Intergenerational Impact of the AIDS Pandemic in Nigeria

ABSTRACT

This paper articulates and assesses the intergenerational impact of the AIDS pandemic in Nigeria based on literature reviews and mailed surveys. The findings reveal that, with the advent of colonialism in the 19th century, the wave of modernization, and the new idea of nuclear family system, intergenerational bonds and relationships were weakened to an extent. But the arrival of the AIDS epidemic in the 1980s and its steady increase worsened the situation. Intergenerational relationships have been affected to the extent that bonds between generations are collapsing. The AIDS pandemic creates social isolation and stigmatization of the infected and affected population. Since the middle generation is mostly infected, the older and younger generations who depend on them suffer most of the consequences. Some efforts have been made by the government and non-governmental organizations to address the increasing rate of infection. But little has been done to mitigate the impact of the pandemic especially on intergenerational relationships. As a possible solution, this paper suggests some intergenerational programming and policy approaches to address the problem, and achieve better intergenerational relationships in Nigeria at this time of crisis.     

Intergenerational Influences on Perceptions of Current Relationships with Grandparents

Abstract

The purpose of this research is to investigate inter-generational kinship variables as predictors of perceptions of current grandparent-grandchild relationship quality. A lifecourse perspective is used to demonstrate the need for consideration of the GP-GCH relationship within a three-generational, dynamic framework linking the past and present. Matrifocal kinkeeping, lineage and caregiving history hypotheses are tested in the current study. Responses from a combined sample of 321 young adult grandchildren about their relationships with their parents and all living grandparents provide the basis for the present research. GP-GCH relationship quality is the dependent variable under consideration, which combines perceived emotional closeness and frequency of contact with each of the four possible grandparent types. Independent variables tested include caregiving by grandparents during childhood, young adults' current relationship quality with mothers and fathers, and mothers' and fathers' relationships with parents and in-laws, as appropriate. Using stepwise multiple regression, GP-GCH relationship quality is predicted by a history of caregiving for the grandchild by the grandparent in question, as well as direct lineage connections, with mothers' relationships with their children and parents influencing grandchildren's relationships with maternal grandparents, and fathers' relationships with their parents and children showing similar patterns for grandchildren's relationships with paternal grandparents. The present data provide support for lineage and caregiving history hypotheses rather than matrifocal kinkeeping as predictors of intergenerational kinship patterns.     

Transformations over Time in Generational Relationships in Africa

ABSTRACT

Generational transformations over historical time and space in Africa have featured a mixture of the “good” and the “bad.” The valuable interactions and relationships that endured in our traditional communities typify the good. The bad, on the other hand, is typified by the alterations that our cultures have witnessed as a result of profound and, sometimes, negatively influencing foreign contacts that have put in jeopardy whatever we had cherished in our generational relationships in the past. However, it is obvious that Africa cannot remain in the past in a globalizing and modernizing world. We live in the present, and therefore our peoples must engage in the deconstruction, reconstruction and transformation of whatever could help them maintain some degree of cultural development.     

National AIDS Commissions in Africa: Performance and Emerging Challenges

This article consolidates and expands on evidence on how National AIDS Commissions (NACs) in sub‐Saharan Africa are measuring up to expectations that drove their rapid adoption across the continent. While their overall performance seems reasonably good, most NACs still lack adequate power and incentive structures to hold line ministries accountable, a key requirement for co‐ordinating activities and mainstreaming HIV‐AIDS across the public sector. Second‐generation African NACs urgently need the authority and institutional stature to effectively co‐ordinate the channelling of the larger funds now available through government bureaucracy. The evolution of the epidemic also imposes requirements different from those when the current NAC architecture was crafted.     

Intergenerational Connections Through Book Discussion Groups

Abstract

Learning about intergenerational programming prepares health care professionals to be more competent and compassionate in working with a changing society. A unique teaching approach using intergenerational book discussion groups helps students learn about elders and provides a mutually beneficial experience. Assumptions, myths and biases held by each generation are often dispelled. Values and beliefs are clarified as members from differing generations learn about similarities and honor differences. The assignment becomes more than a technical learning situation and becomes one where friendships evolve and a deep respect for others develops. This article discusses how to plan and implement an intergenerational book discussion group for application within a variety of settings.     

Intergenerational Relationships and Union Stability in Fragile Families

Using data from the Fragile Families and Child Well being Study (N= 2,656), we examined the association between intergenerational relationships and parents' union stability five years after a baby's birth. Results showed that more amiable relationships between parents and each partner's parents, and more time children spent with paternal grandparents, were associated with increased odds that parents were co-residing by the time their focal child was age five. More time that children spent with maternal grandparents reduced union stability, although this result was not robust to methods that better address selection. These findings underscore the importance of the broader social contexts affecting couple stability. Findings further suggest that even amidst changing demographic conditions, intergenerational family ties are important for couples-and by extension-their children.     

Who Can Help People with HIV/AIDS in Africa? Governance of HIV/AIDS and Civil Society

This paper locates NGOs dealing with HIV/AIDS problems in sub-Saharan Africa into the larger governance context within which they function. This aims at a theoretical shift to assess the aspirational characteristics for the agency of NGOs that are used to legitimate contracting out implementation of internationally designed HIV/AIDS policies to these organizations. The paper interrogates the nature and impact of the governance structure on NGOs and then looks at the implications of this for HIV/AIDS. The questioning is based on a juxtaposition of the perspective of international policy fora in relation to civil society organizations with the way NGO work is perceived by the people at the receiving end of the policies. The paper suggests that as part of the international governance structure, NGOs are limited within the policy frameworks created by this structure. Furthermore, due to their organizational characteristics, NGOs lack capacity to establish sustainable long-term interventions relevant for sociocultural change as perceived by people themselves.     

Evaluating the Impact of Intergenerational Activities on Elders' Engagement and Expressiveness Levels in Two Settings

Abstract

This study evaluated the impact of intergenerational activities on elders' engagement and expressiveness levels in two settings. Study 1 was conducted with 22 well elders at a senior center and approximately 15 children from a nearby grade school. Data were collected using a momentary time sampling procedure, and inter-observer reliability averaged 88% (ranging from 78% to 97%). Elders were significantly more engaged (t(85) = 4.60, p > .001) and expressive (t(85) = 5.55, p > .001) in the treatment condition than the control condition. Study 2 was conducted with 25 older adults diagnosed with dementia, living in a special care unit. Twenty-eight second-graders were in the experimental group and 32 second-graders were in the comparison group. A momentary time sampling procedure was used to observe engagement, expressiveness, and inappropriate behavior levels. Inter-observer agreement averaged 94% (ranged from 85% to 100%). Elders were significantly more engaged in the structured activities with children than the structured activities without children, and significantly more engaged in structured activities without children than the no-activity condition, F(l) = 60.1; p > .01. Elders were also significantly more expressive in structured activities with children than the structured activities without children, and significantly more expressive in the structured activities without children than the no-activity condition, F(1) =26.5; p = 01. Further, there was no significant increase in inappropriate behaviors between any condition, F(1) =.322; p = .57. The analysis of variance regarding children's attitudes towards the elderly showed no significant differences whether they did or did not participate in the intergen-erational activities (F3.5, p < .05), with both groups maintaining positive attitudes of elders. These results reflect the importance of offering intergenerational activities to well and institutionalized elders as well as to children.     

A Field in Search of Concepts: The Relevance of Generativity to Understanding Intergenerational Relationships

Intergenerational relationships are increasingly recognized as an important field of practice and research. However, it has been argued that appropriate concepts and theories are still required to guide and consolidate the discipline. Although a number of concepts borrowed from the social sciences have been used with some success thus far, few attempts have been made to conceptualize intergenerational relationships from a psychological and developmental perspective. This article explores the usefulness of the Eriksonian concept of generativity as a framework for understanding intergenerational relationships. We describe the contribution of generativity to the intergenerational field and we explore the prospects, limitations, and potential of this contribution.     

Greater involvement of people living with HIV/AIDS in South Africa

This study reports on a pilot project, the greater involvement of people living with HIV/AIDS Workplace Model, which places trained fieldworkers living openly with HIV/AIDS in selected partner organisations sectors, where they set up, review or enrich workplace policies and programmes. The project adds credibility to partners' HIV/AIDS programmes and creates a supportive environment for people living with HIV/AIDS (PLWHA) and others to speak about HIV/AIDS. Eleven men and women living with HIV, aged between 30 and 45, and with varied life experiences and education levels, shared a willingness to speak about their HIV status in their workplace. They worked in very different environments but their collective experiences showed that PLWHA can add value to workplace HIV/AIDS programmes in a way that is relevant, effective, efficient, sustainable and ethical. They made companies and communities more aware of the intense need for HIV/AIDS policies and encouraged care and support for infected and affected people.     

A New Kind of AIDS: Adapting to the Success of Protease Inhibitors in an AIDS Care Organization

Using a case study analysis of Heath House, a Santa Barbara residential care facility for People Living With HIV/AIDS, this paper examines the effects of protease inhibitors on the life of an AIDS care organization. The case of Heath House reveals that when care providers are committed to static conceptualizations of an epidemic and its victims, and have defined the value of their work in relationship to these conceptualizations, new technologies threaten organizational identity and stability. While prior research on goal displacement has emphasized the process by which an organization's members lose sight of their original goals to achieve greater efficiency or legitimacy, this study offers an example of the process by which members adhere to original goals and ideologies, even when change becomes necessary for organizational survival. This article examines tensions between residents and staff at Heath House that occurred when the very institutional culture that allowed it to thrive became anachronistic as AIDS changed. I explore problems of internal dissent and external problems of legitimacy.     

Trends in cardiovascular diseases and associated risks in sub-Saharan Africa: a review of the evidence for Ghana,Nigeria, South Africa,Sudan and Tanzania

Background: Sub-Saharan Africa (SSA) countries are facing an epidemiological shift from infectious disease to chronic diseases, such as cardiovascular diseases (CVDs). CVDs incidence in SSA are frequently attributed to the prevalence of hypertension, diabetes, and overweight/obesity. Nevertheless, some researchers contend that CVDs are not a priority public health problem in SSA.

Method: This paper systematically reviews the evidence on CVDs and their relation with hypertension, diabetes mellitus and obesity/overweight in Ghana, Nigeria, South Africa, Sudan and Tanzania. The publication’s content was analyzed qualitatively using the directed content analysis method and the results were presented in a tabular format.

Result: The paper illustrates the rising prevalence of CVDs as well as the three related risk conditions in the selected SSA countries.

Conclusion: The review indicates a poor health system response to the increasing risk of CVDs in SSA. The conditions and major drivers that contribute to this underlying increasing trend need to be further studied.     

An Intergenerational Perspective on Grandparent Roles

Abstract

This study provides an intergenerational perspective on grandparent roles. Data was collected from young parents (N = 105) and middle-age and older adults (N = 105). Both groups identified multiple roles as important for grandparents to initiate with young grandchildren: these included being a playmate as well as a friend, teacher, and role model. Intergenerational differences were also found with middle-age and older adults more likely than young parents to rank religious guide (p < .001) and family historian (p < .05) as important roles to enact with young grandchildren. However, the young parents were more likely than the older participants to predict that grandparents would be remembered by their grandchildren as fun, having high values, being a role model, and financially supportive (p < .001). Recommendations for future intergenerational research are recommended.     

Intergenerational Initiatives in Sweden

ABSTRACT

It is pointed out in this report that the intergenerational perspective is conspicuous by its absence in Sweden, compared to several other countries where specific programmes exist for activities across generational boundaries. Activities across generational boundaries have also been a specific area where financial incentives for local projects have been provided in recent years through the government's project, Freedom of Choice/Older People and Public Health. But despite these efforts, comprehensive and systematic measures to develop and strengthen contacts across generational boundaries have been few and far between in Sweden. Instead, official measures within various areas have targeted different groups, often defined in terms of their age and stage of life course.     

Impact of an Intergenerational Program on 4th Graders' Attitudes Toward Elders andSchool Behaviors

Abstract

The rapid growth of the elderly population coupled with research demonstrating the existence of ageist stereotypes even among very young children have led to the rise of intergenerational programs. Very limited research has been conducted, however, to demonstrate the effectiveness of these programs in producing attitudinal change or other beneficial outcomes for at-risk children. This study examined the impact of an intergenerational program on children's attitudes toward elders and on their school-based behaviors. Eighty-one 4th grade children enrolled in an inner-city school participated in the study. Forty-one children, with matched seniors partners, engaged in activities based on the 4th grade core curriculum within an outdoor classroom environment, while the remaining 40 children participated in usual core curriculum activities. At the conclusion of the program those children who participated in the program had significantly more positive attitudes towards the elderly and significantly better school behavioral grades than did non-participating students. Impli-     

Intergenerational Activities that Promote Engaging Conversations are Preferred among Young and Older Adults

ABSTRACT

Loneliness negatively affects young and older adults. Intergenerational activities foster social connectedness. Using quantitative and qualitative methods, this study explored which intergenerational activities are most enjoyable for college students and retirement community residents. Demographics, loneliness, enjoyment, conversation level, and type of activity were analyzed. The enjoyment and conversation variables were positively correlated (r = .59, p < .001) which was supported by participants’ narratives. Both populations most enjoyed the activities with higher conversation levels, with the first being committees, followed by meals, one on one activities, and transportation. Retirement communities and universities should promote intergenerational activities, which include meaningful conversations.     

Adopted Adolescents' Preoccupation With Adoption: The Impact on Adoptive Family Relationships

This study examines the relationship between the intensity of adopted adolescents' thinking about their adoptions and their adoptive family relationships. Participants included 135 adopted adolescents involved in an ongoing study of openness in adoption. Adolescents who reported high levels of preoccupation with adoption reported greater alienation from their adoptive fathers than did adolescents who reported moderate or low levels of preoccupation. Adolescents with extremely high levels of preoccupation reported significantly higher levels of alienation and significantly lower levels of trust for their adoptive mothers and fathers than adolescents with extremely low levels of preoccupation. These findings, along with the divergences between adolescents' perceptions of dyadic and overall family relationships, are discussed in terms of how they relate to the process of adoptive identity exploration.     

Strengthening the Capacity of Grandparents in Providing Care to Young Children Affected by HIV/AIDS

Abstract

Action for Children (AFC) is a non-governmental organization founded and registered with the government of Uganda in 1998 to rescue children from immediate danger and to advocate for their rights. AFC is working on a three-year pilot project entitled the Grandparents Action Support Project (GAS), designed and implemented to strengthen the capacity of grandparents providing care to HIV/AIDS orphans and vulnerable children under the age of eight, and to improve the overall welfare of the families taking care of these children. After only seven months, an interim program evaluation revealed that several effective innovative and pragmatic community-based strategies have been developed and implemented by participants. The Project has had a multiplier effect in participating communities in that ‘non-Project’ families are copying and learning from GAS Project homes. Challenges and future expansion of the Project are described.     

Intergenerational Theory in Society

ABSTRACT

Now that the 21st century is underway, society is changing more rapidly than ever. People of all ages are facing new kinds of psychological and interpersonal issues. They are living longer and pioneering new kinds of family patterns and relationships. Given this, then, how can intergenerational programs and relationships both adapt to these new contexts and serve to help people better meet these new societal demands and changes? This article extends, deepens and elaborates upon earlier efforts by describing new societal trends that affect people in the life span, selecting some relevant concepts, exploring them, and suggesting how they might enhance our understanding. Given that this is the postmodern age in which there are questions rather than answers, the discussion of each concept ends with questions for future theory construction.     

Impact of an Intergenerational Program on 4th Graders' Attitudes Toward Elders and School Behaviors

Abstract

The rapid growth of the elderly population coupled with research demonstrating the existence of ageist stereotypes even among very young children have led to the rise of intergenerational programs. Very limited research has been conducted, however, to demonstrate the effectiveness of these programs in producing attitudinal change or other beneficial outcomes for at-risk children. This study examined the impact of an intergenerational program on children's attitudes toward elders and on their school-based behaviors. Eighty-one 4th grade children enrolled in an inner-city school participated in the study. Forty-one children, with matched seniors partners, engaged in activities based on the 4th grade core curriculum within an outdoor classroom environment while the remaining 40 children participated in usual core curriculum activities. At the conclusion of the program those children who participated in the program had significantly more positive attitudes towards the elderly and significantly better school behavioral grades than did non-participating students. Implications and recommendations for intergenerational programming are discussed.