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Maltreatment of Youth Heads of Households in Rwanda


J Ntaganira
L Brown
NB Mock

Abstract

Background
In Rwanda, the combined effects of the 1994 genocide and the spread of AIDS have resulted in large numbers of orphans. Many of these are not only orphans but also youth heads of households (YHH). Orphans and YHH are particularly vulnerable to maltreatment because of marginalization from the community. The objectives of this study were to: (a) determine the prevalence of maltreatment among YHH after a two year follow-up by age and gender; (b) assess the association between certain behavioral, contextual, and socio-demographic factors and maltreatment; and (c) determine predictors of maltreatment in that community.
Methods
Cross-sectional survey of 692 YHH, aged 10-24, in Gikongoro, Rwanda, all beneficiaries of a World Vision basic needs program. In addition, four gender-mixed focus groups with youth with a total of 32 participants and nine gender-mixed focus groups with adults from the community with a total 61 participants were held.
Results
The findings reveal that the prevalence of maltreatment is very high, with 71.5% of YHH self-reporting at least one type of abuse and 88% reporting having land or possessions taken or damaged. Focus group discussions identified four primary factors representing a source for violence and exploitation of YHH and results from the regression analysis showed that factors indicating community connectedness and children’s externalizing behaviors were the most salient predictors of positive treatment or maltreatment of YHH. Additionally, because of the support they had received from World Vision Program, the YHH are perceived as “better-off” or “rich” by some members of the community and this jealousy contributes in the mistreatment of orphans. Survey results are consistent with this assertion as almost 78 % of YHH reported that people were jealous of the services they were receiving.
Conclusion
These findings provide new information on the issues surrounding the maltreatment of orphans in a poor, rural setting in Rwanda. Although the results should be regarded as primarily exploratory suggestive for further studies, they call for urgent need to address such a serious problem. The findings also suggest the importance of considering any new programs for orphans and YHH in the context of the wider community so as not to inadvertently add to their problems by creating resentment in the surrounding community.

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