ESPRIT - Estimating HIV Patients' Treatment Preferences to Inform Treatment

  • Global, national and local leaders are struggling to find care solutions for the estimated 143,000,000 children worldwide who have had at least one parent die (hereafter defined as orphans). South and east Asia have the largest number of orphans (72,000,000); estimates for Africa indicate that 12% of all children on the continent will be orphaned by 2010. High mortality among young adults from conditions such as malaria, tuberculosis, pregnancy complications, HIV/AIDS and natural disasters are responsible for the large and increasing number of orphans. A common demographic characteristic of orphans across southern and eastern Africa and the “new” epidemic found is that the rates of orphanhood increase with age. Millions more children are abandoned and in need of supportive living environments because their biological parents are not able to provide food, shelter and safety; are forced to leave their children to seek employment elsewhere; or are mentally or physically unable to care for children. The magnitude of the OAC crisis demands that safe and sustainable care options be identified quickly and systematically.


    • Principal Investigator: Kathryn Whetten

    • CHPIR Staff: Nathan Thielman, Jan Ostermann, Amy Hobbie, Andrew Weinhold, Leonard Ng'Eno, Rachel Whetten, Karen O'Donnell, Christine Gray, C. Micha Belden, Hy Huynh

    • Partners: ACE Africa - Kenya, Meahto Phum Ko'mah (Homeland), Stand for Vulnerable Organization, Sahara Centre for Residential Care and Rehabilitation, Tanzania Women Research Foundation, University of North Carolina at Chapel Hill

    • Funder: NIH - National Institute of Child Health and Human Development
    • Project Dates: 11/1/03 - 1/31/17