Children affected by HIV/AIDS: SAFE, a model for promoting their security, health, and development
Children affected by HIV/AIDS: SAFE, a model for promoting their security, health, and development
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DOI：
10.1080/13548501003623997
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发表时间：
2010-01-01
影响因子：
3.8
通讯作者：
Kim, Jim Y.
中科院分区：
文献类型：
--
作者：
Betancourt, Theresa S.;Fawzi, Mary K. S.;Kim, Jim Y.
人的安全框架假定，通过积极促进儿童福祉，特别强调预防努力和促进健康，个人是保护人民安全和完整性的战略的重点。本文将这一框架应用于以权利为基础的办法，以审查受艾滋病毒/艾滋病影响的儿童的健康和人权。安全模式描述了儿童在儿童福祉的四个基本方面面临的不安全的根源，以及儿童和家庭可能采取的生存战略。安全模式包括：安全/保护；获得保健和基本生理需求；家庭/与他人的联系；以及教育/生计。我们认为，至关重要的是，必须通过一个综合的视角来审视儿童的状况，通过全面的治疗和护理办法有效地看待人的安全和儿童权利，而不是人为地将我们的工作范围限制在对受艾滋病毒/艾滋病影响的儿童采取着眼于生存的干预措施。在安全模式中概述的孤立于儿童的社会和社区环境之外，狭隘地针对儿童的干预措施，实际上可能会破坏家庭和社区中正在运作的保护资源，并对儿童的基本安全构成更大的威胁。对儿童的基本安全和照料采取综合办法，对全世界数百万直接感染或间接感染艾滋病毒/艾滋病的儿童的前景具有影响。必须认识到年轻人及其家庭参与的生存战略是加强对他们的保护和促进健康发展的路线图。尽管本分析适用于受艾滋病毒/艾滋病影响的儿童，但SAFE模式对于指导照料和保护因武装冲突和流离失所到赤贫等一系列情况而面临逆境的儿童和家庭具有重要意义。
A human security framework posits that individuals are the focus of strategies that protect the safety and integrity of people by proactively promoting children's well being, placing particular emphasis on prevention efforts and health promotion. This article applies this framework to a rights-based approach in order to examine the health and human rights of children affected by HIV/AIDS. The SAFE model describes sources of insecurity faced by children across four fundamental dimensions of child well-being and the survival strategies that children and families may employ in response. The SAFE model includes: Safety/protection; Access to health care and basic physiological needs; Family/connection to others; and Education/livelihoods. We argue that it is critical to examine the situation of children through an integrated lens that effectively looks at human security and children's rights through a holistic approach to treatment and care rather than artificially limiting our scope of work to survival-oriented interventions for children affected by HIV/AIDS. Interventions targeted narrowly at children, in isolation of their social and communal environment as outlined in the SAFE model, may in fact undermine protective resources in operation in families and communities and present additional threats to children's basic security. An integrated approach to the basic security and care of children has implications for the prospects of millions of children directly infected or indirectly affected by HIV/AIDS around the world. The survival strategies that young people and their families engage in must be recognized as a roadmap for improving their protection and promoting healthy development. Although applied to children affected by HIV/AIDS in the present analysis, the SAFE model has implications for guiding the care and protection of children and families facing adversity due to an array of circumstances from armed conflict and displacement to situations of extreme poverty.