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Burning "Centre Bolt": Experiences of sexually transmitted infections and health care seeking behaviour described by street boys in Urban Kenya
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell barnhälsa och nutrition/Persson)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell kvinno- & mödrahälsovård/Essen)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell barnhälsa och nutrition/Persson)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell kvinno- & mödrahälsovård/Essen)
2007 (English)In: Children and youth services review, ISSN 0190-7409, E-ISSN 1873-7765, Vol. 29, no 5, 600-617 p.Article in journal (Refereed) Published
Abstract [en]

This paper is about how street boys described their experiences of sexually transmitted infections and the care they sought in Nakuru, Kenya. The data were collected over a six-month period at a Soup Kitchen frequented by street children aged 5 to 18 years. Data were generated using participant observation of 115 children; group discussions with 12 boys; interviews with 20 boys; 17 key informant interviews; two home visits; and clinical records of five boys that had sexually transmitted infections. The findings revealed who the boys' sexual partners were, their sexual practices, and their pattern of condom use, their experience of sexually transmitted infections, how they communicate symptoms and when and how they seek care. Lack of money for treatment delayed care seeking. The study also indicated the existence of strong bonds and support networks as a survival strategy on the streets. In conclusion, understanding the ways the street boys experience, reason and communicate their symptoms as well as their support networks is useful in the prevention of sexually transmitted infections and the promotion of their general health and wellbeing. Moreover, eliminating the barrier to health care is imperative for the sustainable provision of care to this vulnerable group of children.

Place, publisher, year, edition, pages
2007. Vol. 29, no 5, 600-617 p.
Keyword [en]
Street boys, Sexually transmitted infections, Health care seeking behaviour, Support networks, Kenya
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-121436DOI: 10.1016/j.childyouth.2007.01.005ISI: 000246254100005OAI: oai:DiVA.org:uu-121436DiVA: diva2:305315
Available from: 2010-03-23 Created: 2010-03-23 Last updated: 2017-12-12Bibliographically approved
In thesis
1. From Children of the Garbage Bins to Citizens: A reflexive ethnographic study on the care of “street children”
Open this publication in new window or tab >>From Children of the Garbage Bins to Citizens: A reflexive ethnographic study on the care of “street children”
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of the study on which this thesis is based was to gain an understanding of the life situation of street children in Kenya and to investigate how caring institutions care for these children.  A reflexive ethnographic approach was used to facilitate entry into the children’s sub-culture and the work contexts of the caregivers to better understand how the children live on the streets and how the caregivers work with the children. A fundamental aim of the research was to develop interventions to care; one of the reasons why we also used the interpretive description approach. Method and data source triangulation was used. Field notes, tape, video, and photography were used to record the data.  Participant observation, group discussions, individual interviews, home visits, key informant interviews, participatory workshops and clinical findings were used for data collection in Studies I and II.  In addition to observation, interviews were conducted with caregivers for study III, while written narratives from learners attending adult education developed and implemented during the research period provided data for study IV.  Study I indicated that food, shelter and education were the main concerns for the children and that they had strong social bonds and used support networks as a survival strategy.  Study II provided a deeper understanding of the street culture, revealing how the boys are organised, patterns of substance use, home spaces in the streets and networks of support. The boys indicated that they wanted to leave the streets but opposed being moved to existing institutions of care. A group home was therefore developed in collaboration with members of the category “begging boys”.  Study III indicated how the caregivers’ interactions with the children were crucial in children’s decisions to leave the streets, to be initiated into residential care, undergo rehabilitation and to be reintegrated into society.  Caregivers who attempted to use participatory approaches and took time to establish rapport were more successful with the children.  Study IV suggested that the composition of learners, course content grounded on research, caregivers’ reflections and discursive role of researchers and facilitators, all contributed to adult learning that transformed the learners’ perspectives and practice.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2012. 55 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 790
Keyword
Health care seeking behaviour; Child participation; Re(habilitation); Street children; Caregiver; Reflexive ethnography; Transformative learning; Kenya; Africa; Southeast Asia
National Category
Medical and Health Sciences Health Sciences Learning
Identifiers
urn:nbn:se:uu:diva-178166 (URN)978-91-554-8410-1 (ISBN)
Public defence
2012-09-14, Sal IX, Universitetshuset, Uppsala, 13:15 (English)
Opponent
Supervisors
Available from: 2012-08-24 Created: 2012-07-30 Last updated: 2013-01-24Bibliographically approved

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