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In sub-Saharan Africa, HIV/AIDS remains a big challenge and a leading cause of death among young adults, its main productive human resource. Hence, increasing the demand for care and support services by the epidemic infected and affected people. As a result, elderly persons, especially women are burdened to provide care and support; a midst disintegrated family support system and the inability of public and private sectors to adequately address their needs. The current qualitative study examined the support services available for elderly women caring for people living with HIV/AIDS in Masindi district, Uganda. A purposive sampling method was used to recruit 24 participants. In-depth interviews were conducted with 18 elderly women caregivers and 6 key informants. Findings indicated that the elderly women caregivers were at least receiving support from two major sectors; including the informal (family, friends, neighbors, religious and community groups) and formal (The Aids Support Organisation- TASO and the government) support systems. However, this support was not consistent and efficient for optimal caregiving. Therefore, more needs to done by making both the informal and formal support systems fully available for elderly caregivers for HIV/AIDS people, thus, benefiting from direct intervention and support services to help meet their care needs.

There are many impediments to family planning uptake by migrant women, which are likely to hinder their right to decide and use contraception. In this study, the authors investigated migrant women's family planning practices. The researchers conducted 22 qualitative interviews with migrant female head porters in a suburban community in Ghana. Our analysis showed that a combination of social and cultural barriers impede effective family planning uptake by migrant female head porters. Further analysis revealed institutional challenges as constraining in access to and utilization of family planning services by migrant female head porters. Based on our analysis, we conclude that migrant female head porters face many barriers to family planning uptake and thus recommend that the government of Ghana (Ministry of Health), policy makers, and other stakeholders take measures to ensure universal access to sexual reproductive health services and reproductive rights.

North-to-south migration has been a persistent trend in Ghana. Yet the migrating population has recently shifted to become predominantly female and younger, with a significant increase in rural adolescent girls seeking employment in urban and peri-urban areas. For adolescents without strong networks of social and financial support, this practice can jeopardize their physical and mental health, putting them at risk of sexual victimization and economic exploitation. Building upon the work of cumulative risk and ecological systems theorists, this article examines the case of female adolescent load bearers (Kayayei) in Ghana, highlighting the need to develop and evaluate multi-component prevention efforts.

AbstractChild labor remains a concern in sub‐Saharan Africa. Yet, evidence‐based preventive efforts are limited. We analyzed longitudinal data from Ghanaian adolescent girls in a pilot randomized clinical trial testing the preliminary impact of a combination intervention on family cohesion as a protective factor against child labor and school dropout. While there was no statistical difference between the control and intervention groups at 9 months, the results show that family cohesion scores improved significantly from baseline to 9 months for the ANZANSI intervention group. Qualitative results indicated improved family cohesion in the intervention group. Hence, future studies should further examine this promising social work intervention.

AbstractDuring adolescence, youth experience several physical, psychosocial, and cognitive changes. Self‐esteem and self‐concept are identified as protective factors for adolescents in high‐income countries, but studies are limited in sub‐Saharan Africa. We examined the associations of self‐esteem and self‐concept with life satisfaction and attitudes toward school using baseline data from 97 Ghanaian adolescent girls at risk of school dropout. Ordinary Least Squares regression models were fitted to examine the association between self‐esteem and self‐concept on school attitudes and life satisfaction. Self‐esteem was positively associated with life satisfaction. Self‐concept was associated with more positive attitudes toward school. Hence, self‐esteem and self‐concept may be critical protective factors in promoting adolescent girls' life satisfaction and positive attitudes toward school.