Improved Measures of the Family Environment in Longitudinal Population Studies of Child Health in Sub-Saharan Africa
Lead Research Organisation:
University of Southampton
Department Name: School of Social Sciences
Abstract
Child health is a global health priority with over 6 million preventable child deaths occurring every year in developing countries and more than 200 million children failing to reach their full developmental potential. The Millennium Development Goal to reduce child mortality by two-thirds is far from being met in sub-Saharan Africa. Families are central to the health and development of children. There is increasing evidence that interventions and policies can successfully support families in promoting better health and wellbeing of children. The design and evaluation of these interventions requires high quality, detailed and validated data on families and child health which is currently very limited in sub-Saharan Africa.
Our research will identify better ways to measure and characterize complex and dynamic family relationships and processes. The improvements in data about families will assist us and other researchers and service-sector agencies in our efforts to understand and support families in promoting the health of their children in low and middle-income countries. Using a well-established demographic surveillance system in rural South Africa as a model, we will develop and test new instruments and strategies for collecting improved data about families. The research involves researchers at the University of Southampton, the London School of Hygiene and Tropical Medicine and the Africa Centre for Health and Population Studies.
Our research will identify better ways to measure and characterize complex and dynamic family relationships and processes. The improvements in data about families will assist us and other researchers and service-sector agencies in our efforts to understand and support families in promoting the health of their children in low and middle-income countries. Using a well-established demographic surveillance system in rural South Africa as a model, we will develop and test new instruments and strategies for collecting improved data about families. The research involves researchers at the University of Southampton, the London School of Hygiene and Tropical Medicine and the Africa Centre for Health and Population Studies.
Planned Impact
The collaboration, activities and findings from our project will impact six groups of beneficiaries:
1.The conceptual and methodological dimensions of the project will be of considerable interest to researchers with a broad range of interests in children and families, social determinants of health, measurement and data collection methods. The project will advance knowledge about the specific dimensions of family relationships, processes, intergenerational care and support that can be used to promote child health and wellbeing.
2. The project will directly benefit research groups working with demographic surveillance systems in Africa and Asia (e.g. the 47 members of the INDEPTH-Network of HDSS) and family cohorts and social surveys (e.g. COHORTS) by identifying and evaluating measures of the family environment that are conceptually relevant, feasible and methodological reliable in a rural sub-Saharan African context.
3. Improved instruments to measure key indicators of the family environment that have been shown to be feasibly implemented in individual and household data collection in a rural, sub-Sahran African population will be of value to government and international agencies engaged in national and international data collection efforts related to families and health (e.g. UNICEF, WHO, Macro/DHS, Statistics South Africa).
4.Improved understanding of how multiple and dynamic family risk environment influence child health and wellbeing will also benefit researchers and policy-makers involved in the design, implementation and evaluation of family-orientated interventions (e.g. UNICEF, The Global Fund to Fight AIDS, Tuberculosis and Malaria).
5. Southern African early career scientists and research assistants employed through this project will directly benefit from the opportunities for capacity building afforded by the Africa Centre and the University of Southampton. Beyond gaining scientific and operational knowledge and skills within the project, the Wellcome Trust provides funding for all Africa Centre employees wishing to access additional education and training courses.
6. The project will increase wider knowledge and understanding within social science of the value of existing data and opportunities for new data collection, not only in the Africa Centre demographic surveillance system but in the many other DSS in Africa and Asia. This project will be the first time that Berrington and Ploubidis are involved in the analysis of demographic surveillance system data. By bringing these widely respected UK-based experts' understanding of social statistics together with a well-established South African team in order to address the issue of improving measures and understanding of the family environment will serve as a catalyst for many other new areas of collaboration.
1.The conceptual and methodological dimensions of the project will be of considerable interest to researchers with a broad range of interests in children and families, social determinants of health, measurement and data collection methods. The project will advance knowledge about the specific dimensions of family relationships, processes, intergenerational care and support that can be used to promote child health and wellbeing.
2. The project will directly benefit research groups working with demographic surveillance systems in Africa and Asia (e.g. the 47 members of the INDEPTH-Network of HDSS) and family cohorts and social surveys (e.g. COHORTS) by identifying and evaluating measures of the family environment that are conceptually relevant, feasible and methodological reliable in a rural sub-Saharan African context.
3. Improved instruments to measure key indicators of the family environment that have been shown to be feasibly implemented in individual and household data collection in a rural, sub-Sahran African population will be of value to government and international agencies engaged in national and international data collection efforts related to families and health (e.g. UNICEF, WHO, Macro/DHS, Statistics South Africa).
4.Improved understanding of how multiple and dynamic family risk environment influence child health and wellbeing will also benefit researchers and policy-makers involved in the design, implementation and evaluation of family-orientated interventions (e.g. UNICEF, The Global Fund to Fight AIDS, Tuberculosis and Malaria).
5. Southern African early career scientists and research assistants employed through this project will directly benefit from the opportunities for capacity building afforded by the Africa Centre and the University of Southampton. Beyond gaining scientific and operational knowledge and skills within the project, the Wellcome Trust provides funding for all Africa Centre employees wishing to access additional education and training courses.
6. The project will increase wider knowledge and understanding within social science of the value of existing data and opportunities for new data collection, not only in the Africa Centre demographic surveillance system but in the many other DSS in Africa and Asia. This project will be the first time that Berrington and Ploubidis are involved in the analysis of demographic surveillance system data. By bringing these widely respected UK-based experts' understanding of social statistics together with a well-established South African team in order to address the issue of improving measures and understanding of the family environment will serve as a catalyst for many other new areas of collaboration.
Organisations
- University of Southampton (Lead Research Organisation)
- University of Michigan (Collaboration)
- University of the Witwatersrand (Collaboration)
- London School of Hygiene and Tropical Medicine (LSHTM) (Collaboration)
- ViiV Healthcare (Collaboration)
- Africa Health Research Institute (Collaboration)
- Coalition for Children Affected by AIDS (Collaboration)
Publications
Bennett R
(2015)
Understanding Family Migration in Rural South Africa: Exploring Children's Inclusion in the Destination Households of Migrant Parents.
in Population, space and place
| Description | We are able to expand the detail and quality of information about parenting and caregiving collected in rural African household surveys particularly with respect to information about diverse contributions that men and women make to biological and non-biological children in the same household. We can improve our measurement of the range of carework and extent of contact that mothers and fathers have with children with whom they are not living. Such hard-to-reach parents, if contact can be made, are more likely than resident parents to consent to participate in data collection activities; however, in a large proportion of cases where parents are not members of the same household, resident household members living with the child act as gate-keepers restricting contact. That increasing uptake of HIV treatment by public health service users in rural KwaZulu-Natal since 2004 has led to substantial declines in maternal and paternal mortality particularly of adults with young children. However, our analyses of longitudinal population-based data 2003-2012, shows that the level of orphaning incidence in older children remains very high and suggests that strategies to support children affected by HIV needs to adapt to the changing risk of survival post-HIV infection and meeting the needs of older adolescents and indeed, young adults during a critical period of seeking to transition from school to work. |
| Exploitation Route | We are continuing to contribute new findings and develop secondary analyses with colleagues involved in the new Healthy Adolescents and Young Adults (HAYA) Centre that is initiating intervention research in the same population, and; which is also an evaluation community for the major new initiative DREAMS that is being tested in multiple countries. In addition, our work with the Coalition for Children Affected by HIV and AIDS is being taken forward in strategy forums linked to the International AIDS conference this year. We have also been recently started to share our work with Dr Bernadette Daelmans, Coordinator of the WHO Policy Planning and Programmes in the Dept. of Maternal, Newborn, Child and Adolescent Health, who is convening with colleagues gaining input from experts on how to improve the data on families in the health surveys including DHS. We are delighted to be involved with this WHO initiative as this is one of the major goals of the project. We have recently started to collaborate with the African Centre for Migration & Society (ACMS), the University of the Witwatersrand, Johannesburg. The aim of the collaboration is to take forward the application of our findings on child health and welfare in the context of stretched family households, in particularly in the large, well-established flows between rural KwaZulu-Natal (the site of the ESRC-funded research) and urban Johannesburg (the primary area of ACMS studies). |
| Sectors | Communities and Social Services/Policy,Education,Healthcare |
| Description | Our research methods and findings have directly contributed to a discussion process for international and national donors and policy makers on the 'HIV-Sensitive Care Force Planning for Children', February 16-17 2016, facilitated by the Coalition for Children Affected by HIV and AIDS to UNAIDS Headquarters, 20 Avenue Appia, Geneva, Switzerland. Invited to give a plenary presentation, Hosegood was part of the discussions about how best to ensure that the needs of children affected by HIV remain on the policy agenda during international forums occurring later this year in which international heads of governments will reformulate their commitment to HIV. |
| First Year Of Impact | 2015 |
| Sector | Communities and Social Services/Policy,Education,Healthcare |
| Impact Types | Policy & public services |
| Description | African Programme |
| Amount | £128,401 (GBP) |
| Organisation | Nuffield Foundation |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 04/2014 |
| End | 04/2015 |
| Description | African Studies Center of the University of Michigan |
| Amount | $1,500 (USD) |
| Organisation | University of Michigan |
| Sector | Academic/University |
| Country | United States |
| Start | 12/2014 |
| End | 11/2015 |
| Description | Gates Foundation HIV and AIDS research |
| Amount | R16,850,507 (ZAR) |
| Organisation | Bill and Melinda Gates Foundation |
| Sector | Charity/Non Profit |
| Country | United States |
| Start | 12/2014 |
| End | 04/2015 |
| Description | Research Collaboration Stimulus Fund/The Web Science Institute |
| Amount | £15,000 (GBP) |
| Organisation | University of Southampton |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 09/2015 |
| End | 06/2016 |
| Description | ViiV - Healthy Adolescents and Young Adults (HAYA) Centre |
| Amount | £3,000 (GBP) |
| Organisation | Viiv Healthcare |
| Sector | Private |
| Country | United Kingdom |
| Start | 11/2015 |
| End | 07/2016 |
| Description | ViiV Healthcare - Healthy Adolescents and Young Adults (HAYA) Centre |
| Amount | £40,840 (GBP) |
| Organisation | Viiv Healthcare |
| Sector | Private |
| Country | United Kingdom |
| Start | 01/2016 |
| End | 06/2016 |
| Title | Two new questionnaires on parenting and child care for use in demographic surveillance systems |
| Description | We have developed and in the process of implementing two new questionnaires to collect data on childcare and parenting in demographic surveillance system platforms. The IPC collects information from directly from an adult about their involvement with children within and outside the household. The HPC collects information about children and adults within and outside the household from a household proxy informant. New assessments are included on child disability, strengths and difficulties of children, harsh parenting behaviours and attitudes as well as the involvement of people with children other than biological parents both within and outside the household. |
| Type Of Material | Physiological assessment or outcome measure |
| Year Produced | 2014 |
| Provided To Others? | Yes |
| Impact | We are at the stage of testing the questionnaire in one third of households and adults in the Africa Centre demographic information system. We have shared this instrument with family researchers in Uganda, Dr Danny Wight and Professor Janet Seeley, who are in the process of applying for funding to study family care arrangements in Uganda. |
| Description | African Centre for Migration & Society (ACMS) |
| Organisation | University of the Witwatersrand |
| Country | South Africa |
| Sector | Academic/University |
| PI Contribution | We have engaged with Prof. Jo Vearey and colleagues at the African Centre for Migration & Society (ACMS) in the University of Witswatersrand, Johannesburg in order to take forward the findings from the ESRC project on measuring child health and welfare in contexts of stretched family households into policy-related studies in specific groups of children who are part of the well-established and sizeable circular migratory flows between rural KwaZulu-Natal and urban Gauteng including Johanesburg. |
| Collaborator Contribution | The University of Southampton and Africa Centre for Health and Population Studies (merged into a new organisation - AHRI) bring their extensive evidence-based and data collection experience of migraiton and familes in rural KwaZulu-Natal, South Africa. ACMS has an exciting set of complementary experience working with migrants in Johannesburg, some of which has been in former townships where a large proportion of Zulu-speaking circular migrants from rural KwaZulu-Natal have historically been concentrated. ACMS is also has a strongly policy-related research mandate with close links to local municipal and regional migration agencies. Our aim in collaborating is to bring together the evidence from origin and destination communities and to consider the experiences of children in relation to health, education and welfare from a policy and practice-related perspective. |
| Impact | We are exploring funding opportunities to undertake a set of policy case studies. |
| Start Year | 2017 |
| Description | Coalition for Children Affected by HIV and AIDS (CCABA) |
| Organisation | Coalition for Children Affected by AIDS |
| Sector | Charity/Non Profit |
| PI Contribution | CCABA has been a advocacy agency in disseminating and engaging with policy makers about our demographic research findings on children and families affected by HIV and AIDS. In the past, CCABA has encouraged and provided us with interpersonal and written forums in which to discuss our research findings on the level and diversity of types of involvement by fathers in the care and support of children affected by HIV and AIDS. with national and international policy makers, programme implementing agencies such as UNICEF and Save the Children, and researchers in other countries working on issues affecting HIV-infected and HIV-affected children and their families. The organisation's website: http://www.ccaba.org/ and a Special Issue on Family-focused programmes for children affected by HIV and AIDS (http://www.jiasociety.org/index.php/jias/issue/view/1446) |
| Collaborator Contribution | Learning of this ESRC-funded project and our efforts to improve the measurement of the family environment in demographic and health surveys, CCABA asked us to prepare evidence on the demography of the family 'careforce' and issues in identifying and supporting the families of children affected by HIV and AIDS in the era of treatment to be presented at a high-level policy meeting in Geneva organised by CCABA.and held at UNAIDS to engage and advocate for a greater focus on families in the new UN declaration on HIV, as well as, in the goals and activities being developed as part of the new Sustainable Development Goals Using new data collected as part of this project and analyses undertaken with existing population-based data from the ongoing demographic surveillance system, we used the 'careforce' framework proposed by CCABA to consider the demographic profile of the family carers of children affected by HIV and uniquely were able to examine the longitudinal and very detailed information on social and residential arrangements and dynamics to identify gaps in the existing programmes to identify, reach and support children whether orphaned or not. The Coalition urged the UN country delegations to ensure that five critical gaps regarding children & adolescents & their families are covered in the 2016 High-Level Meeting's Declaration of Commitment on HIV/AIDS and the Political Declarations on HIV and AIDS. |
| Impact | Our findings, research methods, data and conceptualisation thus, contributed directly to the CCABA report on The 2016 HLM on HIV's Political Declaration: What we need to see on PMTCT, Paediatrics, Children & Adolescents. See the full report. http://www.ccaba.org/wp-content/uploads/HLM-Political-Declaration-Key-Asks-for-Children-01042016.pdf The collaboration with CCABA has been very multi-disciplinary ranging from practitioners, programme and policy experts from national and international agencies, as well as, academics from a broad range of disciplines including demography, psychology, social welfare, health, health policy, child protection, law and ethics and finance. |
| Start Year | 2015 |
| Description | Healthy Adolescents and Young Adults (HAYA) Centre/Africa Centre/LSHTM |
| Organisation | Africa Health Research Institute |
| Country | South Africa |
| Sector | Charity/Non Profit |
| PI Contribution | The Healthy Adolescents and Young Adults (HAYA) Centre has been funded by ViiV Healthcare and is jointly based at the Africa Centre for Population Health in South Africa and LSHTM. I have been involved since its inception in providing demographic expertise to its developing research agenda which focuses on the design and implementation of interventions to support adolescent HIV treatment and prevention in rural KwaZulu-Natal. Our work in the ESRC-funded Family Environment project has made an important contribution to the first scientific planning meeting in London in Feb 2015 (Adolescent Health Research in Africa Workshop) and subsequent funding of a secondary analysis of the existing data on the demographic and social context in which adolescents and their families are living and how this has changed over the period since 2000 using ACDIS data. And in contributing findings from the Parenting and Caregiving data collection conducted as part of the ESRC-funded project in which we collected information about parenting and caregiving arrangements for adolescents, the first community-based disability survey of adolescents and self-reported comparative data collected from 15-17 year olds themselves on their family and caregiving experiences. HAYA is directed by Dr Jane Ferguson, formerly the head of WHO's Adolescent programme. This new collaboration with HAYA has allowed the Family Environment project to make an direct and substantive contribution to informing a new set of adolescent health interventions including the very large multi-country DREAMS initiative that is being trialled in the Africa Centre population surveillance area. With new 5-year funding for the Africa Centre from the Wellcome Trust announced in March 2016 in which our Family Environment project contributed to the portfolio of research in the Society in Transition theme, we look forward to a long-term collaboration with the HAYA Centre at the Africa Centre in which our findings and subsequent research arising from the project will be directly used in the design and implementation of new intervention studies and programmes for roll-out in South Africa and the region. |
| Collaborator Contribution | Using funds awarded by ViiV Healthcare, HAYA has funded the Family Environment researchers to conduct two research activities in 2016: 1. 'Adolescents in Context: The characteristics of adolescents across household, community, school and HIV treatment and care settings in rural KwaZulu-Natal' and 2. DISC-SA - A Study of Disability in Children and Adolescents in a rural South African Population' They have awarded the University of Southampton a total of £43,840 for these activities. In June 2016, the findings of these activities will be included in a symposium on Policy and programmes for adolescent health to be hosted by HAYA in Johannesburg, South Africa in advance of the International AIDS Conference 2016. |
| Impact | Adolescent Health Research in Africa Workshop 4-5 February 2015; Wellcome Trust Gibbs Building, London, UK. Adolescent Health Research in Africa Workshop report. Available online at: https://blogs.lshtm.ac.uk/hayaresearchunit/files/2015/09/Haya-report.pdf |
| Start Year | 2015 |
| Description | Healthy Adolescents and Young Adults (HAYA) Centre/Africa Centre/LSHTM |
| Organisation | London School of Hygiene and Tropical Medicine (LSHTM) |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | The Healthy Adolescents and Young Adults (HAYA) Centre has been funded by ViiV Healthcare and is jointly based at the Africa Centre for Population Health in South Africa and LSHTM. I have been involved since its inception in providing demographic expertise to its developing research agenda which focuses on the design and implementation of interventions to support adolescent HIV treatment and prevention in rural KwaZulu-Natal. Our work in the ESRC-funded Family Environment project has made an important contribution to the first scientific planning meeting in London in Feb 2015 (Adolescent Health Research in Africa Workshop) and subsequent funding of a secondary analysis of the existing data on the demographic and social context in which adolescents and their families are living and how this has changed over the period since 2000 using ACDIS data. And in contributing findings from the Parenting and Caregiving data collection conducted as part of the ESRC-funded project in which we collected information about parenting and caregiving arrangements for adolescents, the first community-based disability survey of adolescents and self-reported comparative data collected from 15-17 year olds themselves on their family and caregiving experiences. HAYA is directed by Dr Jane Ferguson, formerly the head of WHO's Adolescent programme. This new collaboration with HAYA has allowed the Family Environment project to make an direct and substantive contribution to informing a new set of adolescent health interventions including the very large multi-country DREAMS initiative that is being trialled in the Africa Centre population surveillance area. With new 5-year funding for the Africa Centre from the Wellcome Trust announced in March 2016 in which our Family Environment project contributed to the portfolio of research in the Society in Transition theme, we look forward to a long-term collaboration with the HAYA Centre at the Africa Centre in which our findings and subsequent research arising from the project will be directly used in the design and implementation of new intervention studies and programmes for roll-out in South Africa and the region. |
| Collaborator Contribution | Using funds awarded by ViiV Healthcare, HAYA has funded the Family Environment researchers to conduct two research activities in 2016: 1. 'Adolescents in Context: The characteristics of adolescents across household, community, school and HIV treatment and care settings in rural KwaZulu-Natal' and 2. DISC-SA - A Study of Disability in Children and Adolescents in a rural South African Population' They have awarded the University of Southampton a total of £43,840 for these activities. In June 2016, the findings of these activities will be included in a symposium on Policy and programmes for adolescent health to be hosted by HAYA in Johannesburg, South Africa in advance of the International AIDS Conference 2016. |
| Impact | Adolescent Health Research in Africa Workshop 4-5 February 2015; Wellcome Trust Gibbs Building, London, UK. Adolescent Health Research in Africa Workshop report. Available online at: https://blogs.lshtm.ac.uk/hayaresearchunit/files/2015/09/Haya-report.pdf |
| Start Year | 2015 |
| Description | Healthy Adolescents and Young Adults (HAYA) Centre/Africa Centre/LSHTM |
| Organisation | Viiv Healthcare |
| Country | United Kingdom |
| Sector | Private |
| PI Contribution | The Healthy Adolescents and Young Adults (HAYA) Centre has been funded by ViiV Healthcare and is jointly based at the Africa Centre for Population Health in South Africa and LSHTM. I have been involved since its inception in providing demographic expertise to its developing research agenda which focuses on the design and implementation of interventions to support adolescent HIV treatment and prevention in rural KwaZulu-Natal. Our work in the ESRC-funded Family Environment project has made an important contribution to the first scientific planning meeting in London in Feb 2015 (Adolescent Health Research in Africa Workshop) and subsequent funding of a secondary analysis of the existing data on the demographic and social context in which adolescents and their families are living and how this has changed over the period since 2000 using ACDIS data. And in contributing findings from the Parenting and Caregiving data collection conducted as part of the ESRC-funded project in which we collected information about parenting and caregiving arrangements for adolescents, the first community-based disability survey of adolescents and self-reported comparative data collected from 15-17 year olds themselves on their family and caregiving experiences. HAYA is directed by Dr Jane Ferguson, formerly the head of WHO's Adolescent programme. This new collaboration with HAYA has allowed the Family Environment project to make an direct and substantive contribution to informing a new set of adolescent health interventions including the very large multi-country DREAMS initiative that is being trialled in the Africa Centre population surveillance area. With new 5-year funding for the Africa Centre from the Wellcome Trust announced in March 2016 in which our Family Environment project contributed to the portfolio of research in the Society in Transition theme, we look forward to a long-term collaboration with the HAYA Centre at the Africa Centre in which our findings and subsequent research arising from the project will be directly used in the design and implementation of new intervention studies and programmes for roll-out in South Africa and the region. |
| Collaborator Contribution | Using funds awarded by ViiV Healthcare, HAYA has funded the Family Environment researchers to conduct two research activities in 2016: 1. 'Adolescents in Context: The characteristics of adolescents across household, community, school and HIV treatment and care settings in rural KwaZulu-Natal' and 2. DISC-SA - A Study of Disability in Children and Adolescents in a rural South African Population' They have awarded the University of Southampton a total of £43,840 for these activities. In June 2016, the findings of these activities will be included in a symposium on Policy and programmes for adolescent health to be hosted by HAYA in Johannesburg, South Africa in advance of the International AIDS Conference 2016. |
| Impact | Adolescent Health Research in Africa Workshop 4-5 February 2015; Wellcome Trust Gibbs Building, London, UK. Adolescent Health Research in Africa Workshop report. Available online at: https://blogs.lshtm.ac.uk/hayaresearchunit/files/2015/09/Haya-report.pdf |
| Start Year | 2015 |
| Description | Research collaboration to examine dynamics in child care in rural South Africa |
| Organisation | University of Michigan |
| Country | United States |
| Sector | Academic/University |
| PI Contribution | Our research team has been in discussion with Professor Kathy Ford at Michigan University about her involvement in working with us to analyse the Africa Centre longitudinal data on child care for orphans and non-orphans in the pre- and post-ART periods. This builds on work that our team has been doing led by the research assistant Dr Gabriela Mejia-Pailles, to examine the quality of the data on parental survival and estimate the trends in orphanhood prevalence and incidence. |
| Collaborator Contribution | Professor Kathy Ford, a statistician, led the writing of an application to the University of Michigan for travel funds to enable us to meet at the Africa Centre in early 2015 and work together on these analyses. |
| Impact | We have obtained a travel grant which we will use to meet in early 2015. We also have started to prepare the datasets that will be needed for the analyses. This collaboration is multidisciplinary - demography and statistics. |
| Start Year | 2014 |
| Description | Adolescent Health Research in Africa Workshop |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Supporters |
| Results and Impact | Hosegood, V. Invited speaker. Demographic context of children and adolescents informing the design and implementation of treatment and prevention programmes and studies. Healthy Adolescents and Young Adults (HAYA). Adolescent Health Research in Africa Workshop 4-5 February 2015; Wellcome Trust Gibbs Building, London, UK. https://blogs.lshtm.ac.uk/hayaresearchunit/files/2015/09/Haya-report.pdf |
| Year(s) Of Engagement Activity | 2015 |
| URL | https://blogs.lshtm.ac.uk/hayaresearchunit/files/2015/09/Haya-report.pdf |
| Description | Hosegood V. Keynote speaker. Fuzzy fathers and hidden patrons: Population and survey data on fathers and father involvement. Symposium 'Promises and Challenges of Researching Fathering in South Africa.' Medical Research Council, Tygerberg, Cape Town, 17th November 2014. |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Industry/Business |
| Results and Impact | I was an invited keynote speaker at the symposium at the Medical Research Council in Cape Town to explore ways to promote the inclusion of fathers in health research, particularly of young children. I discussed our research work on parents, in particular biological and non-biological fathers including our new research methods, data and findings as part of the ESRC-funded Family Environment project. Hosegood V. Keynote speaker. Fuzzy fathers and hidden patrons: Population and survey data on fathers and father involvement. Symposium 'Promises and Challenges of Researching Fathering in South Africa.' Medical Research Council, Tygerberg, Cape Town, 17th November 2014. |
| Year(s) Of Engagement Activity | 2014 |
| Description | Paper presented at the 14th AIDS Impact conference, London, July 2019. |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | In July 2019, the 14th AIDS Impact conference was held in Syon Park, London. This is bi-annual international conference that attraHIV cts many academics, practioners, policy makers and NGOs who work directly in the field of HIV and child health in sub-Saharan Africa. Importantly this meeting has a high profile within the southern African region and among researchers and policy makers working with children affected by HIV and AIDS. Victoria Hosegood presented new findings from this ESRC-funded project on the 'Trends in the prevalence and incidence of orphanhood in children and adolescents in rural KwaZulu-Natal, South Africa, 2000-2014' on behalf of collaborators Nuala McGrath, Gabriela Mejia-Pailles, Ann Berrington. These findings included new estimates in the post-ART era which are important for monitoring the impact of the HIV epidemic and child health and welfare policy responses in severely affected communities in which ART treatment has reduced the risk of parental HIV deaths but HIV prevelance continues to rise. Our research using the longitudinal population-based data provides robust, rare data on orphaning incidence, as well as, prevalence. Focusing on KwaZulu-Natal, measuring the emerging levels and trends in paternal, as well as, maternal, orphanhood is of particular value for informing welfare policy responses given the continued wide gender gap in mortality with high levels of premature adult male mortality due to causes other than HIV/AIDS and TB. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Plenary presentation at the HIV-Sensitive Care Force Planning Meeting held at the UNAIDS, Geneva February 2016 |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Policymakers/politicians |
| Results and Impact | In February 2016, the Coalition for Children Affected by HIV and AIDS (CCABA) hosted a meeting focused on HIV-sensitive "care force" planning for children. Donors, program leaders and researchers came together to identify the necessary interventions, research, advocacy and investment required to meet the unique needs of those responsible for the unpaid care of children affected by HIV. Methodology normally used for workforce planning at national or regional levels was used to help stakeholders think about better supporting familial and other unpaid workers who care for children in the home. The meeting was intended to both feed into results presented at the Coalition's biennial symposium and, ultimately, drive action in order to reach this population. I presented a plenary presentation on the 'Demography of the Family Careforce' in which I drew directly on findings from the ESRC-Family Environment project. The presentation was very well received by those involved with implementing, planning and funding family support programmes for children in Africa. Of particular resonance was my exploration of how best to identify and maintain support for children in highly mobile family arrangements and with multiple caregiving environments. These are challenges which face practioners but which have not been given adequate attention across the range of programmes and policies targeting parents and caregivers of children who are HIV-infected and HIV-affected. |
| Year(s) Of Engagement Activity | 2016 |
| URL | http://www.ccaba.org/what-we-do/convenings/hiv-sensitive-care-force-planning-meeting/ |
| Description | Population Association of America 2015 Annual Meeting. San Diego, CA |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Third sector organisations |
| Results and Impact | Conference presentation of findings on the level and patterns of parental orphaning of children <18 and the causes of parental death. Results from the ESRC-funded Family Environment project. Mejia-Pailles G, Hosegood V, Berrington AM. Estimating Orphaning Prevalence and Incidence before and after Antiretroviral Treatment (ART) Roll-Out in Rural South Africa, 2000-2013 (2015) Population Association of America 2015 Annual Meeting. San Diego, CA. April 30th- May 2nd 2015. |
| Year(s) Of Engagement Activity | 2015 |
| URL | http://www.cpc.ac.uk/events/?action=story&id=397 |
| Description | Population Association of America 2015 Annual Meeting. San Diego, CA (Incomplete data on parents) |
| Form Of Engagement Activity | Participation in an open day or visit at my research institution |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | Gabriela Mejia-Pailles, Vicky Hosegood and Ann Berrington, 'Exploring Factors Associated with Completeness of Parental Survival Data in a Longitudinal Surveillance System in Rural South Africa' in Data and Methods/Applied Demography/ Spatial Demography/ Demography of Crime. Population Association of America 2015 Annual Meeting. San Diego, CA. April 30th- May 2nd 2015. |
| Year(s) Of Engagement Activity | 2015 |