Thesis Focussed on the Migration of Children Affected by AIDS
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UvA-DARE (Digital Academic Repository) Grandparents as parents: Skipped-generation households coping with poverty and HIV in rural Zambia Reijer, D.B.J. Publication date 2013 Document Version Final published version Link to publication Citation for published version (APA): Reijer, D. B. J. (2013). Grandparents as parents: Skipped-generation households coping with poverty and HIV in rural Zambia. General rights It is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulations If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: https://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. UvA-DARE is a service provided by the library of the University of Amsterdam (https://dare.uva.nl) Download date:07 Oct 2021 Daniël Reijer African Studies Collection 52 Grandparents as Grandparents as parents Grandparents Grandparents as parents: parents: Skipped- Over the last three decades the HIV epidemic has generation house- touched the life of every Zambian in some way. Skipped-generation Many young parents have died, leaving their children in the care of grandparents. This research is based on 14 months of holds coping with qualitative and quantitative data collection, guided by an ecological poverty and HIV in perspective on child development, in Misangwa, a small rural community in households coping the Zambian Copperbelt Province. The focus is on so-called skipped-generation households, which are households where the younger generation and their older rural Zambia guardian(s), mostly grandparents, live together without any members of the middle generation. As families tried to cope with the impacts of HIV, including the with poverty and HIV increasing numbers of orphans and vulnerable children, they were forced to find new ways of caring, including new types of households. One of the most prevalent solutions currently seen in Zambia is indeed the skipped-generation household. These households face high levels of poverty, securing livelihoods is difficult, and in rural Zambia depression is common among members of the older generation. The aim of this research is to provide a comprehensive understanding of the changing dependency Daniël Reijer between orphans and other vulnerable children and their older caregivers. Daniël Reijer obtained his master’s degree in human geography of developing countries at Radboud University in Nijmegen. His thesis focussed on the migration of children affected by AIDS. He has worked in the field of HIV since 2002. Daniël Reijer www.ascleiden.nl 52 African Studies Centre African Studies Centre African Studies Collection 52 198093-os-ASC.indd 1 27-8-13 14:12 Grandparents as parents Grandparents as parents: Skipped-generation households coping with poverty and HIV in rural Zambia ACADEMISCH PROEFSCHRIFT ter verkrijging van de graad van doctor aan de Universiteit van Amsterdam op gezag van de Rector Magnificus prof. dr. D.C. van den Boom ten overstaan van een door het college voor promoties ingestelde commissie, in het openbaar te verdedigen in de Agnietenkapel op donderdag 3 oktober 2013, te 10:00 uur door Daniël Berend Jan Reijer geboren te Kerkrade Promotiecommissie Promotores: Prof. Dr. J.D.M. van der Geest Prof. Dr. R. Reis Overige Leden: Dr. J-B. Gewald Prof. Dr. A.P. Hardon Dr. M. Boele van Hensbroek Dr. T. van Naerssen Prof. Dr. R.C. Pool Faculteit der Maatschappij- en Gedragswetenschappen Africa Studies Centre Africa Studies Collection, vol. 52 Grandparents as parents Skipped-generation households coping with poverty and HIV in rural Zambia Daniël Reijer This study was supported by the Netherlands Ministry of Foreign Affairs through the IS-Academy programme on HIV/AIDS at the Amsterdam Institute for Social Science Research of the University of Amsterdam. Published by: African Studies Centre P.O. Box 9555 2300 RB Leiden The Netherlands [email protected] http://www.ascleiden.nl Cover design: Heike Slingerland Cover photograph by Daniël Reijer: Two boys fishing in the Kafue River. Fishing is an important source of food and income for many respondents; it also was a good opportunity to speak to children and to gain access to their families when the catch could be shared. Printed by Ipskamp Drukkers, Enschede ISSN: 1876-018x ISBN: 978-90-5448-131-7 © Daniël Reijer, 2013 Contents List of figures viii List of tables x Abbreviations xii Acknowledgements xiii 1. QUESTIONS ABOUT CHILDREN , OLDER PEOPLE AND HIV IN ZAMBIA 1 Introduction 1 Research rationale 2 Background of this research 4 Three decades of HIV 6 HIV and the changing prospects for children 9 Growing old in HIV affected families 14 Moving forward together: Skipped-generation households 17 Research questions 18 2. DOING AND THINKING RESEARCH 21 Introduction 21 Definitions of concepts 21 Theoretical framework: Contextualising well-being and development 36 Fieldwork location 49 Research background 51 Research tools 54 Organisation of this book 58 3. HOW LIFE CHANGED IN MISANGWA BETWEEN 2001 AND 2009 61 Introduction 61 Changes I saw in Misangwa between 2001 and 2008 62 Results from household surveys (2001 and 2009) 64 Discussion 84 v 4. THREE HOUSEHOLDS , THREE STORIES 89 Introduction 89 Bana Ebenah’s household 89 Ba Thomson’s household 95 Bana Marjory’s household 100 Discussion 105 5. SIXTY -FIVE HOUSEHOLDS : THE LARGER PICTURE 109 Introduction 109 Overview of the households 109 Characteristics of the older generation 114 Characteristics of the younger generation 118 Implications of the characteristics of households and their members 123 Discussion 128 6. GRANDPARENTS AS PARENTS ? 133 Introduction 133 Expectations of others and expectations of oneself 136 Life histories 137 Three levels of experience 151 What explains apparent variations? 159 Discussion 165 7. CHILDREN AND YOUNG PEOPLE ’S STORIES 171 Introduction 171 Children and young people’s life histories 172 Children and young people’s microsystems 178 Mesosystems that hardly exist 197 Discussion 206 8. CONCLUSION : CHILDREN AND YOUNG PEOPLE , OLDER PEOPLE AND HIV IN ZAMBIA 215 Introduction 215 General conclusions at the household level 216 Conclusions related to the older generation 219 Conclusions concerning the younger generation 222 Conclusions and the theoretical framework 227 The future of skipped-generation households 234 Recommendations 236 vi References 243 Appendix 1: Description of household survey sampling 253 Appendix 2: List of interviewees 256 Summary 259 vii List of figures 1.1 Estimated adult (15 to 49 years) HIV prevalence rate, Zambia, 1990 to 2011 8 1.2 The increasing importance of grandparents: Relationships of double orphans and single orphans (not living with surviving parent) to the head of the household, Namibia, 1992 and 2000 16 2.1 Map of Zambia, showing population density by province, including the Copperbelt province 49 2.2 Sketch of the area of Misangwa 50 3.1 Materials used for walls and roofing of housing (2001 and 2009) 66 3.2 Population pyramids of the population covered in the 2001 and 2009 household surveys 69 3.3 The population chimney: Projected population structure for Botswana in 2020, with and without AIDS 71 3.4 Population size with and without AIDS, South Africa, 2000 and 2025 72 3.5 Declining HIV-related mortality in Zambia between 1990 and 2011 73 3.6 Pie charts on the incidence and nature of orphanhood in 2001 and 2009 77 3.7 Heads of households where OVCs live in 2001 and 2009 81 4.1 Make-up of Ba and Bana Thomson’s household in 2009 96 4.2 Family tree of Bana Marjory’s household 102 5.1 Wealth ranking of skipped-generation households (n=65) and all other households included in the 2009 household survey (n=180) 113 5.2 Proportion of heads of skipped-generation households, by age categories 116 5.3 Highest levels of education attained by heads of skipped-generation households (n=65) 117 5.4 Distribution of the population aged 60 to 64 and 65 and over, by sex, and by the highest level of schooling attended or completed, Zambia 2007 118 5.5 Proportion of members of the younger generation, by age categories 119 6.1 Issues that emerged from the life histories (text size corresponds with the number of respondents who mentioned the issue) 138 7.1 Personal and shared microsystem settings and actors for a granddaughter (12 years) and her grandfather (74 years) living in a skipped-generation household 199 7.2 Microsystem settings and actors, and mesosystem linkages, around Maxwell 202 viii 7.3 Intergenerational transfers and the transactional model of child development: Two hypothetical examples of farming knowledge passed down (or not) by parents 209 7.4 Intergenerational transfers and the transactional model of child development: Two hypothetical examples of the influence (or lack thereof) of interactions with neighbours 210 ix List of tables 2.1 Overview of FGDs conducted 56 2.2 Respondents of in-depth interviews 57 3.1 Basic survey description for the 2001 and 2009 household surveys 65 3.2 Results of socio-economic profiling of households in