HIV has taught us how to care for children who have lost a parent, but more countries need to step up
As an epidemiologist, I am used to studying waves of infection and measuring the rise and fall of deaths. While the deaths of parents and grandparents from COVID crash and recede, the pattern of children affected by orphanhood resulting from the death of a caregiver is entirely different. In every country, the number of children affected inexorably rises, month after month. The death of a mother, father, caregiving grandparent or other relative is permanent and enduring.
Countries are starting to respond to this call. In March 2021 Peru announced a plan to pay just more than $50 per month—the cost of a basic food basket—to children who have lost one or both of their parents to COVID. In August 2021 Brazil’s northeastern region launched a similar program to support low-income households. This has since been widened to more regions. Mexico provides scholarships to COVID orphans.
The needs of younger children are more visible because they require immediate full-time nurturing care, yet adolescents face a range of different risks. These include sexual violence and exploitation, mental health and suicide risks, teenage pregnancy, decreased self-esteem and separation from their community. They may also have to assume caring responsibilities for younger siblings and feel the need to seek employment at the expense of their own education.
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