Developing programs to support childheaded households in Zambia: critical lessons

  • Samson Bwalya Chama


As a phenomenon child headed households have emerged in most sub-Saharan African countries hardest hit by HIV/AIDS and poverty. The impact of HIV/AIDS in particular has devastated the capacity of communities to provide critical care to vulnerable young people affected by HIV/AIDS. As challenges faced by child headed households intensify a plethora of programs has emerged as a frontline response to this problem. Some programs have shown promise in terms of positively impacting child headed households. But more needs to be done to improve their overall well-being. In order to make a contribution to this area this study used a qualitative approach to conduct focus groups for sixteen Africans living in Richmond, Virginia with a view to developing a program for child headed households in Zambia. Using thematic analysis and data units to analyze the data results suggest that feasibility, content and quality are critical components for programs targeting child headed
households. Results also highlight need to pay attention to funding, staff training, collaboration, education and civic education, health services, targeted services, involvement of young people, community involvement, and extended Families.


Collins, M.E. (2001). Transition to adulthood for

vulnerable youth. A review of research and implications for policy. Social Service Review, 75(2), 271-291.

Donahue, J., & Williamson, J. (1999). Community mobilization to mitigate the impacts of HIV/AIDS. In G. Foster, C. Levine & J. Williamson (Eds.), A Generation at Risk: The global impact of HIV/AIDS on orphans and vulnerable children (254-277). New York: Cambridge University Press.

Everett, J.C. (1995). Relative foster care: An emerging trend in foster care placement policy and practice. Smith College Studies in Social Work, 65(3),241-254.

Foster, G., Levine. C., & Williamson, J. (Eds.). (2007). A generation at risk. Cape Town, SA: Cambridge University Press.

Germann, S.(2003, May). Psychosocial needs and resilience of children affected by AIDS. Long-term consequences related to human security and stability. PowerPoint Presentation at the World Bank OVC Conference, Washington, DC.

Germann, S. (1996). Community based orphan care. A vital alternative to institutional care. MSc dissertation. Swansea: University of Wales Center for Development.

Hess, D. (2002). The emergence of child-headed households: The impact of HIV/AIDS on the increasing number of child headed households. London:University of London.

Kelly, J.M. (2002). The impact of HIV/AIDS on education in Zambia. Lusaka: UNICEF.

UNICEF. (2009). Situation Analysis of children and women 2008. Joint Report of the Ministry of Finance and National Planning/UNICEF. Lusaka: UNICEF.

Kopoka, P.A. (2000). The problem of street children in Africa: An ignored tragedy. Paper presented at the International Conference on Street Children and Street Children’s Health in

East Africa, Dar-es-salaam, Tanzania.

Krift, T., & Phiri, S. (1998). Developing a strategy to strengthen community capacity to assist HIV/AIDS affected children and families: The COPE Program of Save the Children Federation in Malawi. Pietermaritzburg: Southern Africa

Kwofie, K.M. (2003). A case study of scaling up community driven development in social development in social investment fundprogram of Zambia. Washington, DC: World Bank.

Kwofie, K.M., & Milimo, J.T. (2001). National Poverty Reduction Action Plan for 2004. Lusaka: Ministry of Community Development and Social Services

Lugalla, J.L.P., & Mbwambo, J.K. (1999). Street children and street life in urban Tanzania: The culture of surviving and its implications. International Journal of Urban and Regional Research, 23(2), 329-345.

Lule, L.E., Seifman, R.M., & David, A.C. (2009). The changing HIV/AIDS landscape. Washington, DC: World Bank.

Luzze, F. (2002). Survival in child-headed households. A study on the impact of World Vision support on copying strategies in child-headed households in Kakuuto county, Rakai district Uganda. MA Thesis. Oxford Center for Mission Studies.

Mann, G. (2004). Family matters: the care and protection of children affected by HIV/AIDS in Malawi. Sweden: Save the Children.

Mufune, P. (2000). Street youth in southern Africa.

International Social Science Journal, 52(164), 233-244.

Ntozi, J.P. (2000). Street youth in Southern Africa.

International Social Science Journal, 52(164), 233-

Odhiambo, W. (2003). HIV/AIDS and debt crisis: Threat to human survival in sub-Saharan Africa. Medical Conflict Survival, 19(2), 142-149.

Padgett, D. (1998). Qualitative methods in social work

research: Challenges and rewards. Thousand Oaks, CA: Sage Publications.

Papungwe, A. (2001). Evaluating the impact of the study fund of the social recovery project. Lusaka: GRZ.

Patton, M. (Ed.). (1990). Qualitative research and evaluation methods. Newbury Park, CA: Sage Publications.

Phiri, S., Foster, G. & Nzima, M. (2001). Expanding and strengthening community action: A study of ways to scale up community mobilization interventions to mitigate the effects of HIV/AIDS on children and families. Retrieved November, 22, 2010, from

Preble, E.A. (1990). Impact of HIV/AIDS on African children. Social Science and Medicine, 6(31).

Richter, L., Foster, G. & Sherr, L. (2006). Where the heart is: Meeting the psychosocial needs of young children in the context of HIV/AIDS. The Netherlands: Bernard van Leer Foundation.

Richter, L., Manegold, J. & Pather, R. (2004). Family and community interventions for children affected by HIV/AIDS.Chicago: IL.

Sengendo, J., & Nambi, J. (1997). The psychological effect of orphan hood: A study of orphans in Rakai district. Health Transition Review, 7, 105-124.

Shin, S.H. (2004). Developmental outcomes of vulnerable youth in the child welfare system. Journal of Human Behavior in theSocial Environment, 9(2),57- 68.

Subbarao, K., Mattimore, A., & Plangemann, K. (2001).

Social protection of Africa’s orphans and other vulnerable children. Africa region human development working papers series. World Bank, Washington, DC.

Subbarao, K., & Coury, D. (2004). Reaching Out to Africa’s Orphans: A Framework for Public Action.

World Bank, Washington, DC.

UNICEF. (2000). Strategic framework for the protection, care, and support orphan and other children made vulnerable by HIV/AIDS. New York: UNICEF.

UNICEF. (2009). Situation Analysis of children and women 2008. Joint Report of the Ministry of Finance and National Planning. UNICEF. Lusaka: UNICEF.

Williamson, J. (2003). Distorting image of AIDS and orphaning in Africa. Retrieved November, 22,2010, from

Yamba, B.C. (2001). Social consequences of the AIDS pandemic: Organizing social care for AIDS orphans. Paper presented at the 3rd International on Social Work in Health and Mental Health. Uppsala, Sweden.