Decision-Making Frameworks for HIV/AIDS Orphans Case Study: A Growth Assessment of Nyumbani Village in Kitui, Kenya Open Access

Abstract

This project consists of a case study discussion of ethical frameworks for decision-making of programs and institutions working with HIV/AIDS orphans. The three frameworks proposed and discussed include a human rights approach, a theological framework, and a public health/community engagement model. The case study is a growth assessment of Nyumbani Village, a project situated outside of Kitui, Kenya to provide holistic care to HIV/AIDS orphans and grandparents. The project consisted of gathering growth measurements of the children at Nyumbani Village and calculating their standardized z-scores to better understand the role of food distribution policies within the organization. Further monitoring of the growth of children at Nyumbani Village is necessary in order to fully understand the impact of the village on the nutritional status of the children that live there.

Table of Contents

Table of Contents
CHAPTER 1: INTRODUCTION 6
PURPOSE OF THE STUDY 7
RESEARCH QUESTIONS 8
RESEARCH OBJECTIVES 8
CHAPTER 2: COMPREHENSIVE REVIEW OF THE LITERATURE 9
THE HIV/AIDS EPIDEMIC 9
Orphans Affected By HIV/AIDS 10
Impact of HIV/AIDS on Growth and Nutrition 12
HIV/AIDS ORPHANS IN KENYA 15
CASE STUDY: NYUMBANI VILLAGE 20
ETHICAL FRAMEWORKS 22
A Human Rights Based Approach 23
A Theological Framework 26
Public Health/ Community Engaged Model 29
CHAPTER 3: PROJECT CONTENT 31
METHODOLOGY 31
Introduction 31
Research design 33
Instruments 34
Data analysis 34
Limitations and delimitations 35
RESULTS 36
Introduction 36
Weight-for-age 38
Height-for-age 40
BMI-for-age 42
Major Findings 44
CHAPTER 4: DISCUSSION, CONCLUSION, AND RECOMMENDATIONS 47
INTRODUCTION 47
ETHICAL FRAMEWORKS 48
A Human Rights Based Approach 48
A Theological Framework 49
A Public Health/Community Engaged Model 50
RECOMMENDATIONS 52
CONCLUSION 55
ACKNOWLEDGEMENTS 56
REFERENCES 56

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Keyword	Kenya Nyumbani Growth HIV/AIDS Orphans
Committee Chair / Thesis Advisor	Blevins, John, Emory University
Partnering Agencies	Religious-based organization

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