Thurman Tonya Renee, Snider Leslie A, Boris Neil W, Kalisa Edward, Nyirazinyoye Laetitia, Brown Lisanne
Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
Soc Sci Med. 2008 Apr;66(7):1557-67. doi: 10.1016/j.socscimed.2007.12.001. Epub 2008 Jan 25.
A consistent theme in the literature on interventions for orphans and vulnerable children is the need for community-based care. However, a number of socio-cultural factors may impede community response. In this study, mixed methods are used to elucidate community-level barriers to care for orphans and vulnerable youth in Rwanda. Data from a large survey of youth heads of household on perceptions of marginalization from the community and the factors predicting that marginalization are considered in light of additional data from a survey of adults who volunteered to mentor these youth and focus groups with both community adults and youth heads of household. Results highlight how orphans' impoverished condition, cause of parents' death, and community perceptions of orphan behavior play a role in the marginalization of orphaned youth in Rwanda. Evidence is also offered to show that targeting humanitarian assistance to vulnerable youth may inadvertently lessen the level of community support they receive and contribute to their marginalization. The implications of these data for community-based program approaches are discussed.
关于孤儿和弱势儿童干预措施的文献中一个一致的主题是需要社区照料。然而,一些社会文化因素可能会阻碍社区做出回应。在本研究中,采用混合方法来阐明卢旺达社区层面在照料孤儿和弱势青年方面存在的障碍。对大量青年户主进行调查,了解他们对被社区边缘化的看法以及预测这种边缘化的因素,同时结合对自愿指导这些青年的成年人的调查数据,以及与社区成年人和青年户主进行的焦点小组讨论数据进行分析。结果突出表明,孤儿的贫困状况以及父母的死因和社区对孤儿行为的看法,在卢旺达孤儿青年的边缘化过程中发挥了作用。还有证据表明,将人道主义援助目标对准弱势青年可能会无意中减少他们从社区获得的支持水平,并导致他们被边缘化。本文讨论了这些数据对基于社区的项目方法的影响。