Maltreatment experiences and associated factors prior to admission to residential care: A sample of institutionalized children and youth in western Kenya

Objectives

This study aims to determine the prevalence of maltreatment experienced by institutionalized children prior to their admission to Charitable Children's Institutions (orphanages) in western Kenya, and to describe their socio-demographic characteristics, reasons for admission, and the factors associated with prior experiences of maltreatment.

Methods

A systematic file review was undertaken in five CCIs. Demographic, prior caregiving settings and maltreatment data were extracted. Forms of maltreatment were recorded according to WHO and ISPCAN guidelines. Logistic regression was used in bivariate and multivariable analyses of factors associated with reasons for placement and forms of maltreatment.

Results

A total of 462 files were reviewed. The median (interquartile range) age of children was 6.8 (5.08) years at admission, 56% were male, and 71% had lost one or both parents. The reasons for admission were destitution (36%), abandonment (22%), neglect (21%), physical/sexual abuse (8%), and lack of caregiver (8%). The majority of child and youth residents had experienced at least one form of maltreatment (66%): physical abuse (8%), sexual abuse (2%), psychological abuse (28%), neglect (26%), medical neglect (18%), school deprivation (38%), abandonment (30%), and child labor (23%). The most common reason for non-orphans to be admitted was maltreatment (90%), whereas the most common reason for orphans to be admitted was destitution (49%). Girls (adjusted odds ratio, AOR: .61, 95% CI: .39–.95) and orphans (AOR: .04, 95% CI: .01–.17) were both independently less likely to have a history of maltreatment irrespective of whether it was the reason for admission. Children whose primary caregiver had not been a parent (AOR: .36, 95% CI: .15–.86) and orphans (AOR: .17, 95% CI: .06–.44) were less likely to have been admitted for maltreatment, while children who were separated from siblings were more likely to have been admitted for maltreatment (AOR: 1.62, 95% CI: 1.01–2.60).

Conclusions

The high prevalence of maltreatment prior to admission, particularly among nonorphans, suggests the need for better child abuse and neglect prevention programs in communities, and psychosocial support services in institutions. The significant proportion of children admitted for poverty, predominantly among orphans, indicates that community-based poverty-reduction programs might reduce the need for institutionalization.     

Book review section

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THE MOYNIHAN REPORT AND THE POLITICS OF CONTROVERSY, by Lee Rainwater and William L. Yancey. Cambridge: MIT Press, 1967; pp. xvii+493. $3.95.

VOICES OF CRISIS: VITAL SPEECHES ON CONTEMPORARY ISSUES, by Floyd W. Matson, New York: The Odyssey Press, Inc., 1967; pp. xi+304.

THE BLACK POWER REVOLT. Edited by Floyd B. Barbour. Boston: Porter Sargent Publisher, 1968; pp. 287. $5.95 cloth; $2.95 paper.

THE AGITATOR IN AMERICAN SOCIETY. By Charles W. Lomas. Englewood Cliffs, New Jersey: Prentice‐Hall, 1968; pp. viii+182.

BLACK POWER: THE POLITICS OF LIBERATION IN AMERICA. By Stokely Carmichael and Charles V. Hamilton. New York: Vintage Books, 1967; pp. xii+ 198. Paper $1.95.

REPORT OF THE NATIONAL ADVISORY COMMISSION ON CIVIL DISORDERS. New York: Bantam Books, 1968; pp. xi+609. Paper $1.25.     

School tracking and educational inequality: a comparison of 12 education systems in Switzerland

Using data from the super-sample of the ‘PISA Suisse’ 2003 assessment, this article examines the relationship between the characteristics of education systems (made up of homogeneous or heterogeneous tracks) and their consequences in terms of effectiveness and equity. Our results indicate that it is not so much the official structure of tracks as the ways in which tracking is really organised – and, in particular, the degree of segregation that tracking methods involve – which make it possible to explain inequalities among students. They also show that some education systems are more inegalitarian than others and that the factors leading to inequalities can vary significantly from one Swiss canton to another. Finally, through multilevel analyses, we demonstrate that when the individual and aggregate characteristics of students are taken into account, the type of track a student attends is of only limited significance for explaining inequalities, which suggests that the effects of tracking are in fact linked to the nature of the population educated in the tracks.     

Engineering a General Education Program: Designing Mechanical Engineering General Education Courses

The Department of Mechanical Engineering at our institution created two engineering courses for the General Education Program that count towards second level general science credit (traditional science courses are first level). The courses were designed for the general student population based upon the requirements of our General Education Program and engineering concepts. We explain the results and impact of the classes so as to expand the conceptualization of general education courses and to enable engineering curricula to reach a larger audience as well as to broaden student understanding of the forces shaping their world.     

Global,Social, and Economic Influences on the Access Policies of South African Higher Education

The access policies of South African universities are influenced by sets of global, social, and economic factors. Although the second and third sets are predominantly local (South African), they are influenced by the first factor that gives rises to a fourth imperative, the economic factor. The latter, which is of increasing importance and is affected by the fact that students can ''vote'' for higher education institutions and programmes with their feet, is tricky. For if institutions sacrifice their core values to market imperatives, they will lose much of their utility as education institutions.     

Variability in the age of schooling contributes to the link between literacy and numeracy in Côte d'Ivoire

Literacy and numeracy are correlated throughout development, however, our understanding of this relation is limited. We explored the predictors of literacy and numeracy covariance (i.e., shared fluency between literacy and numeracy) in children (N = 1167, girls = 563) in rural Côte d'Ivoire, with specific focus on how developmental timing of instruction may relate to covariance. Many Ivorian children experience late enrollment and grade repetition, leading to variation in age-for-grade; participants were between grades 1 to 6, but their ages ranged from 5 to 15 (M = 9.19, SD = 2.07). Phonological awareness, numerical magnitude, ordinality, working memory, and inhibitory control were cognitive predictors of covariance. Age-for-grade was negatively related to covariance suggesting that covariance is related to timing of instruction.