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.     

Presidential debate questions and the public agenda

Presidential debates have become an institutionalized component of presidential campaigns. Debates have been shown to create learning in voters and are capable of influencing vote choices. Although candidates have some control over their utterances, questions, usually asked by journalists, have a strong influence on the topics candidates can address. It is fashionable to criticize the questions posed by journalists in these “joint press conferences.” This study adds a new twist to media agenda‐setting, providing empirical evidence on the question of whether voters’ issue interests influence the topics of journalists’ questions. Results show that the questions asked by journalists in debates do not reflect the public interest. We recommend that future debates eschew the use of journalists as sources of questions for presidential debates.     

Book review section

FREE SPEECH: RESPONSIBLE COMMUNICATION UNDER LAW. By Robert M. O'Neil. Indianapolis, Indiana: The Bobbs‐Merrill Company, Inc., 1966; pp. viii 123+$1.25.

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.     

Integrative Anthropological Method in History of Culture and Education

This is the story of three professors who found collective success in certain old-time approaches to teaching. Using three different first-person perspectives from Professors Burg, Piedmont, and Kamke, we examine some of the key components of such teaching orientation that may be helpful for professors navigating increased enrollments, while trying to engage students to learn not only the subject matter, but also, perhaps more importantly, about themselves as human beings.

The relevance of this classic approach is reflected in the fact that all of us, typically unawares, continue to apply, and expand on, the way of education to which we were introduced a long time ago. In essence, that old-time teaching showed us how to be, in the words of Angyal, simultaneously autonomous (i.e., being oneself, standing alone) and homonomous (belonging/surrendering to something greater than oneself).     

Reflections on the Manner in Teaching Project

In reflections on the Manner in Teaching Project, I focus on four themes: why teaching is an intellectual and moral endeavour; the significance of the school context for understanding the moral dimensions of teaching; the uses and limitations of moral theory in research on teaching; and the centrality of the person in the role of teacher. The 'Manner in Teaching Project' sheds useful light on these themes, including how to examine them systematically.