Orphan Living Situations in Malawi: A Comparison of Orphanages and Foster Homes

Orphans have become an increasingly large percentage of the population in Sub‐Saharan Africa due to the AIDS epidemic. Debate ensues about more supportive living situations for these youth, with most research supporting foster homes over orphanages. This article compares these two situations in the country of Malawi, considering how the two systems meet material needs, psychosocial needs, and those needs created by the constraints of the nonprofit environment in Malawi. Interviews were conducted with 50 orphans, nine orphanage and foster system administrators, five foster and group home caregivers, five health care workers, and five community members. All interviewees were asked questions about the children's routine, educational experience, residence characteristics, responsibilities, free time, health care, and future prospects. Administrators and parents were also queried about the management and organization of the programs, and health care workers were asked additional questions about the orphans’ health care and supplies for it. It was found that Malawian orphans placed in orphanages have an advantage over those placed in foster homes along the dimensions of lodging, health care, food quantity and variety, clothing, and school supplies. Additionally, children in orphanages have more autonomy, and have a broader concept of their future potential. Orphanage residents view their caregivers as compassionate and loving. Finally, it was found that orphanages are more efficient in providing care and at exchanging information with other organizations. They are also easier to replicate for use in other areas than are community‐based programs. The article concludes with a discussion of the policy implications of these findings and directions for future research.