INSTITUTIONALIZED CHILD CARE IN URBAN SOUTH AFRICA
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The question remains of how to categorize the population of children residing in<br />
and receiving care from an institutionalized setting. Children residing at institutions may<br />
have both parents, one parent, or neither parent deceased; they may be twice orphaned in<br />
the event of a grandparent’s death. (Nyamukapa & Gregson, 2005; Nyamukapa, 2006;<br />
Monasch, 2005; Crampin, 2003; Masmas, 2004; Bhargava, 2005) Children residing at an<br />
institution may still be connected to older siblings or other family members who remain<br />
invested in the child’s development while relying on the institution for partial support.<br />
(Ramphele, 2002)<br />
Not all children residing in an institution are parentless, and not all of South<br />
Africa’s children who are without parents reside in an institution. (Henderson, 1999;<br />
Jones, 1993) Across Sub-Saharan Africa, family structures are traditionally non-nuclear,<br />
and a continuum of adults may provide care upon parental death. (Giese, 2003) The strain<br />
of resources and societal challenges, coupled with the rapid rate at which the HIV/AIDS<br />
epidemic proliferated orphanhood and destitution, families and local communities have<br />
more recently encountered a difficulty in responding to the expansive needs of orphaned<br />
children that lacks a historical precedent. (Bequele, 2007) Furthermore, the postapartheid<br />
era has seen weakened networks, greater residential instability, and more<br />
instances of widowhood, divorce, and abandonment. (Berg & Schärf, 2004; Nina, 2000;<br />
Breetzke, 2010) Cape Town area surveys reported that only around 50% of children in<br />
the area reside with both biological parents, with absent fathers being the most freqently<br />
reported alternative. (Bray, et. al.. 2010) These various challenges have resulted in a<br />
heavier dependency on institutionalized care only in more recent decades.<br />
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