Invisible in Plain Sight? Grandfathers Caring for Orphaned Grandchildren in Rural Malawi

Millions of orphans, created by parental deaths due to the HIV/AIDS pandemic in sub-Saharan Africa, live with, and are cared for, by grandparents. Little research has considered how grandparents and, in particular, grandfathers, are caring for orphans. Here, we employ the analytical concept of generative grandfathering to analyse rural grandfathers’ roles in orphan care within communities of Zomba District, Southern Malawi. Using an ethnographic approach to investigate orphan care, we engaged children, young people and adults in multiple qualitative research activities, including interviews, focus group discussions, stakeholder and dissemination meetings. The findings suggest that although grandfathers’ contributions to orphan care are on the periphery of research and policy concerned with grandparenting in Malawi and other regions of sub-Saharan Africa, grandfathers are incontrovertibly at the epicentre of their orphaned grandchildren’s everyday lives. Grandfathers are providers for their orphaned grandchildren, they support their formal education, and are integral to the intergenerational transmission of both knowledge and values. However, despite performing myriad caring roles in plain sight of their communities, grandfathers remain largely invisible due to gendered (mis)conceptions of care. This highlights the dilemma of grandfathers as ageing men who find themselves in roles not traditionally associated with hegemonic notions of masculinity in their communities

AIDS-affected young people's access to livelihood assets:exploring 'new variant famine' in rural southern Africa

AbstractThe ‘new variant famine’ hypothesis suggests AIDS is contributing to food insecurity in southern Africa. Proposed causal mechanisms include a loss of livelihood assets and skills, brought about through AIDS′ impacts on children’s access to inherited property and intergenerationally-transferred knowledge. This paper employs a sustainable livelihoods framework to examine how AIDS is impacting on young people’s access to assets and skills in two southern African countries: Malawi and Lesotho. Drawing on qualitative research with rural youth, the paper shows that AIDS affects some young people’s access to some livelihood assets, but does not do so in a systematic or predictable way, nor are its impacts invariably negative. The broader cultural and institutional context is of key importance. The paper also demonstrates the need for the sustainable livelihoods framework to take greater account of the temporalities of livelihoods, and in particular the significance of lifecourse and generation

Context matters: fostering, orphanhood and schooling in Sub-Saharan Africa

A growing body of research suggests that orphanhood and fostering might be (independently) associated with educational disadvantage in sub-Saharan Africa. However, literature on the impacts of orphanhood and fostering on school enrolment, attendance and progress produces equivocal, and often conflicting, results. This paper reports on quantitative and qualitative data from sixteen field-sites in Ghana and Malawi, highlighting the importance of historical and social context in shaping schooling outcomes for fostered and orphaned children. In Malawi, which has been particularly badly affected by AIDS, orphans were less likely to be enrolled in and attending school than other children. By contrast, in Ghana, with its long tradition of ‘kinship fostering’, orphans were not significantly educationally disadvantaged; instead, non-orphaned, purposively fostered children had lower school enrolment and attendance than their peers. Understanding the context of orphanhood and fostering in relation to schooling is crucial in achieving ‘Education for All’

Ethical Principles, Social Harm and The Economic Relations of Research: negotiating ethics committee requirements and community expectations in ethnographic research in rural Malawi

Conventional research ethics focus on avoidance of harm to individual participants through measures to ensure informed consent. In long-term ethnographic research projects involving multiple actors, however, a wider concept of harm is needed. We apply the criminological concept of social harm, which focuses on harm produced through and affecting wider social relations, to a research project that we undertook in Malawi. Through this, we show how structural economic inequalities shape the consequences of research for the differently positioned parties involved. Specifically, we focus on dilemmas around transferring resources within three social fields: our relations with a Malawian ethics committee; our interventions in a rural community; and our efforts to engage the policy community. Each of these involved multiple and differently placed individuals within broader, multi-scalar structural relations and reveals the inadequacies of conventional codes of ethics

Youth livelihoods in the cellphone era: Perspectives from urban Africa

Issues surrounding youth employment and unemployment are central to the next development decade. Understanding how youth use mobile phones as a means of communicating and exchanging information about employment and livelihoods is particularly important given the prominence of mobile phone use in young lives. This paper explores and reflects on youth phone usage in Ghana, Malawi and South Africa, drawing on mixed-methods research with young people aged approximately 9-25 years, in 12 (high density) urban and peri-urban sites. Comparative work across these sites offers evidence of both positive and negative impacts. The final section of the paper considers policy implications

Informal m-health: How are young people using mobile phones to bridge healthcare gaps in Sub-Saharan Africa?

The African communications ‘revolution’ has generated optimism that mobile phones might help overcome infrastructural barriers to healthcare provision in resource-poor contexts. However, while formal m-health programmes remain limited in coverage and scope, young people are using mobile phones creatively and strategically in an attempt to secure effective healthcare. Drawing on qualitative and quantitative data collected in 2012–2014 from over 4500 young people (aged 8–25 y) in Ghana, Malawi and South Africa, this paper documents these practices and the new therapeutic opportunities they create, alongside the constraints, contingencies and risks. We argue that young people are endeavouring to lay claim to a digitally-mediated form of therapeutic citizenship, but that a lack of appropriate resources, social networks and skills (‘digital capital’), combined with ongoing shortcomings in healthcare delivery, can compromise their ability to do this effectively. The paper concludes by offering tentative suggestions for remedying this situation

Informal mhealth at scale in Africa: Opportunities and challenges

The extraordinary global growth of digital connectivity has generated optimism that mobile technologies can help overcome infrastructural barriers to development, with ‘mobile health’ (mhealth) being a key component of this. However, while ‘formal’ (top-down) mhealth programmes continue to face challenges of scalability and sustainability, we know relatively little about how health-workers are using their own mobile phones informally in their work. Using data from Ghana, Ethiopia and Malawi, we document the reach, nature and perceived impacts of community health-workers’ (CHWs’) ‘informal mhealth’ practices, and ask how equitably these are distributed. We implemented a mixed-methods study, combining surveys of CHWs across the three countries, using multi-stage proportional-to-size sampling (N = 2197 total), with qualitative research (interviews and focus groups with CHWs, clients and higher-level stake-holders). Survey data were weighted to produce nationally- or regionally-representative samples for multivariate analysis; comparative thematic analysis was used for qualitative data. Our findings confirm the limited reach of ‘formal’ compared with ‘informal’ mhealth: while only 15% of CHWs surveyed were using formal mhealth applications, over 97% reported regularly using a personal mobile phone for work-related purposes in a range of innovative ways. CHWs and clients expressed unequivocally enthusiastic views about the perceived impacts of this ‘informal health’ usage. However, they also identified very real practical challenges, financial burdens and other threats to personal wellbeing; these appear to be borne disproportionately by the lowest-paid cadre of health-workers, especially those serving rural areas. Unlike previous small-scale, qualitative studies, our work has shown that informal mhealth is already happening at scale, far outstripping its formal equivalent. Policy-makers need to engage seriously with this emergent health system, and to work closely with those on the ground to address sources of inequity, without undermining existing good practice

Connecting with home, keeping in touch: physical and virtual mobility across stretched families in sub-Saharan Africa

There is a long history of migration among low-income families in sub-SaharanAfrica, in which (usually young, often male) members leave home to seek theirfortune in what are perceived to be more favourable locations. While the physicaland virtual mobility practices of such stretched families are often complex andcontingent, maintaining contact with distantly located close kin is frequently ofcrucial importance for the maintenance of emotional (and possibly material)well-being, both for those who have left home and for those who remain. Thisarticle explores the ways in which these connections are being reshaped by increas-ing access to mobile phones in three sub-Saharan countries–Ghana, Malawi andSouth Africa–drawing on interdisciplinary, mixed-methods research fromtwenty-four sites, ranging from poor urban neighbourhoods to remote ruralhamlets. Stories collected from both ends of stretched families present a worldin which the connectivities now offered by the mobile phone bring a differentkind of closeness and knowing, as instant sociality introduces a potential substi-tute for letters, cassettes and face-to-face visits, while the rapid resource mobiliza-tion opportunities identified by those still at home impose increasing pressures onmigrant ki

Children as Research Collaborators: Issues and Reflections from a Mobility Study in Sub-Saharan Africa

This paper reflects on issues raised by work with children in an ongoing child mobility study in three sub-Saharan African countries: Ghana, Malawi and South Africa. There are now 70 school pupils of varying ages involved in the project, but the paper is particularly concerned with the participation of those children 14 years and under. We examine the significant ethical issues associated with working with younger child researchers, and linked questions concerning the spaces open to them in African contexts where local cultural constructions of childhood and associated economic imperatives (which commonly drive family and household endeavour) help shape the attitudes of adults to children’s rights and responsibilities and inter-generational power relations