The Impact of HIV/AIDS on Early Childhood A Case of Home Care of Nsambya Hospital. Makindyl Municipality

TABLE OF CONTENTS

Contents

ACKNOWLEDGEMENT

DEDICATION

APPROVAL

DECLARATION .

iv

TABLE OF CONTENTS

LISTOFTABLES ix

LIST OF ACCRONMyS

ABSTRACT

CHAPTER ONE

INTRODUCTION 1

1.0. Introduction

1.1 Background of the HIV

1 .2 Problem statement 6

1.3 General objective 7

1.4. Specific objectives

1 .5 Research questions 7

1.6 Scope of the study 8

1.6.1 Content scope 8

1.6.2 Geographical scope 8

.6.3 Time scope 8

.8 Significance of the study 8

.9 Operational definitions of key terms 8

v

CHAPTER TWO .10

LITERATURE REVIEW 10

2.0 Introduction 10

2.1 The effect of HI V/AIDS on early childhood development in Uganda 10

2.2 Special Vulnerabjljties of Early childhood under Five Nutrition 13

2.2. 1 Early childhood ages 0—6 months of age: breastfeeding 15

2.2.2 Early childhood ages six to thirty-six months of age: complementary feeding 16

2.2.3 Early childhood ages three—four: family foods 17

2.2.4 Food discrimination 17

2.2.5 Health coj~cel•ns 18

2.2.6 Common infections 1 8

2.2.7 Immunjsable diseases 19

2.2.8 Psychosocial concerns 19

2.2.9 Consistency of caregive 20

2.3 Psychosocial impacts on health and survival 22

2.3.1 General aspects olcare 23

2.3.2 Coping ~~ith grief 23

2.4 Measures to reduce HI V/AIDS infection on early childhood 25

CHAPTER THREE 28

METFIODOLOCy 28

3.0 Introduction 28

3. 1 Research design 28

3.2 Study area 28

3.3 Population of the study 28

3.4 Sample size .29

3.5 Sampling techniques 30

3.5.1 Simple Random Sampling 30

3.5.2 Purposive Sampling 30

3.6. Data collection techniques 30

3.6. 1 Questionnaire Survey 30

3.6.2 Documentary Review Method 3 1

3.7 Data Analysis and interpretation techniques 3 1

3.9 Data quality control 3 1

3. 10 Ethical considerations 32

3.11 Limitation to the study 32

CHAPTER FOUR

DATA PRESENTATION, ANALYSIS AND INTERPRETATION 34

4.1 Introduction 34

4. 1 Back Ground information 34

4.1.1 Age of the respondent 35

4.1.2 Sex of the respondent 35

4.1.3 Which Department do you belong9 36

4. 1 .5 1—low long have you v.. orked with Home Care’2 37

4.2 The effect of HIV/AIDS on early childhood development in Uganda 37

4.2.1 1-las HIV/AIDS greatly affected the development of early childhood in Uganda’2 37

4.2.2 If Yes ~~hat are some of the effects of HI V/AIDS on early childhood’? 38

4.3 The challenges HI V/AIDS poses to early childhood development in Uganda 39

4.3.1 Has HIV/AIDS posse a challenge to early childhood development in Uganda’? 39

4.3.2 If Yes What are the major challenges that I-IlV/AIDS posse to early childhood in Home

care? 40

4.3.3 Which of the challenges mentioned above is common in home care 41

4.4 Measures to reduce the effects of HI V/AIDS on early childhood in Uganda 42

4.4. 1 Are there any measures taken to reduce the effects of HI V/AIDS on early childhood in

Uganda’? 42

4.4.2 If Yes What are the measures taken to reduce the effects ofHIV/AIDS on early childhood in

Home care’?

4.4.3 Which of the mentioned measures above have been adopted in Home care Nsarnbya 43

CHAPTER FIVE 45

SUMMERY, DISCUSSIONS, CONCLUSION AND RECOMMENDATIONS 45

5.0 Introduction 45

5.2 Conclusion 46

5.3 Recommendations 48

5.3 Area for further study 49

REFERENCES 50

APPENDICES

~~PPENDIX A: RESEARCH QUESTIONNAIRE 55

‘~PPENDIX B: BUDGET 58

~PPENDIX C: THE PROPOSED TIME FRAME 59

ABSTRACT

HIV infection and AIDS among early childhood continues to be a significant problem in

developing countrIes despite the progress that has been made in HIV preventIon and AIDS

treatment elsewhere during the past two decades. The reasons fbr this difference are complex and

multithctorial. They include the higher background prevalence of infection among adults in some

communities in developing countries, the slow implementation in many countries ofprenatal HIV

screening programs and prophylaxis which can reduce the transmission to infhnts during labor and

delivery, the social and health consequences of not breastfeeding, and the economic realities

associated with expensive diagnostic testing and antiretroviral treatment. While the world waits

for an effective HIV/AIDS vaccine, to reduce the prevalence of HIV in the community, public

health programs need to continue to emphasize proven methods of HIV transmission prevention

among groups with a high-risk of HIV acquisition, as well as provide counselling for the general

population about personal protection and the provision of compassionate care for those affected.