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Exposure to violence predicts poor educational outcomes in young children in South Africa and Malawi

Tuesday, 19th of January 2016

Exposure to violence predicts poor educational outcomes in young children in South Africa and Malawi

1. 1.        L. Sherra,^*, 
2. 2.        I. S. Henselsa, 
3. 3.        S. Skeenb,c, 
4. 4.        M. Tomlinsonb, 
5. 5.        K. J. Robertsa and 
6. 6.        A. Macedoa

+Author Affiliations

1. ^aDepartment of Infection and Population Health, University College London, London, UK
2. ^bDepartment of Psychology, Stellenbosch University, South Africa
3. ^cDepartment of Psychiatry and Mental Health, University of Cape Town, South Africa
4. ↵^*Corresponding author: E-mail: l.sherr@ucl.ac.uk

• Received September 11, 2015.
• Revision received November 19, 2015.
• Accepted November 20, 2015.

Abstract below; full text is at http://inthealth.oxfordjournals.org/content/8/1/36.full?etoc

Background Violence during childhood may affect short and long-term educational factors. There is scant literature on younger children from resource poor settings.

 

Methods This study assessed child violence experiences (harsh punishment and exposure to domestic or community violence) and school enrolment, progress and attendance in children attending community-based organisations in South Africa and Malawi (n=989) at baseline and at 15 months follow-up, examining differential experience of HIV positive, HIV affected and HIV unaffected children.

 

Results Violence exposure was high: 45.4% experienced some form of psychological violence, 47.8% physical violence, 46.7% domestic violence and 41.8% community violence. Primary school enrolment was 96%. Violence was not associated with school enrolment at baseline but, controlling for baseline, children exposed to psychological violence for discipline were more than ten times less likely to be enrolled at follow-up (OR 0.09; 95% CI 0.01 to 0.57). Harsh discipline was associated with poor school progress. For children HIV positive a detrimental effect of harsh physical discipline was found on school performance (OR 0.10; 95% CI 0.02 to 0.61).

 

Conclusion Violence experiences were associated with a number of educational outcomes, which may have long-term consequences. Community-based organisations may be well placed to address such violence, with a particular emphasis on the challenges faced by children who are HIV positive.