sebhatu, K.

Title:     Evaluation of the orphan reunification project in Eritrea

Source: Evaluation and Programme Planning, 21 (4): 437-448, 1998

Key words:      war, orphan, programme evaluation, Eritrea, UNICEF

Description:     

There are multiple theaters of war in Africa and several children are left orphaned in the process, through indiscriminate war tactics. This paper looks at one solution to support the successful integration of orphans into an extended family by supporting economic survival of these families.  Included too, is a follow up on the psychosocial status of the orphans.

In this evaluation, the Authors study the impact of the main strategic intervention alternative of direct economic support to target families, the psychosocial status or outcome of the reintegrated orphans, the outcome of the project’s capacity building component and the cost-effectiveness of the project.

The Authors identified evaluation questions and objectives from policy documents, project write up, and the understanding of implementers without the need to translate project goals into more precise terms.  While not a hypothesis-testing evaluation as such, the Authors constructed a possible impact model to identify the chain of reasoning and assumptions that led to the adoption of courses of action under the project.

To determine effectiveness of the project, the Authors selected indicators to measure output, outcome and impact.  Examples of the different types are: output performance, (number of orphans and host families reached by the project relative to set objectives); outcome (what changes, if any, exist in the current economic capacity of host families and how this affects care of orphans) and impact (the adequacy and sustainability of the income stream generated by host families through the assets provided).

As the orphan reunification project made use of a mix of quasi-experimental designs, it lent itself well to evaluation.  The projects had used three basic designs: a one-group pre-test and post-test design, the post-test-only with non-equivalent groups, and the one-group pre-test-post-test design with non-equivalent groups.  The Authors recommended the third design, which subsumes the first two and offers control for threats to validity.  The main problem they faced was separating out the effects of intervention from those due to initial non-comparability of the intervention and control groups.

The key findings were that the project implementation was both timely and in conformity with the intended standards, especially with respect to participation by all stakeholders and transparency in the procurement and transfer of the economic assets to target host families.

The project was found to have been successful in reintegrating orphans who expressed no unusual health problems or involuntary physical conditions associated with traumatized, withdrawn or neglected children when compared to non-orphans.  The Authors concluded that this method of reintegration is sustainable and cost-effective.  The local capacity of implementers was increased over the period covered by the evaluation.  However, the Authors note that human resources were inadequate and the success needed to be oriented to deal within a wider framework of vulnerable children.  Given the heavy external financial input, the Authors wonder how this intervention can be replicated and made more local.

 

Authors:           Nzeyimana, P. C.,and  Nyamoya, F.

Title:                 Situation analysis of children in prison, Burundi  [in French]

Key Words:     children, prison, Burundi

Source:             UNICEF, Burundi, 1998

Reviewer:         Goran Mateljak, Liliane Bigayimpunzi, UNICEF

Description:     

This document provides an idea of the situation of minors in African prisons.

The objective of the situation analysis was to get better information on the situation of minors in prison in Burundi.  Specifically, how many there are, what ages they are, the period of detention, on what grounds, the rate at which their cases are heard and the observance of procedure in the process.

The method employed was a site visit to each of the 11 prisons in Burundi.  Key informants such as the penal officers at the central level and local administration officials were interviewed.  Relevant documentation available on site at the respective Burundi detention centres was also reviewed. 

Key findings were that 115 children were incarcerated with adults in these 11 prisons in difficult conditions (lack of adequate nutrition and access to health care and education).  There were a total of 58 who were accompanying mothers serving sentences.  Nine of the prisons were overpopulated; none had a system of rehabilitation for the young.

About 89 percent of the minors who were incarcerated were in pre-trial detention of which the longest duration was three and a half years.  There was evidence of violation of rights in the legal process for arrest and imprisonment.

Half of the infractions were related to theft, about a quarter to murder, 20 percent to armed robbery, 4 percent to traffic in narcotic substances and 3 percent various infractions such as rape.

The quasi totality of the legal process takes place without any legal assistance for several reasons: there is often lack of financial support, very few lawyers and general lack of knowledge of the written law.

The author(s) recommend that detention of minors should be only the exception, not the norm.  Legal texts have to be simplified to lay language.  Social workers need to be trained on a regular basis.  Officials in the relevant government Ministries be sensitized to the need to spend some time on incarcerated children.  Prisons should have special sections for children apart from adults.  Inspection of prisons should be reinforced, and children allowed to follow a normal school curriculum.  The conditions of incarceration should be improved (nutrition, hygienic care of the body and of clothes).  Finally, children should not be sentenced to death or to life imprisonment.

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