HIV-sensitive social protection services in mitigating the challenges and vulnerability of the children affected by HIV/AIDS in Bangladesh: a qualitative study

• Published in: AIDS care 2022-07, Vol.34 (7), p.894-899
• Main Authors: Afroz, Tahmina, Camellia, Suborna, Oyewale, Tajudeen, Uddin, M. Ziya, Mahmud, Ilias
• Format: Article
• Language: English
• Subjects: Access; Acquired immune deficiency syndrome; AIDS; Antipoverty programs; Bangladesh; Challenges; Child poverty; Children; Community; Counseling; Education; Gender; Gender roles; Health care expenditures; Health services; Health status; Healthy food; HIV; HIV-sensitive social protection; Human immunodeficiency virus; Life skills; Life skills training; Low income groups; Norms; Packages; Parents; Parents & parenting; Poverty; Protection; Psychosocial factors; Qualitative research; Sensitization; Skill development; Social interactions; Social protection; Social support; Stigma; Vulnerability; Welfare state; Well being
• ISSN: 0954-0121; 1360-0451
• DOI: 10.1080/09540121.2021.1922575

Children are particularly vulnerable to the consequences of HIV/AIDS. This paper reports on the challenges faced by children due to their or their parents' HIV/AIDS status and the role of HIV-sensitive social protection in mitigating these challenges. We conducted 32 semi-structured in-depth interviews - 15 with children affected by HIV/AIDS (aged 13-18 years) and 17 with parents of children aged 10-12 years. We found children face significant challenges associated with poverty, gender norms, stigma, and lack of social support which affect their rights to education, shelter, treatment, and food. HIV-sensitive social protection packages such as conditional cash transfer, counselling, and community sensitization help continuation of education, facilitate access to treatment and social protection services, reduce stigma in the community and improve wellbeing of children. Children's accessibility to these services was limited due to distance, transport expenses, poor health conditions of the parents, gender issues, and stigma. HIV-sensitive social protection is effective in improving children's wellbeing. Continuation and expansion of HIV-sensitive social protection packages including conditional cash transfer, psychosocial counselling, and community sensitization and life skills training to facilitate HIV/AIDS affected children's wellbeing and inclusion is recommended.