The motor development of orphaned children with and without HIV: Pilot exploration of foster care and residential placement

 

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dc.contributor.author Jelsma, Jennifer en_ZA
dc.contributor.author Davids, Nailah en_ZA
dc.contributor.author Ferguson, Gillian en_ZA
dc.date.accessioned 2015-11-11T11:56:36Z
dc.date.available 2015-11-11T11:56:36Z
dc.date.issued 2011 en_ZA
dc.identifier.citation Jelsma, J., Davids, N., & Ferguson, G. (2011). The motor development of orphaned children with and without HIV: Pilot exploration of foster care and residential placement. BMC pediatrics, 11(1), 11. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14866
dc.identifier.uri http://dx.doi.org/10.1186/1471-2431-11-11
dc.description.abstract BACKGROUND: The AIDS epidemic has lead to an increase in orphaned children who need residential care. It is known that HIV leads to delayed motor development. However, the impact of place of residence on motor function has not been investigated in the South African context. The aim of the study was therefore to establish if children in institutionalised settings performed better or worse in terms of gross motor function than their counterparts in foster care. A secondary objective was to compare the performance of children with HIV in these two settings with those of children who were HIV negative. METHODS: Forty-four children both with and without HIV, were recruited from institutions and foster care families in Cape Town. The Peabody Development Motor Scale (PDMS II) was used to calculate the total motor quotient (TMQ) at baseline and six months later. Comparisons of TMQ were made between residential settings and between children with and without HIV. RESULTS: Twenty-one children were infected with HIV and were significantly delayed compared to their healthy counterparts. Antiretroviral therapy was well managed among the group but did not appear to result in restoration of TMQ to normal over the study period. HIV status and place of residence emerged as a predictor of TMQ with children in residential care performing better than their counterparts in foster care. All children showed improvement over the six months of study. CONCLUSIONS: Foster parents were well supported administratively in the community by social welfare services but their children might have lacked stimulation in comparison to those in institutional settings. This could have been due to a lack of resources and knowledge regarding child development. The assumption that foster homes provide a better alternative to institutions may not be correct in a resource poor community and needs to be examined further. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source BMC Pediatrics en_ZA
dc.source.uri http://www.biomedcentral.com/bmcpediatr/ en_ZA
dc.subject.other HIV en_ZA
dc.subject.other orphaned children en_ZA
dc.subject.other delayed motor development en_ZA
dc.subject.other Peabody Development Motor Scale (PDMS II) en_ZA
dc.title The motor development of orphaned children with and without HIV: Pilot exploration of foster care and residential placement en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2011 Jelsma et al; licensee BioMed Central Ltd. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Physiotherapy en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Jelsma, J., Davids, N., & Ferguson, G. (2011). The motor development of orphaned children with and without HIV: Pilot exploration of foster care and residential placement. <i>BMC Pediatrics</i>, http://hdl.handle.net/11427/14866 en_ZA
dc.identifier.chicagocitation Jelsma, Jennifer, Nailah Davids, and Gillian Ferguson "The motor development of orphaned children with and without HIV: Pilot exploration of foster care and residential placement." <i>BMC Pediatrics</i> (2011) http://hdl.handle.net/11427/14866 en_ZA
dc.identifier.vancouvercitation Jelsma J, Davids N, Ferguson G. The motor development of orphaned children with and without HIV: Pilot exploration of foster care and residential placement. BMC Pediatrics. 2011; http://hdl.handle.net/11427/14866. en_ZA
dc.identifier.ris TY - Journal Article AU - Jelsma, Jennifer AU - Davids, Nailah AU - Ferguson, Gillian AB - BACKGROUND: The AIDS epidemic has lead to an increase in orphaned children who need residential care. It is known that HIV leads to delayed motor development. However, the impact of place of residence on motor function has not been investigated in the South African context. The aim of the study was therefore to establish if children in institutionalised settings performed better or worse in terms of gross motor function than their counterparts in foster care. A secondary objective was to compare the performance of children with HIV in these two settings with those of children who were HIV negative. METHODS: Forty-four children both with and without HIV, were recruited from institutions and foster care families in Cape Town. The Peabody Development Motor Scale (PDMS II) was used to calculate the total motor quotient (TMQ) at baseline and six months later. Comparisons of TMQ were made between residential settings and between children with and without HIV. RESULTS: Twenty-one children were infected with HIV and were significantly delayed compared to their healthy counterparts. Antiretroviral therapy was well managed among the group but did not appear to result in restoration of TMQ to normal over the study period. HIV status and place of residence emerged as a predictor of TMQ with children in residential care performing better than their counterparts in foster care. All children showed improvement over the six months of study. CONCLUSIONS: Foster parents were well supported administratively in the community by social welfare services but their children might have lacked stimulation in comparison to those in institutional settings. This could have been due to a lack of resources and knowledge regarding child development. The assumption that foster homes provide a better alternative to institutions may not be correct in a resource poor community and needs to be examined further. DA - 2011 DB - OpenUCT DO - 10.1186/1471-2431-11-11 DP - University of Cape Town J1 - BMC Pediatrics LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - The motor development of orphaned children with and without HIV: Pilot exploration of foster care and residential placement TI - The motor development of orphaned children with and without HIV: Pilot exploration of foster care and residential placement UR - http://hdl.handle.net/11427/14866 ER - en_ZA


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