[Will AIDS overtake them?]

Jeune Afr. 1991 May;31(1584):34.
[Article in French]

Abstract

PIP: UNICEF estimates that the streets are now the home of some 5 million African children aged 7-15 who are victims of rapid population growth and urbanization as well as the disintegration of traditional family structure. These children, deprived of a home and of all parental control, are potentially very vulnerable to the threat of AIDS. Prostitution, which is almost institutionalized in the most impoverished urban areas, represents for young girls the most immediate means of survival and occasionally even of helping their families. Male prostitution is highly tabu and marginal in sub-Saharan Africa, and is only slightly developed around the tourist hotels. Homeless children are somewhat protected against contamination through the blood by their lack of access to health care. Intravenous drugs are rare in Africa, and drug use is at most an indirect risk factor for AIDS to the extent that in increases the need for money and weakens the immune system. The frequency of sexually transmitted diseases, deplorable hygienic conditions, and poor general health of homeless children increase their risk of contracting the virus. Many homeless children do not even know of the existence of condoms and in any event condoms are usually inaccessible or too costly for them. Homeless children, like the general population, have false ideas about AIDS that discourage self-protective behaviors. In addition they are cut off from the activities of existing prevention programs. In a context of permanent daily insecurity, AIDS appears as just 1 more menace among others. According to an anthropologist working with the UNESCO program to help homeless children, the only way of making such children aware of the threat of AIDS in the large African cities will be to increase the number of prevention programs targeted at them. At the same time, the children need to be educated and taught an income-generating skill; in short, they need to be given a reason to believe in the future.

Publication types

  • English Abstract

MeSH terms

  • Acquired Immunodeficiency Syndrome*
  • Adolescent*
  • Africa
  • Africa South of the Sahara
  • Age Factors
  • Behavior
  • Biology
  • Child*
  • Demography
  • Developing Countries
  • Disease
  • Geography
  • HIV Infections
  • Ill-Housed Persons*
  • Population
  • Population Characteristics
  • Residence Characteristics
  • Risk Factors*
  • Sexual Behavior
  • Virus Diseases