Orphan care in the context of HIV/AIDS in Cameroon: The Chosen Children Program

Issue: In Cameroon, relatives care for orphans, rather than adoption by strangers or institutionalization. However, orphan care is a heavy burden on families. Cameroonian law does not adequately address care of orphans and children's property rights.

Description: In 2000 the numbers of AIDS orphans increased in the Northwest Province of Cameroon. Motivated by the Biblical directive to care for orphans (James 1:27), in 2001 the Cameroon Baptist Convention Health Board (CBCHB) began an orphan registry, soon identified 100 orphans, and supported 65 by assisting foster parents to: 1. Pay school fees and buy books; 2. Pay for medical care; 3. Learn good nutrition and orphan property rights; 4. Provide psychosocial support to the orphans. The orphan program, renamed Chosen Children Program (CCP), by the foster parents to reduce stigma, currently has supported 702 of the 3,500 registered orphans, of whom 214 have completed primary school or higher. The annual budget of $41,382 also supports community education on the needs and legal rights of orphans.

Lessons learnt/key points: 1. Foster parents, usually extended family members, can meet the needs of orphans more cost-effectively ($100 per family annually) and compassionately than institutions. 2. Optimal use of funds raised for orphan care requires subsidizing caregivers. 3. Legislation and community education are needed to protect orphan property rights.

Conclusion: The CBCHB Chosen Children Program brings hope to many orphans and their caregivers, but less than 20% of registered orphans have been assisted, due to lack of funds. HIV/AIDS Programs must address the needs of orphans.