Psychological |
2012 |
Rotheram-Borus et al., 2012 |
USA |
Randomized control trial |
339 mothers with HIV and 259 of their school-age children, children aged 6–20 years, mean age 15y. |
Group, bi-weekly, mother and adolescent sessions, 8 weeks. |
Internalising and externalising behaviours, school attendance, grades, problem behaviour |
Mixed - alcohol and hard drug use reduced marijuana use increased in intervention group. No difference in internalising and externalising behaviours. |
2012 |
Thurman, et al., 2012 |
Kenya |
Cross-sectional post-intervention design. |
766 caregivers and 1028 children aged 8 – 14 years. |
Group, weekly, ongoing intervention for caregivers |
Child psychosocial well-being: emotional and behavioural problems, prosocial behaviour |
Higher prosocial behaviour and fewer behavioural problems. |
2014 |
Eloff et al (2014) |
South Africa |
Randomised clinical trial. |
HIV positive mothers and their children. 390 mother-child pairs. Children 6–10y. |
Group, weekly, caregivers and children, 24 weeks in duration |
Children’s behaviour (internalising and externalising problems), adaptive functioning, depressive symptoms, anxiety, emotional intelligence |
Decreased externalising problems, improved communication and daily living skills, no difference for internalising behviour and emotional intelligence, negative outcome for anxiety. |
Psychosocial |
2014 |
Liang et al., 2014 |
China |
Cluster randomized design. Interviews were administered at baseline, 3 and 6 months. |
79 families in four village clusters. Participants: (1) with confirmation of an AIDS diagnosis or HIV-positive status; (2) having a seronegative family member living at home; and (3) having at least one child aged 6 to 18 years living with a PLH participant. Two age groups of children (6–12 and 13–18 years) were included in the study. |
Family groups and community events. |
Children’s self-esteem, perceived parental care, and problem behaviour |
No difference in self-esteem or problem behaviour, increased in perception of parental care |
2008 |
Bell et al., 2008 |
South Africa |
Randomized control trial |
281 intervention and 298 control children, aged 9 to 14y. Being reared by an adult caregiver age >18 years that fulfills parenting responsibilities, enrolled in school, and indicated agreement to participate in the study via caregiver consent and child assent. |
Group, caregiver and child, weekly, 10 sessions. |
Anxiety, AIDS transmission knowledge, stigma, Psychological autonomy, range of parenting skills |
No differences between groups in child psychosocial outcomes |
2009 |
Kumakech et al., 2009 |
Uganda |
Cluster randomised control trial |
326 AIDS ‘orphans’ (lost one or both parents to HIV/AIDS) aged 10–15y |
Groups, children in school, 10 weeks. |
self-concept, anxiety, anger, and depression |
Lower anxiety, depression and anger. |
2011 |
Mueller et al., 2011 |
South Africa |
Quasi-experimental, cross-sectional post-intervention |
177 intervention group and 120 control group children aged 8–18 years. |
Groups, children in school, 50 or more sessions over 6 months. Focus on increasing self-esteem, self-efficacy and psychological well-being. |
self-esteem, self-efficacy, child depression was, emotional–behavioural problems |
No differences in depression, emotional and behavioural problems and self-esteem, but increase self-efficacy. |
2012 |
Carlson et al., 2012 |
Tanzania |
Cluster randomised control trial |
726 children, aged 9–14y. |
Group, adolescents, weekly, 28 weeks |
Five aspects of self-efficacy |
Improvements in deliberative self efficacy, communicative self efficacy and emotional control, no difference in academic efficacy or peer resistance. |
2016 |
Sherr et al., 2016 |
South Africa |
Longitudinal study |
1848 children aged 9–13 years old from South Africa and Malawi who were either CBO attenders or had not received CBO support (control group) |
Range of different community-based programmes for children affected by HIV/AIDS with different modalities of provision |
Depressive symptoms, suicide ideation, post-traumatic symptoms, harsh discipline, perceived praise for child |
Less suicidal ideation, depression, stigma, domestic violence, peer problems and conduct problems, and improved prosocial behaviour. No difference in perceived parental praise or post-traumatic stress symptoms. |
2013 |
Balfour et al., 2013 |
South Africa |
Quasi experimental design |
629 participants, age range not reported |
Group sport, children, eight sessions over 12 weeks. |
HIV stigma, substance use. |
Lower HIV stigma and drug use. |
Social |
2011 |
Hallfors et al., 2011 |
Zimbabwe |
Randomised control trial |
329 girls in Grade 6 in 25 schools (ages range 10–16 years) |
Individual material support, child and family support, duration not specified |
Child perceptions of caring adults, school dropout, educational aspiration, gender equity, attitudes towards sex, sexual debut, marital status, pregnancy |
Reduced school drop out, early marriage and increased school attendance, educational aspiration, and delayed sexual debut. No differeence for perceptions of caring of teachers and gender equity. |
2012 |
Cho et al, 2011 and Hallfors, et al., 2012
|
Kenya |
Randomized control trial. 2 year follow up. |
105 children, 11–14y |
Ongoing programme delivered on an individual level to learners to provide material support for school supplies, as well as visits from a female community visitor, as a means to provide comprehensive support for girls to stay in school and reduce HIV risk. |
School absence, perceptions of caring adults, school dropout, educational aspiration, future expectations, gender equity, attitudes towards sex |
No differences between groups. |
2010 |
Baird et al., 2010 |
Malawi |
Quasi-experimental, intervention and control group |
1225 adolescent girls, 13–22 years old (mean <18) |
Cash transfers paid to households over 10 months, split between caregiver and child, conditional on school attendance record, and secondary school fees paid to schools upon confirmation of enrolment. |
school attendance, early marriage |
Increased school enrolment, reduced early marriage, pregnancy, sexual activitity, risky sexual behaviour. |
2009, 2010, 2012 |
Ssewamala et al 2009; 2010; 2012
|
Uganda |
Randomised control trial |
2009: 267; 2010: 260, 2012: 286. Mean age 13.71. |
Intervention group received usual care for orphaned childrne (counselling and education supplies) plus a comprehensive microfinance intervention consisting of matched savings accounts, financial management classes and an adult mentor for children. Duration between 10 and 12 months. |
Depression, self-esteem |
Reduced depression, higher self-esteem |
2013 |
Robertson et al., 2013 |
Zimbabwe |
Cluster randomized control trial |
5172 children aged 6–12y in 4043 households |
Comparison of conditional and unconditional cash transfers delivered at household level over 12 months. UC and CC groups received same cash amounts, but CC group had to comply with various conditions, including applying for a birth certificate, vaccinations, attending parenting classes and others. |
School attendance for 6–12 year olds and other non-relevant outcomes |
Increased school attendance |
2016 |
Ssewamala et al., (2015) |
Southern Uganda |
Quasi-experimental design (schools randomised, not individuals) |
317 AIDS-orphaned adolescents |
An further study of the Suubi Maka intervention focused on matched savings for promoting monetary savings for educational opportunities for children, financial management workshops and family level income generating projects, and providing mentors to children (one mentorship meeting per month for the 12-month intervention period), and an additional 10 workshops about starting family-based income generating activities. |
Hopelessness and self concept |
Lower levels of hopelessness, higher self-concept. |
Physical health |
2008 |
Hernandez-Reif et al., 2008 |
Dominican Republic |
Randomized control trial |
52 HIV infected children, data for 48 children reported, 2–8y. |
Bi-weekly massage sessions or group play sessions, 12 weeks. |
Internalizing and externalizing problems, self-help age, social age. |
Children under 6y no differences between group but positive results for internalising and self help for children over 6y, negative for social development. |