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| Abstract
Objective: We studied child survival in Rakai, Uganda where many children are fostered out or orphaned.
Methods: Biological relatedness is measured as the average of the Wright’s coefficients between each household member and the child. Instrumental variables for fostering include proportion of adult males in household, age and gender of household head. Control variables include SES, religion, polygyny, household size, child age, child birth size, and child HIV status.
Results: Presence of both parents in the household increased the odds of survival by 28%. After controlling for the endogeneity of child placement decisions in a multivariate model we found that lower biological relatedness of a child was associated with statistically significant reductions in child survival. The effects of biological relatedness on child survival tend to be stronger for both HIV- and HIV+ children of HIV+ mothers.
Conclusions: Reductions in the numbers of close relatives caring for children of HIV+ mothers reduce child survival. Author's affiliation
David Bishai
Johns Hopkins University, United States of America
Heena Brahmbhatt
Johns Hopkins University, United States of America
Ron Gray
Johns Hopkins University, United States of America
Godfrey Kigozi
Makerere University, Uganda
David Serwadda
Makerere University, Uganda
Nelson Sewankambo
Makerere University, Uganda
El Daw Suliman
Johns Hopkins University, United States of America
Fred Wabwire-Mangen
Makerere University, Uganda
Maria Wawer
Johns Hopkins University, United States of America Keywords
AIDS/HIV, child survival, fostering, orphans, Uganda Word count (Main text)
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