Matshepete Livhuwani Precious, Makhado Lufuno, Mashau Ntsieni Stella
Department of Public Health, Faculty of Health Sciences, University of Venda, 1 University Road, Thohoyandou, 0950, South Africa.
BMC Public Health. 2025 Jan 8;25(1):87. doi: 10.1186/s12889-024-21208-y.
The orphan and vulnerable children crisis has raised the need for alternative solutions to their problems. These new alternatives gave prominence to the growth of community-based organisations and their interventions. Community-based interventions are a crucial component of the response to ensure that the demands of orphans and vulnerable children are mitigated as they offer initial support and act as well-being nets.
A qualitative exploratory-descriptive and contextual design was used to explore possible approaches to psychosocial support for orphans and vulnerable childen from community-based workers. This study was conducted in four municipalities in the Vhembe district: Thulamela, Makhado, Collins Chabane, and Musina. The population consisted of community-based workers working with vulnerable and orphaned children in the Vhembe district. Data were collected in focus group discussions with the community-based workers using a focus group discussion guide with open-ended questions. The data were analysed according to Tesch's open analysis guide to analyse qualitative data. The measures to ensure trustworthiness included transferability, conformability, credibility, and dependability.
Data analysis generated the following theme and subthemes: Psychosocial interventions provided included Physical support, educational support, psycho-educational support, activities and socialisation, caregivers support and involvement and inter-professional referral.
These findings provide an insight into the types of psychosocial support interventions provided by Community-based organisations to orphans and vulnerable children. Conversely, the study also revealed that community-based organisations are experiencing challenges when delivering those services to orphans and vulnerable children.
孤儿和弱势儿童危机凸显了寻求解决他们问题的替代方案的必要性。这些新的替代方案推动了社区组织的发展及其干预措施。基于社区的干预措施是应对工作的关键组成部分，因为它们提供初步支持并充当福利网络，以减轻孤儿和弱势儿童的需求。
采用定性探索性描述性和情境设计，以探索社区工作者为孤儿和弱势儿童提供心理社会支持的可能方法。本研究在韦姆贝区的四个市镇进行：图拉梅拉、马卡多、柯林斯·查巴内和穆西纳。研究对象包括在韦姆贝区与弱势和孤儿儿童打交道的社区工作者。通过使用包含开放式问题的焦点小组讨论指南，与社区工作者进行焦点小组讨论来收集数据。根据泰施的开放式分析指南对数据进行分析，以分析定性数据。确保可信度的措施包括可转移性、一致性、可信度和可靠性。
数据分析得出以下主题和子主题：提供的心理社会干预措施包括身体支持、教育支持、心理教育支持、活动与社交、照顾者支持与参与以及跨专业转诊。
这些发现深入了解了社区组织为孤儿和弱势儿童提供的心理社会支持干预措施的类型。相反，该研究还表明，社区组织在向孤儿和弱势儿童提供这些服务时正面临挑战。
