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HIV & AIDS-A Deep Human Concern

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2007 PRESENTATION<br />

<strong>HIV</strong> AND CHILDREN<br />

In his 2007 address, Father Michael turned to the specific challenges encountered in caring for<br />

children affected by <strong>HIV</strong> and <strong>AIDS</strong>, and called for a renewed global commitment to addressing<br />

the well-being of children and their caregivers. At the time, children in Sub-Saharan Africa were<br />

becoming orphans due to <strong>AIDS</strong> at the rate of 2,500 each day, or over 100 per hour, and at the<br />

beginning of 2007 there were 2.3 million children under the age of 15 with <strong>HIV</strong>. A total of 15.2<br />

Million Children under the age of 18 had lost either one or both parents to <strong>AIDS</strong>, and many<br />

more were made vulnerable by the disease. The event was opened by then Minister of State<br />

for Overseas Development, Michael Kitt, T.D., and Father Michael was introduced by Professor<br />

Sheila Dinotshe Tlou, then Minister of Health for Botswana. Father Michael’s lecture in 2007<br />

was not recorded, therefore this section contains a distillation of the messages included in the<br />

slides of his presentation. Both Father Michael’s, and Professor Tlou’s presentations can be<br />

downloaded from www.fathermichaelkellyzambia.org.<br />

Michael J. Kelly, S.J.,<br />

Royal College of Surgeons in Ireland,<br />

Dublin, Ireland, November 2007<br />

Father Michael highlighted the fact that orphanhood<br />

is a lasting state – not only for the<br />

child but for society as a whole, and called<br />

for the global community to be prepared to<br />

make long-term commitments to provide for<br />

orphans, for a period of 20 years or more.<br />

Speaking of the wider vulnerabilities caused<br />

by <strong>HIV</strong> and <strong>AIDS</strong>, Father Michael drew attention<br />

to children whose parents were living<br />

with <strong>HIV</strong> and <strong>AIDS</strong>; those who live in<br />

households where <strong>HIV</strong> and <strong>AIDS</strong> is present,<br />

yet the parents remain healthy; those living<br />

in households where there are no adults, or<br />

where the caregivers are themselves elderly;<br />

and finally children who are themselves<br />

caring for other children or orphans. He also<br />

spoke of the circumstances where children<br />

might become vulnerable – for example if<br />

their families are no longer able to turn to<br />

relatives for assistance, or when they are exploited<br />

for labour.<br />

Children in these circumstances face economic<br />

insecurity and difficulty meeting basic<br />

needs for food, healthcare, and education,<br />

but in addition to this, Father Michael<br />

also noted that they might suffer from emotional<br />

concerns including trauma, feelings of<br />

fear, sadness, helplessness, worry, distress,<br />

and unhappiness. Compounding this problem,<br />

parents may have reduced time and<br />

capacity to provide the support needed for<br />

their child’s development. Beyond the individual<br />

level, Father Michael also spoke of the<br />

broader societal consequences for children<br />

orphaned by <strong>AIDS</strong>: stigma and discrimination,<br />

school absences, risk of exploitation,<br />

and the risk of contracting <strong>HIV</strong> themselves.<br />

In addition to these issues, Father Michael<br />

added that in many situations, children also<br />

bear the burden of caring for parents with<br />

<strong>HIV</strong> and <strong>AIDS</strong>. Furthermore, they might be<br />

separated from siblings or re-housed to live<br />

with relatives, and can be forced into secrecy<br />

and silence about the disease, as well as facing<br />

inadequate time and supports to grieve<br />

for a deceased parent. Against this backdrop,<br />

many families are unable to cope with<br />

17

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