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Conducting a Participatory Situation Analysis of.pdf - Global HIV ...

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Topic Guide for Focus Group Discussions with<br />

Heads <strong>of</strong> Households<br />

(Family Health International/Zambia, 2002)<br />

INTRODUCTION:<br />

My name is _____________________________ and<br />

my colleagues and I are gathering information on<br />

orphans and vulnerable children on behalf <strong>of</strong> FHI and<br />

SCOPE. We would like to find out from you various<br />

things about the lives <strong>of</strong> orphans and vulnerable children<br />

as well as their parents/guardians. The information you<br />

give us will help FHI and SCOPE plan for activities to<br />

improve the lives <strong>of</strong> orphans and vulnerable children and<br />

their caregivers.<br />

Methodology<br />

The reporter will take notes. The discussions will also be<br />

tape-recorded to supplement the notes.<br />

Understanding <strong>of</strong> Orphans and Vulnerable Children<br />

1. How did families and communities take care <strong>of</strong> each<br />

other, especially children, in need during your grandparents’<br />

time? (Examples: Better-<strong>of</strong>f relatives helped<br />

support the poorer members <strong>of</strong> their families by taking<br />

in a child or helping out financially; giving a<br />

child to a couple that was childless)<br />

2. What has changed regarding care <strong>of</strong> each other and<br />

children? How is it different today?<br />

• What practices found in your grandparents’ time are<br />

still in place today?<br />

• What practices that supported orphans or children in<br />

need that are no longer in practice would be helpful if<br />

they were revitalized? (Examples: Who took care <strong>of</strong><br />

orphans in your grandparents’ time and are these structures<br />

still in place today to take care <strong>of</strong> them)<br />

3. What changes have you noticed in the well-being <strong>of</strong><br />

children in the past 5 years?<br />

Probe:<br />

• Emotional<br />

• Health<br />

• Educational<br />

• Material<br />

4. What do people mean when they say, “AIDS came for<br />

people”? What do you think <strong>of</strong> this statement?<br />

• What effect do you think <strong>HIV</strong>/AIDS is having on the<br />

well-being <strong>of</strong> children? (Ask this question only if it was<br />

not asked/answered or brought up earlier in the discussion)<br />

Personal Experience Taking Care <strong>of</strong> Orphans and<br />

Vulnerable Children<br />

5. Tell me about your experiences during the illness and<br />

subsequent death <strong>of</strong> the parent <strong>of</strong> the child/children<br />

you are looking after.<br />

• How did you cope during this time?<br />

• What helped you? (Examples: prayer, taking alcohol,<br />

talking to friends, talking to the priest/pastor/church<br />

elder; going for counseling [quality <strong>of</strong> service received])<br />

6. How do you perceive yourself as a caregiver (i.e., pr<strong>of</strong>icient<br />

or not? Why/why not?)<br />

• If not pr<strong>of</strong>icient, what is needed to increase your pr<strong>of</strong>iciency?<br />

• In what ways has taking on extra children impacted<br />

your own family? (Examples: I have to bear more costs;<br />

the child is draining me emotionally; there isn’t enough<br />

room in the house for everyone; there are too many<br />

misunderstandings between my children and<br />

them/between my husband and I).<br />

• What differences do you experience in looking after<br />

boys and girls?<br />

• What age-related difficulties do you experience in looking<br />

after the children you have taken in?<br />

• In what ways has taking care <strong>of</strong> extra children helped<br />

your family? (Examples: The child helps me with<br />

housework/looking after my children; I have someone<br />

to keep me company; the child helps my children with<br />

their schoolwork; the child’s parents left some<br />

money/property, which has made my life easier)<br />

• Under what circumstances would you reject the children<br />

you have taken in and ask them to leave your<br />

home?<br />

7. How was it decided what would happen to the children<br />

once their parents died?<br />

• What sorts <strong>of</strong> discussions did you have with the dying<br />

parent(s) about the children’s future?<br />

• How were the children involved in these discussions?<br />

• If the children were not involved, what were your rea-<br />

<strong>Conducting</strong> a <strong>Situation</strong> <strong>Analysis</strong> <strong>of</strong><br />

Orphans and Vulnerable Children Affected by <strong>HIV</strong>/AIDS<br />

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