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

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dc.contributor.authorJelsma, Jenniferen_ZA
dc.contributor.authorDavids, Nailahen_ZA
dc.contributor.authorFerguson, Gillianen_ZA
dc.date.accessioned2015-11-11T11:56:36Z
dc.date.available2015-11-11T11:56:36Z
dc.date.issued2011en_ZA
dc.description.abstractBACKGROUND: 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.identifier.apacitationJelsma, 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/11427/14866en_ZA
dc.identifier.chicagocitationJelsma, 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/11427/14866en_ZA
dc.identifier.citationJelsma, 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.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
dc.identifier.urihttp://hdl.handle.net/11427/14866
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2431-11-11
dc.identifier.vancouvercitationJelsma 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.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDivision of Physiotherapyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2011 Jelsma et al; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Pediatricsen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpediatr/en_ZA
dc.subject.otherHIVen_ZA
dc.subject.otherorphaned childrenen_ZA
dc.subject.otherdelayed motor developmenten_ZA
dc.subject.otherPeabody Development Motor Scale (PDMS II)en_ZA
dc.titleThe motor development of orphaned children with and without HIV: Pilot exploration of foster care and residential placementen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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