Factors Contributing to Maternal-Child Separation in Port-Au-Prince, Haiti

Background: The Haitian orphanage sector receives more than 70 million United States Dollars (USD) in foreign aid annually and continues grow; there are over 500 orphanages in Port-Au-Prince alone. An estimated 80% of the 30,000 children living in Haitian orphanages have at least one living parent....

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Autores principales:	Jessica Ashley, Ariana Johnson, Hiwot Woldu, Craig L. Katz
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/63a8178bfce44a8183b39bd2b32a11aa
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spelling	oai:doaj.org-article:63a8178bfce44a8183b39bd2b32a11aa2021-12-02T08:55:28ZFactors Contributing to Maternal-Child Separation in Port-Au-Prince, Haiti2214-999610.5334/aogh.2640https://doaj.org/article/63a8178bfce44a8183b39bd2b32a11aa2019-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2640https://doaj.org/toc/2214-9996Background: The Haitian orphanage sector receives more than 70 million United States Dollars (USD) in foreign aid annually and continues grow; there are over 500 orphanages in Port-Au-Prince alone. An estimated 80% of the 30,000 children living in Haitian orphanages have at least one living parent. Objectives: This research seeks to identify factors contributing to maternal-child separation in Port-Au-Prince to understand motivations and attitudes surrounding maternal-child separation. We hypothesized that poverty, health status, and current state of the family unit are influential in the mother’s decision to separate from her child. Methods: From June to August 2017, a chain referral sampling study was conducted in Port-Au-Prince and the surrounding metropolitan area. Seventy interviews were conducted with (1) Mothers – separated (n = 8) and non-separated (n = 48) – and (2) Community leaders exposed to maternal-child separation (n = 18). The semi-structured interview consisted of questions about (1) exposure to maternal-child separation, (2) circumstances surrounding maternal-child separation, and (3) factors contributing to maternal-child separation. Additionally, all mothers completed a survey including demographic information and multiple validated surveys: Maternal Postpartum Quality of Life, Patient Health Questionnaire (PHQ-9), and PTSD Checklist (PCL) to address quality of life, depression, and PTSD, respectively. Findings: This study found separation to be associated with poor economic means compounded with other factors, most notably access to education, ability to care for disabled children, insufficient support, and poor maternal mental health. Additional themes identified include negative stigma towards maternal-child separation and sparse education surrounding family planning. Quantitative findings revealed separated mothers experienced significantly higher rates of PTSD compared to non-separated, small but statistically worse quality of life, and no difference in rates of major depression. Conclusion: This research finds economic means to be insufficient in predicting maternal-child separation, with access to education being the most salient contributing factor mentioned after economics. Findings from this study will inform development of programming focusing on education, family planning, and social support in Port-Au-Prince.Jessica AshleyAriana JohnsonHiwot WolduCraig L. KatzUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Jessica Ashley Ariana Johnson Hiwot Woldu Craig L. Katz Factors Contributing to Maternal-Child Separation in Port-Au-Prince, Haiti
description	Background: The Haitian orphanage sector receives more than 70 million United States Dollars (USD) in foreign aid annually and continues grow; there are over 500 orphanages in Port-Au-Prince alone. An estimated 80% of the 30,000 children living in Haitian orphanages have at least one living parent. Objectives: This research seeks to identify factors contributing to maternal-child separation in Port-Au-Prince to understand motivations and attitudes surrounding maternal-child separation. We hypothesized that poverty, health status, and current state of the family unit are influential in the mother’s decision to separate from her child. Methods: From June to August 2017, a chain referral sampling study was conducted in Port-Au-Prince and the surrounding metropolitan area. Seventy interviews were conducted with (1) Mothers – separated (n = 8) and non-separated (n = 48) – and (2) Community leaders exposed to maternal-child separation (n = 18). The semi-structured interview consisted of questions about (1) exposure to maternal-child separation, (2) circumstances surrounding maternal-child separation, and (3) factors contributing to maternal-child separation. Additionally, all mothers completed a survey including demographic information and multiple validated surveys: Maternal Postpartum Quality of Life, Patient Health Questionnaire (PHQ-9), and PTSD Checklist (PCL) to address quality of life, depression, and PTSD, respectively. Findings: This study found separation to be associated with poor economic means compounded with other factors, most notably access to education, ability to care for disabled children, insufficient support, and poor maternal mental health. Additional themes identified include negative stigma towards maternal-child separation and sparse education surrounding family planning. Quantitative findings revealed separated mothers experienced significantly higher rates of PTSD compared to non-separated, small but statistically worse quality of life, and no difference in rates of major depression. Conclusion: This research finds economic means to be insufficient in predicting maternal-child separation, with access to education being the most salient contributing factor mentioned after economics. Findings from this study will inform development of programming focusing on education, family planning, and social support in Port-Au-Prince.
format	article
author	Jessica Ashley Ariana Johnson Hiwot Woldu Craig L. Katz
author_facet	Jessica Ashley Ariana Johnson Hiwot Woldu Craig L. Katz
author_sort	Jessica Ashley
title	Factors Contributing to Maternal-Child Separation in Port-Au-Prince, Haiti
title_short	Factors Contributing to Maternal-Child Separation in Port-Au-Prince, Haiti
title_full	Factors Contributing to Maternal-Child Separation in Port-Au-Prince, Haiti
title_fullStr	Factors Contributing to Maternal-Child Separation in Port-Au-Prince, Haiti
title_full_unstemmed	Factors Contributing to Maternal-Child Separation in Port-Au-Prince, Haiti
title_sort	factors contributing to maternal-child separation in port-au-prince, haiti
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/63a8178bfce44a8183b39bd2b32a11aa
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Factors Contributing to Maternal-Child Separation in Port-Au-Prince, Haiti

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