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Blame & Banishment - Médecins du Monde

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<strong>Blame</strong> and <strong>Banishment</strong>: The underground HIV epidemic affecting children in Eastern Europe and Central Asia<br />

Pathways to the streets…<br />

With the greater democratization of<br />

society since the 1990s, the issue of street<br />

children has become more visible, partly<br />

<strong>du</strong>e to lesser state controls and increased<br />

availability of data. Throughout the region,<br />

the number of street children increased as<br />

a result of the pressures of rapid social<br />

change and economic adversity. Extreme<br />

poverty continues to push children onto the<br />

streets so that they can earn money rather<br />

than go to school. A 2008 study of street<br />

children in four cities in Georgia revealed<br />

that 90 per cent had to earn an income<br />

for themselves or their families. Half of all<br />

street children were illiterate and 60 per<br />

cent never entered a classroom. 35<br />

Taras, 17, cries after Denis, 12, who was not able to find a vein to inject him a self-made<br />

drug based on ephedrine, known as ‘baltoushka’. Photographed in an abandoned house where<br />

they lived in Odessa, Ukraine, on 16 June 2006. Taras died of an overdose in 2008. Denis’<br />

whereabouts are unknown.<br />

While there are no reliable estimates<br />

of how many children are without a<strong>du</strong>lt<br />

supervision, living and/or working on the<br />

streets, experts agree there are probably<br />

over one million in the region. 36 The<br />

large majority end up on the street as a<br />

result of running away from physical and<br />

psychological abuse within families, or<br />

from state-run orphanages and shelters.<br />

Many children in state-run institutions<br />

are ‘social orphans’, meaning they have<br />

a living parent whose parental rights<br />

were taken away either because of<br />

alcohol, drug use or legal problems with<br />

the authorities. Domestic violence and<br />

alcoholism among parents are frequent<br />

causes of homelessness among children in<br />

the Russian Federation. 37<br />

© M. Novotny<br />

32

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