Caregivers of children orphaned by HIV/AIDS carry responsibilities that shape family stability and community support. A new study has produced health-promotion strategies to strengthen their ability to care and sustain their own well-being.

Led by Dr Boitumelo Joy Molato, a PhD graduate from the North-West University (NWU), the study was conducted in the Ngaka Modiri Molema District in North West. Titled “Health promotion strategies to improve health and well-being of caregivers of children orphaned by HIV/AIDS”, it explored the lived experiences of caregivers and the support systems around them.

“We sought to understand the realities of caregivers of HIV/AIDS orphans and how those realities affect their health and capacity to care,” said Dr Molato. “Caregivers are central to the lives of these children, and their support structure needs to be clear and strong.”

The study used a qualitative design and took place in three phases. Thirteen individual interviews were held with caregivers, and five focus groups were conducted with 27 professional nurses who serve as outreach team leaders.

Findings showed three key challenges: lack of support for caregivers, behavioural issues among orphans, and psychosocial distress. Coping mechanisms identified included support from others, religious practices, and access to social services. Outreach team leaders contributed through home visits, multidisciplinary referrals, and support groups.

“Caregivers expressed a need for guidance, emotional backup and structured assistance,” Dr Molato explained. “Their voices shaped the strategies we developed.”

A conceptual framework guided the creation of health-promotion strategies, which were validated by seven experts through the e-Delphi technique.

“The strategies focus on building better support for caregivers so they can continue their role,” she added. “Validation ensured feasibility and relevance.”

The research offers guidance for health professionals and policymakers working in communities affected by HIV/AIDS. It places focus on strengthening caregiver well-being alongside child support needs.

“Caregivers do not work alone. With structured support, their resilience grows, and children receive stable care,” Dr Molato concluded.

Dr Boitumelo Joy Molato’s research aims to support caregivers of children orphaned by HIV/AIDS.