IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v74y2012i10p1504-1511.html
   My bibliography  Save this article

Interrelatedness of child health, protection and well-being: An application of the SAFE model in Rwanda

Author

Listed:
  • Betancourt, Theresa S.
  • Williams, Timothy P.
  • Kellner, Sarah E.
  • Gebre-Medhin, Joy
  • Hann, Katrina
  • Kayiteshonga, Yvonne

Abstract

This study examines the core components of children's basic security and well-being in order to examine issues central to improving child protection in Rwanda. Sources of data included 15 focus groups with adults, 7 focus groups with children ages 10–17, and 11 key informant interviews with child protection stakeholders, including representatives from international NGOs, community-based groups, and the Rwandan Government, all of which took place in April and May of 2010. Participants painted a complex picture of threats to children's basic security in Rwanda. Three key themes were pervasive across all interviews: (1) deterioration of social and community cohesion in post-genocide Rwanda; (2) the cascading effects of poverty; and (3) the impact of caregiver illness and death on the caregiving environment. Consistent with the SAFE (Safety/freedom from harm; Access to basic physiological needs and healthcare; Family and connection to others; Education and economic security) model of child protection, participants rarely elaborated on a child protection threat independent of other basic security needs and rights. Findings suggest a need for integrated approaches to child protection that recognize this interrelatedness and extend beyond issue-specific child protection responses. This study contributes to a growing body of work highlighting the interrelated nature of child protection threats and the implications of adaptive and dangerous survival strategies that children and families engage in to meet their basic security needs. Analysis of this interrelatedness provides a roadmap for improving policies and implementing integrated and robust child protection strategies in Rwanda and other settings.

Suggested Citation

  • Betancourt, Theresa S. & Williams, Timothy P. & Kellner, Sarah E. & Gebre-Medhin, Joy & Hann, Katrina & Kayiteshonga, Yvonne, 2012. "Interrelatedness of child health, protection and well-being: An application of the SAFE model in Rwanda," Social Science & Medicine, Elsevier, vol. 74(10), pages 1504-1511.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:10:p:1504-1511
    DOI: 10.1016/j.socscimed.2012.01.030
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612001505
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2012.01.030?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Morley, Samuel & David Coady, 2003. "From Social Assistance to Social Development: Targeted Education Subsidies in Developing Countries," Peterson Institute Press: All Books, Peterson Institute for International Economics, number cgd376, April.
    2. Zraly, Maggie & Nyirazinyoye, Laetitia, 2010. "Don't let the suffering make you fade away: An ethnographic study of resilience among survivors of genocide-rape in southern Rwanda," Social Science & Medicine, Elsevier, vol. 70(10), pages 1656-1664, May.
    3. Thurman, Tonya Renee & Snider, Leslie A. & Boris, Neil W. & Kalisa, Edward & Nyirazinyoye, Laetitia & Brown, Lisanne, 2008. "Barriers to the community support of orphans and vulnerable youth in Rwanda," Social Science & Medicine, Elsevier, vol. 66(7), pages 1557-1567, April.
    4. Betancourt, Theresa Stichick & Meyers-Ohki, Sarah & Stulac, Sara N. & Elizabeth Barrera, Amy & Mushashi, Christina & Beardslee, William R., 2011. "Nothing can defeat combined hands (Abashize hamwe ntakibananira): Protective processes and resilience in Rwandan children and families affected by HIV/AIDS," Social Science & Medicine, Elsevier, vol. 73(5), pages 693-701, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Barber, Brian K. & Spellings, Carolyn & McNeely, Clea & Page, Paul D. & Giacaman, Rita & Arafat, Cairo & Daher, Mahmoud & El Sarraj, Eyad & Mallouh, Mohammed Abu, 2014. "Politics drives human functioning, dignity, and quality of life," Social Science & Medicine, Elsevier, vol. 122(C), pages 90-102.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Betancourt, Theresa Stichick & Meyers-Ohki, Sarah & Stulac, Sara N. & Elizabeth Barrera, Amy & Mushashi, Christina & Beardslee, William R., 2011. "Nothing can defeat combined hands (Abashize hamwe ntakibananira): Protective processes and resilience in Rwandan children and families affected by HIV/AIDS," Social Science & Medicine, Elsevier, vol. 73(5), pages 693-701, September.
    2. Francois Bourguignon & Francisco H.G. Ferreira & Nora Lustig, 2005. "The Microeconomics of Income Distribution Dynamics in East Asia and Latin America," World Bank Publications - Books, The World Bank Group, number 14844.
    3. Alain De Janvry & Elisabeth Sadoulet, 2005. "Achieving success in rural development: toward implementation of an integral approach," Agricultural Economics, International Association of Agricultural Economists, vol. 32(s1), pages 75-89, January.
    4. Armando Barrientos & Rachel Sabates-Wheeler, 2011. "Strategic complementarities and social transfers: how do PROGRESA payments impact nonbeneficiaries?," Applied Economics, Taylor & Francis Journals, vol. 43(23), pages 3175-3185.
    5. Farzana Afridi, 2011. "The Impact of School Meals on School Participation: Evidence from Rural India," Journal of Development Studies, Taylor & Francis Journals, vol. 47(11), pages 1636-1656.
    6. Nguyen, Cuong & Van den Berg, Marrit, 2009. "The Impact of Public Transfers on Poverty and Inequality: Evidence from rural Vietnam," MPRA Paper 48671, University Library of Munich, Germany.
    7. Uwizeye, Glorieuse & Thayer, Zaneta M. & DeVon, Holli A. & McCreary, Linda L. & McDade, Thomas W. & Mukamana, Donatilla & Park, Chang & Patil, Crystal L. & Rutherford, Julienne N., 2021. "Double Jeopardy: Young adult mental and physical health outcomes following conception via genocidal rape during the 1994 genocide against the Tutsi in Rwanda," Social Science & Medicine, Elsevier, vol. 278(C).
    8. Maluccio, John A., 2005. "Coping with the “coffee crisis” in Central America: The Role of the Nicaraguan Red de Protección Social," FCND discussion papers 188, International Food Policy Research Institute (IFPRI).
    9. Michael A. Clemens, 2004. "The Long Walk to School: International education goals in historical perspective," Development and Comp Systems 0403007, University Library of Munich, Germany.
    10. Jérémie Gignoux, 2006. "Évaluations ex ante et ex post d'un programme d'allocations scolaires conditionnées au Mexique," Economie & Prévision, La Documentation Française, vol. 0(3), pages 59-85.
    11. Feitosa de Britto, T., 2004. "Conditional cash transfers: why have they become so prominent in recent poverty reduction strategies in Latin America," ISS Working Papers - General Series 19150, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    12. Johan Sandberg, 2012. "Conditional Cash Transfers and Social Mobility: The Role of Asymmetric Structures and Segmentation Processes," Development and Change, International Institute of Social Studies, vol. 43(6), pages 1337-1359, November.
    13. Rachel Goldberg & Susan Short, 2012. "“The Luggage that isn’t Theirs is Too Heavy…”: Understandings of Orphan Disadvantage in Lesotho," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 31(1), pages 67-83, February.
    14. Peter Davis, 2007. "Discussions Among the Poor: Exploring Poverty Dynamics With Focus Groups in Bangladesh," Working Papers id:1106, eSocialSciences.
    15. Armando Barrientos & Rachel Sabatés-Wheeler, 2009. "Do transfers generate local economy effects?," Global Development Institute Working Paper Series 10609, GDI, The University of Manchester.
    16. Armando Barrientos & David Hulme, 2009. "Social Protection for the Poor and Poorest in Developing Countries: Reflections on a Quiet Revolution," Oxford Development Studies, Taylor & Francis Journals, vol. 37(4), pages 439-456.
    17. Rawlings, Laura B., 2004. "A new approach to social assistance : Latin America's experience with conditional cash transfer programs," Social Protection Discussion Papers and Notes 30165, The World Bank.
    18. Woollett, Nataly & Cluver, Lucie & Hatcher, Abigail M. & Brahmbhatt, Heena, 2016. "“To be HIV positive is not the end of the world”: Resilience among perinatally infected HIV positive adolescents in Johannesburg," Children and Youth Services Review, Elsevier, vol. 70(C), pages 269-275.
    19. Sim, Amanda & Fazel, Mina & Bowes, Lucy & Gardner, Frances, 2018. "Pathways linking war and displacement to parenting and child adjustment: A qualitative study with Syrian refugees in Lebanon," Social Science & Medicine, Elsevier, vol. 200(C), pages 19-26.
    20. Coady, David P., 2004. "Designing and evaluating social safety nets," FCND discussion papers 172, International Food Policy Research Institute (IFPRI).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:74:y:2012:i:10:p:1504-1511. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.