BY Eve
BY Eve
BY
Eve
KAMPALA INTERNATIONAL
UNIVERSITY
APRIL, 2022
DECLARATION
I hereby declare that this dissenation titled "Impact of Drug Abuse on the Psychological Well
Being of Street Children in Iganga Municipality, Iganga district" is submitted in partial fulfillment
of the requirements for qualification of degree in Social Work and Social Administration, school
of applied psychology is entirely my own independent work. This dissertation has not been
previously submitted for any degree or examination at any higher education institution.
SIGNATURE
DATE
APPROVAL
I do hereby certify that this research of MUWANIKA FAHAD has been submitted for university
examination in partial fulfillment of the requirements for the award of Bachelor Degree in Social
supervisor.
SIGNATURE DATE
(Supervisor)
DEDICATION
I dedicate this work first to God (Allah) my creator and within whom all things are possible. I also
dedicate this work to my parents, siblings and partner for their continued love, support,
First and foremost, I would like to thank God (Allah) for having guided and strengthen me through
this research. To my humble, supportive and encouraging supervisor, Ms. Nassiwa Shamira; You
have been a great source of support and inspiration. I sincerely appreciate your support and
Lastly, thank you to my parents, siblings, partner, friends (Halima, Flavia, John, Sharif, Doreen)
for your unending love and support in my life and in the process of completing this dissertation.
DECLARATION
APPROVAL
DEDICATION
ACKNOWLEDGEMENT
TABLE CONTENT
LIST OF FIGURE
LIST OF TABLE ...Vill
CHAPTER ONE
INTRODUCTION
1 . I BACKGROUND OF THE STUDY 1
.2 STATEMENT OF THE PROBLEM
1 .3 AIMS AND OBJECTIVES OF THE STUDY (IMPACT OF DRUG ABUSE ON PSYCHOLOGICAL
WELLBEING OF STREET CHILDREN IN IGANGA MUNICIPALITY).
I .4 RESEARCH QUESTIONS 1
.5 ETHNICAL CONSIDERATIONS
1 .6 CONTENT SCOPE
7 TIME SCOPE
1 .8 SIGNIFICANCE OF THE STUDY
CHAPTER TWO
LITERATURE REVIEW
2.0 INTRODUCTION
2. 1 CAUSES OF INCREASING POPULATION OF STREET CHILDREN
2.2 POTENTIAL EFFECTS OF STREET CHILDREN
2.3 STRATEGIES FOR REDUCING STREET
CHILDREN 2.4 CONCLUSION
CHAPTER THREE
RESEARCH METHODOLOGY
0 INTRODUCTION
3.1 RESEARCH DESIGN
3.2 PARTICIPANTS
3.3 RESEARCH INSTRUMENT/ MEASURES
4 DATA COLLECTION AND PROCEDURE
3.5 ETHNICAL CONSIDERATIONS
3.6 DATA ANALYSIS
7 VALIDITY ERROR! BOOKMARK NOT DEFINED.
D.8 RELIABILITY ERROR! BOOKMARK NOT DEFINED.
3.9 DATA QUALITY CONTROL
3.10 LIMITATIONS OF THE STUDY
CHAPTER FOUR
4.0 INTRODUCTION
4.4B .1 Relationship between substance use and sexual risk behaviours .... .. ..... .....
CHAPTER FIVE
vi
5 .0 INTRODUCTION
5.1
SUMMARY
CONCLUSION
REFERENCES
APPENDICES
APPENDIX A,
LIST OF FIGURE
vii
LIST OF TABLE
viii
CHAPTER ONE
Introduction
This chapter takes into account, the background of the study, statement of the problem,
purpose; objectives, research questions, scope, significance and the conceptual framework of
the study.
Socio-political and economic factors such as unstable political transition, conflict, rejection
Stoecklin, 201 4; Beazley, 2013; Panter-Brick, 2002; Osei-Twun and Wasan, 2012). A report
by (WHO, 2018) stated that as the focus of the project is on developing the capacity of local
organizations to prevent, assess and manage psychoactive substance use problems among
street children. Literature and sub statistics within the African context reported an alarming
increase of over 10million the street children, from approximately 100million street children,
A great number of these children have little access to education and health facilities
(Bordenaro, 2012; Henley, Me Alpine, Mueller and Venter, 2010. In 2015, under the UN
convention on the rights of the children and African charter on the rights and welfare of the
child, constitution of Uganda and children act, children in Uganda have certain rights. These
include the rights to survival, education and development, protection and participation.
Developed and developing countries widely acknowledge and recognize the phenomenon of
street children. The phenomenon is often associated with difficulty of definition and
classification due to varied context in which street children live. Some researchers consider
that the concept of street children is the manifestation of various societal and civil agendas
(Panter-Brick, 2002).
Controversies relating to this definition of street children continue to prevail within varied
sociopolitical contexts (Ursin, 2011). according to UNICEF (2005) are grouped into three
main heterogeneous categories that include; children at risk, children of the streets and
children on the streets. In Uganda, street children are defined according to the (Children's Act
Cap. 59. 2016) they are described as "a street child means a child who; -
(a) because of abuse, neglect, poverty, community upheaval or any other reason, has left his
or her home, family or community and lives, begs, or works on streets or (b) because of
inadequate care, begs or works on the streets but returns home after night" (Constitution of
Street children in street children Uganda are also described as children living and working on
the streets. In Uganda, the increase in street children numbers has raised concern by
authorities who have begun to review policies and legislation on street children (Baatjies,
children reside on the streets and great number are living within greater towns and cities of
Uganda. The increase in the street children population in the country has reached an alarming
rates and is a major cause of concern that has been linked to the HIV/AIDs pandemic
The influential factors that draw children to the streets have an impact on their general well-
being and place them at further risk due to the adversities of street life (Malindi, 2014).
2
Problems such as alcohol, drug abuse, abuse, sexual risk behaviors are common social ills
that confront street children (Adebeyi, 2014; Bambonye, and Elbeft, 2014; Suliman, 2010).
Street children often have little knowledge of the adverse effects of substances (Bamaby,
Erikson 2010) and are more likely to use substances as a way of coping with life on the street
In Uganda, socio-economic factors such as poverty abuse and poor social and economic
conditions have an impact on the children's development and a greater number of children
continue and live on the streets. In Uganda, studies focus in health problems, stigma, condom
use among adolescents and street children (Eaton, Flisher and Aaro, 2003; Thurman, Brown
and Maharaj, 2006). It is crucial to examine the psychological well-being of street children
In Uganda, varied push and pull factors such as social, economic, and political factors have
had a waving impact on the causes and the increase of the children residing on the streets.
(Bray. Ennew, 2003). Studies highlighted the many problems of government systems within
a context like Uganda (Gilson, Blaauw2006). The seemingly lack of concern and protection
by authorities and the general public of street children has been linked to the prevailing
negative perceptions and stigma associated with these children are often considered social
problems and are less likely to be safeguarded and cared for whilst living on the streets by
due to HIV/AIDs related knowledge, attitude, behaviors and the backgrounds of the street
3
1.3 Aims and Objectives of the Study (impact of drug abuse on psychological well-
The main aim of this study is to examine the impact of drug abuse on the psychological
wellbeing of street children and associated risk behaviors they may engage in. the specific
Iganga municipality.
To analyse the effects of street children on education of the children in Iganga municipality.
iii) To find out the strategies for reducing street children in Iganga municipality.
In order to achieve the above-mentioned aim and objectives of this study, the following
i) What are the causes of increasing population of street children in Iganga municipality?
ii) What are the effects of street children on education of both girls and boys in Iganga
municipality at large?
iii) Which strategies can be put to overcome the issue of street children in Iganga municipality?
The researcher will get a letter from the head of department of Applied psychological,
he proceeded to the field for research. In addition, some people will be voluntarily asked to
participate in the various interviews. Research assistants will be informed about the
4
1.6 Content Scope
Street children, while identifying the causes of street children in the towns and cities, to
measure effects of street children in the towns to find out strategies used by authorities to
The study will take place for a short period of three months that is to say from December to
April 2019.
After data collection for this research, street children will be able to realize that they have
equal rights as other children, the study will increase the awareness, knowledge and
sensitivity among parents, staff of the respective towns and cities in the country and the study
will be researcher to accomplish his or her three years course in social work and social
5
CHAPTER Two
LITERATURE REVIEW
2.0 Introduction
This chapter explains what other researchers had in relation to psychological well-being of
street children in urban areas. Information gathered here was mainly from textbook, journals,
magazines, newspapers plus internet. Street children is a common problem and has been
occurring throughout the world for a long time since even before written history. Developed
This section presents an overview of street children by reporting on the prevalence of the
possible causes of the increasing street children population. It is also essential to note that in
describing children that live on the street, various words such as homeless youth and street
youth.
The reasons why children are drawn to reside within the domains of the streets is complex
and multifaceted Veeran (2004) likes possible causes of street children to socio-economic
and political structures that prevails worldwide. Previous research suggests that the reason or
possible causes for children to reside on the streets include but not limited to; low purchasing
comprehending the causes of street children in the country (Kok at al 2010). Bamaby, Penny
and Erickson (2010) affirm that being homeless increase the risk of being in conflict with the
6
In Uganda, the origins of street children have been criticized (Kok et al 2010). Question
whether it could be due to poor housing and infrastructure a combination of multiple factors.
Health, social and economic factors have been repoffed to be possible causes for street
The history of Uganda characterized by great inequalities and fragmented legislation and
policy on the protection, nurture and development of children, especially those on the streets.
Factors such as fragile support, parental poor health and child neglect have reported as
common causes for the increase in the number of street children (Olley, 2006). Gender is
another factor that has been reported to play a role in the cause of homeless youths (Olufemi,
2000). When examining the causes that contribute to the phenomenon of street children.
consideration regarding the analysis of the childhood adversity, urban poverty, and social
segregation should be taken into account (Panter Brick, 2004). Regardless of the reasons why
children reside on the streets, a large proportion of street children find themselves without
family support (UNICEF, 2004). Available literature to date on street children continue to
focus on the drivers of street populace, rather than the impact of living on the street children's
general well-being. Little is known about the extent of the psychological impact of
Hyperactivity conduct and poor problems. Street children's behavioral patterns often show
7
signs of mental health problems. These problems may also influence their psychological
well-being. According to
Schmutte and Ryff (1997) the definition of psychological well-being encompass a range of
attributes such as desirable psychological state and mental functioning that can be influenced
Bamaby et al. (2010) reported that street youth experience feelings of loneliness,
Mental health of street children, street children are vulnerable and known to experience
general and mental health problems. This section discusses the mental health of street
children with particular focus on their behavioral problems and substance use behaviors.
high risk for psychiatric disorders such as depression (Whitbeck, Hayt and Bao, 2000).
Common mental health disorders diagnosed in street children include depression, anxiety, bi-
polar and schizophrenia (Bamaby et al 2010). A study by Taib and Ahmad (2014) reported
high prevalence rate of co-morbid psychiatric conclitions among street children. The same
authors revealed that over a half of participants in their study had co-morbid conditions such
as depression and anxiety (Taib and Ahmad 2014). Findings from a study by Whitbeck et al
(2000) on psychiatric disorder alnong street children fund that about a fourth of participants
had elevated scores on the depression scales. A positive correlation between the experience
of violence and aggression and its reciprocal illipact on adolescent depression was reported
homeless youths with over 57 percent of participants who were be street youth met criteria
8
for anxiety disorders, in particularly linked to post traumatic street disorder (PTSD).
Similarly, the researcher in the same study found that over 29 percent had childhood suicide
attempts and suicide ideation among street children are been reported to be prevalent. Yoder,
Whit beck and Hoyt (2008) suggest a view of suicidality as psychological progression that
begins with thoughts of death and continues to suicidal ideation then move to suicidal
attempts, which may have led to completed suicide. This view was also earlier supported by
Desai, Liu-Mares, Dausey and Rosenheck (2003) who viewed suicidality on a continuum
that begins from suicidal thoughts, attempts and completed suicide. Conclusion drawn by
Desai et al. (2003) suggested that homeless persons with a mental illness are at a greater risk
for suicidal behaviors than the general populace. Studies conducted in United States of
America (USA) and Canada on suicide among street children reported that self-esteem
played a key protective role in predicting feelings of hopelessness and helplessness amongst
2008),
A study in Sudan reported factors such as adverse street life conditions, family
disintegration, economic factors and abuse to have impacted the psychological functioning of
Substance use among street children, has been widely documented to be highly prevalent the
who (2014, pg 1) defines substance abuse as "persistent or sporadic drug abuse inconsistent
with or unrelated to acceptable medical practice" street children, especially adolescents, are
populations that are at risk groups for using and abusing substances (Merscham, Van
Leewen, and McGuire, 2008). A strong correlation between the use of substance and mental
health issues among street children was found to be prevalent (Krupiwnicki, 2012). The use
9
of substance in developed and developing countries. The use of illicit drugs is relatively high
training and action about 500 of street children were addicted to more than one type of
substance. Furthermore, homeless youth were at a great risk for substance use ancl poly
substance (Bousman et al, 2015). Dhawan 2009 found the onset of substance use among
(2010) found the onset of substance use among street children to be from the age of 12 years.
due to the difficult and unstable environment of street children, they are more vulnerable to
Factors linked to the onset of substance use include availability and access of substance, the
nature of the drug use, background, social networks and individual motivation (Bamaby et al
2010).
Violence and violent behaviors, street children are risk of exposure to violence, engagement
in violent behaviors on the streets or being the victims of violence. Violence according to the
In this study, violence includes all forms and exposure within the street with street children
may endure. In a report by (WHO, 2006) the types of drugs and substance used by street
children are associated with the nature of violence they encounter. Homeless youth, prior to
homeless, are reported to experience high rate of trauma and abuse (Huemeret all, 2016).
Street youths, who previously had concurrent mental health and substance use problems,
were more likely to experience abuse and be victimized (Kirst et al, 201 1). the risk of
10
victimization correlates with mental health problems in street children within a history of
trauma were likely to present with suicidal ideation (Merscham et al, 2008).
Sexual health risk behaviors among street children, life within the domains of the streets
sometimes exposes street children to high level of health risks due to the adverse
environments that they are embedded in. the most vulnerable group exposed to varied forms
of exploitation includes the abuse of street children (Raja, Bano and Ahmed cited 2005)
which impact their health. Risks that confront street children include abuse, sexual risk
behaviors with increased susceptibility to sexually transmitted diseases, mental and general
Street children move in groups that are sexually active with over two-thirds of them being
sexually active as reported in a study conducted in Canada (Marshall, Kerr, Shoveller and
Patterson, 2009). There is a noteworthy correlation between high-risk sexual behaviors and
the form of abuse that homeless youths are exposed to (Ferguson, 2009). There are higher
rates of physical and sexual; violence among street children than the general populace
(Bamaby et al, 2010). When examining sexual risk behaviors among street children, sexual
abuse was found to be prevalent among street children with over 68 percent reported
experiencing sexual abuse and about 39 percent reported victimizing other street pears.
Ferguson 2009, found that experience for homeless youths. Risky sexual behaviors are on the
increase among street children and this vulnerability may result in sexual health illness and
diseases (WHO, 2017). In western Kenya, the majority of children and youth begin to engage
in sexual activities with a lack knowledge of the consequences of their behaviors (Kayembe
et al, 2008). In a report by WHO (2013), the age of sexual debut was correlated by high-risk
11
behaviors which included multiple sexual partners and little condom use negotiation. Within
Eastern region, district of Iganga, the use of substances, petty theft and risky sexual
behaviors are highly prevalent (Old Stadium Street Children, 2017). In a study conducted in
Iganga municipality it was found that gender plays an influential role in the onset of sexual
debut among street children (Manzini, 2001). Young females were found to be a risk for
engaging in risky sexual behaviors in exchange for food, clothing or shelter (Manzini, 2001).
Survival sex, the sexual behaviors street youths adopt as a way of life within the realm of the
streets place them at high-risk for STDs including HIV infection (Maestro et al, 2014: Tyler
Whit beck, Chen and Johnson, 2007). Some of the behavior street youths engage in may
include survival sex and the exchange of sex for substance use (Van Leeuwen et al, 2004;
Maestro et al, 2012, Nada and Suliman, 2010). Survival sex is sometimes a consequence of
trauma and being homeless, which is also associated with health risks problem (the national
child traumatic street network, 2017). Within the sub-Sahara region, studies have examined
sexual behaviors among homeless youths. In Zimbabwe a positive correlation between risky
sexual behaviors and the use of substance among street children (WHO, 2014). The way of
life of street children make them vulnerable to injuries and substances use that might include
IVIultiple sexual partners, there is a link between survival sex among street children and
health riskthis include sexual multiple partners and inconsistent condom use. In a study on
sexual behaviors among street children, about 54 percent reported having sexual multiple
partners for survival reasons (Nada and Suliman, 2010). The conditions in which street
children reside correlate within a high prevalence of sexual multiple partners (Marshall, Kerr,
12
Shoveller and Patterson, 2009). Some of the predictors of sexual multiple partners among
street children are associated with living conditions and the use of substance (Solorio et al,
Non-condom use, although studies in Uganda have examined sexual risk behaviors among
street children. studies date from early 2000s. Not much is available and known on the
current sexual behaviors of this category of youths in Uganda. In a study on condom use
among homeless youths (Nada and Suliman, 2010) found that 52 percent of the participants
reported never using condoms. Non-condom use amongst street children is association with
the use of substance (tucker et al, 2012). In a report by the UN (2014) street children that use
substances were more likely to engage in risky sexual behaviors, which may involve the non-
use of condoms.
Therefore, several organizations working with the issue. As a social worker described; a
rewarding party of social work is the realization that there is awareness of the issue now as
well as the politicians are engaged in the phenomenon of the street children.
Street children are an issue on the agenda or the political levels. One social worker described
that; "there are many organizations who work with street children but there often not
NGO/NPOs work with social development, churches and there are organizations specialized
13
Preventive work as an effect, the social worker described, one specific organization that
works preventively with different schools where the children are struggling by measuring
what the need is, it makes it easier to work from where the children are, emotionally and
physical. Another interview discloses that the organizations can exhort the children to not use
drugs, to explain the invortance of good relationships and to prevent criminal activities.
The possibility of making a difference, according to the social workers with the children. the
Inost meaningful part in their work is the possibility of making a difference in the street
children's lives; it is not always a difference as in changing everything for better in tie, it's
about the ability to have an impact the process of the system and on the political level. Some
of the interviews mentioned that all humans need love and respect. Every child in the world
has a need of love, attention and care in order to change behavior. street children have a
tendency to respond negatively to generosity and action of love due to the lack of love in
Genders method does not look the same for boys and girls. Firstly, the boys are usually easier
to find on the street and are more openly selling items or begging for money. The children
always need to come up with things to entertain people in order to get money. There are
specific actions on how to reach out to the girls, there is. a first need to make contact with the
leaders (often males) of the group. We do not see female street children, most are boys. We
often see female's prostitutes. They could be 14 years old or younger. Street children as we
know it are not really females. In the cities there are more boys, but there most boys in
Family-based work. it was brought to our attention that street children usually have done
everything that could have done at home in order to save themselves without any success and
14
this leads to feelings of not being loved. It is a child that takes charge of their own lifeand
when they decide to leave their families, there is usually nothing that can make them return
home. Sometimes, when you see what they been through at home.
Government have implemented programs to deal with street children, the general solution
involves placing the children into orphanages juvenile homes, or correctional institutions.
Efforts will be macle by various government has tried to implement programs to put these
children in state-run homes, but efforts have largely failed, and street children have become a
victim group of social cleaning by the national policy, because they assumed to be drug users
and criminal.
program.
i) The correctional model is primarily used by governments and the police. They view
children as a public nuisance and risk to the security of the general public. The objective of
this model would be to protect the public and help keep the kids away from the life of crime
ii) The rehabilitative model is supported by churches and NGOs. The view of this model is
that street children are damaged and in need of help. The objective of this model is to
rehabilitate children into mainstream society. The method used to keep children from going
back to the streets are education, drug detoxification programs and providing children with
15
iii) The outreach strategy is supported by street teachers, NGOs, and church organizations.
The strategy views street children as oppressed individuals in need of support from their
communities. The objective of the outreach education and training to support children.
iv) The preventive approach is supported by NGOs, the coalition of street children, and
lobbying governments. They view street children's poor circumstances from negative social
and economic forces. In order to help street children, this approach focuses on the problems
2.4 Conclusion
This chapter provided an overview about the phenomenon of street children that included the
definition, prevalence and causes of this phenomenon. The study will be comprehensively
review literature on the mental health and sexual health risk behaviors among street children.
16
CHAPTER THREE
RESEARCH METHODOLOGY
3.0 Introduction
This chapter deal with the research design, the description of street children, the sample and
sampling procedures, data collection procedures, data quality control measurements and
This study will adopt the survey method to gather data. The survey research had the right
attributes that allowed for guiding, systematic and objective collection of the needed data
statistics; hence, the choice of the survey research method. As suggested by Terre-Blanche
and Durrheim (1999). The research design is a planned background for achievement that
serves as a tie between research questions and the implementation of research. The research
which data is collected, analyzed, and interpreted. Although each methodology varies, be it,
quantitative and qualitative, it is critical to assess the strengths and weakness of each design
(Terre-Blanche and Durrheim, 1999). In reaching the objectives of this research study on
the psychological well-being of street children, the study will use a purely quantitative
approach in line with the aims and objectives of the study. The specific used will be a cross-
sectional design, whereby the study collected data as a specific point in time (Diclemente
and Salazar, 2006). Across-sectional design typically comprises of data used to identify
(Sumekh and Lewin, 2005). Across-sectional design will be deemed appropriate for this
study, as participants had different backgrounds and reasons for on the streets.
18
32 participants
The research participants in the study will be street children living on the streets of Iganga
municipality, Busoga sub-region (Eastern Uganda). The study will be used as a non-
probability convenience sampling technique due to easier access the street children
Broadly defines sampling as a procedure that comprises choices about which people,
allow researcher
to choose participants which are available from the population at a point in time (Haer and
Becher, 2012). This sampling method will be useful, as the most convenient way of
collecting data was unknown. This sampling type method will also justify because
street children will be interviewed within Iganga municipality area. The sample size of 20
will viewed to adequate due to the difficulty in accessing this transient population.
literacy levels of homeless youths may vary greatly, making it difficult for them to complete
responsible for the cla„tl collection process and procedure. The questionnaire will consist of
19
3.4 Data Collection and Procedure
Permission to undertake the study will be sought from Iganga child rights community, an
NGO that provides multifaceted interventions for children on the streets in Iganga
The NGO acted as gatekeepers because these youths will be vested on their well-being,
rights and welfare in their care (Blanche, Durrheim and Painter, 2006). Once access will be
granted, one of the officials from the organization contacted the researcher to facilitate the
data collection process. With this primary relationship established, the data collection
process will be more effective and efficient with less confusion from all participants
involved. Each participant on the street will be informed about the focus of the study, after
which they asked if they will be willing to participate. Voluntary participation will be
emphasized and the participants will be informed that they could freely withdraw from the
study at any time. Verbal consent will be obtained from those who agreed to participate in
the study. Those who participatecl will be interviewed to complete the questionnaires
pertaining to the biological data sheet. The participants that will be available within the
organization and within the streets during the early hours of the morning will be selected
and interviewed.
This study —approved by the Head of the Depaltment of Applied psychological, Kampala
International University. In addition, the Iganga Child Rights Community Street Children
Organization will be approached for consent as they serve as legal guardians of children
20
living on the streets. All participants will be informed about the purpose of the study and the
duration.
Participants will be informed that allowed to discontinue with participation in the study if
they so with, Participants will be encouraged to ask questions concerning the study if they
Descriptive statistics ill analyze and describe the nature of the data collected, as well as to
determine the levels of psychological functioning and health risks. In addition, data will be
used by the use of questionnaire; it will be entered into a computer, edited and coded to
minimize errors. Then it will be grouped into tables, analyzed, interpreted, discussed and
3.7 Validity
After constructing questionnaire, the researcher will contact expertise in this area to go
through it to ensure that instrument is clear, relevant, specific and logically arranged.
3.8 Reliability
The research assistants sed for content analysis for the researcher. To calculate this kind of
reliability, the researcher reported the percentage of agreement on the same subject between
his raters and that of the assistants. However, half of the test, instrument, or a survey, were
used to analyze half as if it be the whole thing. The test-retest reliability of individual items
21
The information obtained through questionnaires will be cross-checked by observing
whether the behavior patterns match with what the respondents filled in the questionnaires.
questionnaires to different respondents in Iganga district at large. However, this will deal
Question avoidance arose in the answers for fear of some respondents to speak the truth and
others regard of their information as being confidential especially homeless youths and
street children. This will overcome through use of community leaders and introduction of
Poor infrastructures limited data collection especially in some areas, however, this will
22
CHAPTER FOUR RESULTS
4.0 Introduction
This chapter presents the quantitative and some qualitative results. The first section clescribes the
general characteristic of the study sample. This is followed by the results pertaining to the
participant's suicidal ideation, substance abuse and sexual risk behaviors. The third section
examines the relationships between psychological functioning and other related factors. Finally, a
multivariate logistical regression is presented that assessed the predictions of the various sexual
risk behaviours.
consisted of 12 boys and 3 girls. Over 20% of the sample were 15 years and younger. A large
number of the participants identified themselves as Muslim (70%). Over two thirds were living on
the streets for periods ranging between less than a year and two years. The major reasons for
leaving home were family poverty (20%), dysfunctional home, and/or divorce. Over 83 0 were not
in contact with their family members ancl about 25% were in contact with either their mother;
father, brother, sister, aunt, or uncle. The majority (60.4) of the participants had elementary
education. whilst an equally large number (96%) of the children were from Eastern Uganda
(busoga sub-region).
Table 1: Demographic Characteristics of the Participants Characteristics
Characteristics
23
Figure 2 :
Gender
20%
80%
Girls Boys
Christian 50 33
Muslim 80 53
Catholic 20 13
Other 2 1
24
respondents Number Percentage
1-2 years 70 46
3 and above 31 20
14 years below 48 32
15 years 43 28
16 years 41 27
17 years 20 13
25
Respondents Number Percentage
Family property 20 13
Dysfunctional 37 24
Sexual abuse 14 9
Mistreatment 48 32
Other reasons 33 22
No education 95 63
Primary 43 28
Secondary 12 8
Other 2 1
26
In table l , the descriptive statistics for this study are outlined. Information on the number, items,
scale range, mean, standard deviation, skewness. kurtosis and meant inter-item correlations are
provided for the Strength and Difficulty Questionnaire (SDQ) and Multidimensional Perceived
Social Support (MPSS) scale. The score of the two measures are distributed normally according
to 'Fable I . The scores on SDQ and MPSS indicate negative skewed values were score are
clustered
at the high end of the distribution. The normality of data was assessed by examining the extreme
score in the distribution. In determining the reliability of measures, the mean inter-item was
computed due to low scale scores. The Strengths and Difficulty Questionnaire scales scores were
The mean inter-item correlation was used in this study due to low scale scores. According to
(Briggs & Cheek, 1986: Pallant, 2010) the mean inter-item correlation can be used when score
scales are less than 10. Poor attention and concentration by the participants could have resulted in
low scales score in the Strengths and Difficulty Questionnaire. Furthermore, participants were
27
Descriptive statistics for psychological functioning used in the study
90
80
70
60
50
40
30
20
10
0
Early distracted Nervouness Worries Phobia Restless Fidgetting
The most frequently reported emotional and behavioral problems reported by street children as
measured by the SDQ are presented in Figure 2. The result shows that worrying (61) distraction
(59.1%), fears (51.0%) and restlessness (81.2%) were the most common anxiety symptoms
reported by the participants. The most behavioral problems reported by the participants include
28
Suicidal Ideation
attempting suicide
suicide
suicide attempts
About 75% of participants used substance such as cigarettes. Over half (52 0 0) of the participants
attempted to quit smoking and yet about 33.8% did not attempt to quit the use of substances such
as cigarettes. Over 50.1% of the participants had consumed alcoholic beverages whilst on the
streets. Only 14.9% had not used alcoholic beverages on the streets. The majority (74.3 0 0) of the
participants reported consuming an alcoholic beverage within a month's period. Just about 73.2%
of participants reported using illegal substances such as marijuana. About 43.6 0 of participants
29
reported onset of cigarette use at the age of 14 years and older, whilst 33.3% were between the
and younger. Over 50% of the participants who were between ages of 14 years and older reported
A small number (13.8%) of the participants reported onset of use of marijuana was at 1 1 years
and younger. Approximately 46.5% of the participants reported their first use of alcohol at the age
of 14 years and older. Over 3 1 % reported onset of alcohol use between ages 11-12 years. Only
22.5 0 0 of the participants reported initial age of drinking alcohol at age 11 years and younger.
30
4.4.1 Violence and Violent related behaviours
About 92.5% of the participants experience bullying whilst on the streets. Nearly 84.4% of the
participants reported bullying other peers on the streets. Over 87.1% of the participants reported
physically assault. Almost all (96.6%) of the participants reported being physically assaulted
31
4: Risk Eehaviours (Sexual Risk Behaviours)
Health Risk Behaviours Yes
32
Have you had sex 19 127 128 42
food, money)
12-13 years 72 52
33
Have you forced 38 23.4 110 39
Do you know 92 57 56 20
be sexually active. Just over half (52.1 %) did not use condoms whilst engaging in sexual
activities. About 47.9% reported condom use when engaging in sexual behaviours. Over 87.1 0 0
reported not engaging in any sexual behaviour in exchange for money, clothing, or food. Just
under half (47.3%) have been forced or forced themselves to have sexual relations with other
34
peers. Over half (62.20 0) of participants reported knowledge of knowing someone that had been
raped, whilst (37.8%) mentioned that they did not know anyone who had been raped on the
streets. Over 51% of the participants reported sexual debut at age 12-13 years, whilst 30.9% were
14 years and older. A small number of participants (17.3%) reported their sexual debut at age 1 1
35
4.4.3 .1 Relationship between substance use and sexual risk behaviours
Table 7 presents the results from the relationship between the various categorical variables
measuring substance use and sexual risk behaviours. The results showed the presence of
clustering effect of health risk behaviours among the street children such that those who have had
sex were more likely to have used alcohol and used marijuana. Furthermore. a significant positive
relationship was reported between non-condom use in the last sexual activity and the use of
marijuana on one hand, and between non-condom use in the last sexual activity variable and the
use of other drugs, such as glue on the other hand. The results did not find any relationship
between having multiple sexual partners and any of the indices of substance use. Again, no
significant association was found between survival sex (i.e. sex in in exchange for food, money,
and clothes or even where to sleep) and any of the indices of substance use.
36
CHAPTER FIVE
Introduction
This section discusses the conclusions from the findings of the current study and discusses the
limitations of the study. Recommendations stemming from the study findings are presented and
5.1 Summary
5.1.1 Limitations encountered in street children in Iganga municipality
The present study had its limitations as with most research studies. The cross-sectional design of
the study in which data was collect at a fixed point in time does not allow for the assessment of
casual relationships among the variables. Although the study drew significant relationships
among the variables, the study could not determine inferences about the causal relationship
findings. In determining the causality, the study recommends that future longitudinal research
The small conveniently selected sample of 15 participants, could have limited the generalizability
of the study findings. Nevertheless, the sample size was within a context in Xvvhich there is an
increase in migration of street children in and out of Iganga municipality, obtaining a number of
1 was still sufficient to give an overview of several of the psychological problems street children
experience. The participants seemed to have provided some socially desirable responses
especially on the SDQ scale, which could have prompted them to indicate their engagement in
prosocial behaviours.
37
"I'he poor attention and concentration span from the participants noted when responding to
questions, especially towards the end of the questionnaire might have ilnpactecl the quality of the
data negatively.
conduct problems among street children. Custodians of street children and mental health care
service providers could develop policy that addresses the drivers of poor mental health among
street children in Uganda. Agencies or centres working with street children could develop short
and long-term programmes that offer therapeutic services to strengthen and foster children's
resilience on the streets and address their mental health concerns. The study found that violent
behaviours and substance use among street children are prevalent among street children
highlighting the need for organizations offering services to street children to develop awareness
programs that holistically target and address violence and substance use among street children.
Addressing violence among this category of youth could assist in decreasing psychological
This study further found that the use of substance plays a role in risky sexual behaviours i.e.
addressed to street children to increase their awareness of the consequences of substance use and
unprotective sex. The importance to provide health services and increase access to condoms is
important to protect their health. In addition, programmes are needed to keep youth on the street
actively involved in various activities. For example, using sports to channel their energies
38
positively and involve youth in programs that equip them better to deal with their challenges on
the streets.
Organisations that provide programs and services for street children should be encouraged to
keep records and data on street children and observe their behaviours to identify psychosocial
needs and link them with the necessary service providers. 11 is also pivotal for agencies working
vvith street children to identify prosocial behaviours and their impact on street 62 childrens
children take account of the multiple influences at different levels of the environment on human
behaviour. Future interventions should attempt to address the negative influences on street
children's behaviours.
The study further recommends that future research take into consideration the specified
limitations discussed above to control these measures. This can be done by controlling time,
conducting research in early hours of the morning when participants are orientated in all spheres.
In doing so, this may result in more honest responses, which could further strengthen the
reliability of the results. Despite the limitations of the study, future research could examine
Future researchers could examine the determinants of poor mental health among street children in
Uganda. Future studies should examine factors that promote and strengthen resilience of street
children which is likely to further improve their general well-being within the street context.
39
The study measured the psychological symptoms of street children, but not the prevalence of
specific disorders. Future studies could explore the prevalence of specific disorders in a
5.2 Conclusion
A majority of participants in this study presented with moderate to severe psychological
problems. The study concluded that emotional problems, hyperactivity and prosocial behaviours
were prevalent among street children in Uganda. A great number of participants reported suicide
ideation, engagement in violent e behaviours and substance use 63 problems. There is a great
need for mental health services and professionals to engage street children whilst within the
clomains of the street within an African context. Policies and programs for street children should
consider the Inental health and substance use problems that this category of youth experience.
Future research need to examine specific psychological problems that street children within an
African context experience. The chapter concluded by discussions of the study limits,
40
REFERENCES
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amongst street children. In The 20th IEA World Congress ofEpidemiology . Alaska,
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Cengage Learning.
Ali, M. , Shahab, S. , Ushijima, H., & de Muynck. A. (2004). Street children in Pakistan: a
situational analysis of social conditions and nutritional status. Social Science and
Aptekar. L. (1994). Street children in the developing world: A review of their condition.
Aptekar, L., & Stoecklin, D. (2014). Street children and homeless youth: A cross-cultural
Aptekar, L. , & Stoecklin, D. (2014). Children in Street Situations: Street Children and
Asante, K. 0., Meyer-Weitz, A. , & Petersen, I. (2014). Substance use and risky sexual
behaviours among street connected children and youth in Accra, Ghana. Substance Abuse
Baatjies, R. (2005). United cities and local governments of Africa: crystallization of local
Barnaby, L. , Penn, R.. & Erickson, P. G. (2010). Drugs, homelessness & health: Homeless
youth speak out about harm reduction. Ontario. Canada: Canadian Harm Reduction
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Beazley, H. (2013). The sexual lives of street children in Yogyakarta Indonesia. Review Q/
Belfer, M. L. (2008). Child and adolescent mental disorders: the magnitude of the problem
across the globe. Journal of Child Psychology and Psychiatry, 49(3), 226-236.
Berk, L. E. (2000). Child Development (5th Ed.), Boston: Allyn and Bacon.
Blanche, M. J. T., Blanche, M. T., Dunheim, 1<., & Painter, D. (Eds.). (2006).Research in
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the politics of children's agency. Children's Geogrcphies, 10(4), 413-426
42
Bousman, C. A.,Blumberg, E. J., Shillington, A. Mt, Hovell, M. F., Ji, M., Lehman, S., &
Clapp. J. (2005). Predictors of substance use among homeless youth in San Diego.
Bray, R. (2003). Predicting the social consequences of oprhanhood in South Africa. African
Celik, S. S. (2009). Verbal. physical and sexual abuse among children working on the street.
CHETNA. (2014, September 15). Rehabilitating Street and Working Children Abusing
43
APPENDICES APPENDIX A:
QUESTIONNAIR SHEDULE
44
APPENDIX B: SAMPLE QUESTIONNAIRES
Female
Christian
Muslim
Catholic
Other
1-2year
3-5year
5years or more
45
5. What is the main reason why you left home [please tick (Q) only one]
Family poverty
Dysfunctional problems
Divorce
Other reason
Mother
Father
Brother
Sister
Uncle/aunt
Grand parents
10. Can you ask this person for help if you need it?
46
l . Yes
11. What is your highest level of education [Please Tick (N) one]
Primary
Secondary
University
Religion
Eastern
Central
Northern
Western
47
20. How often have you been
beaten up?
21. How often have you Never Sometimes
been beaten up? Always
22. How often have been
robbed?
23. How often have been
beaten assaulted with a
weapon?
24. How often have been
threatened with a
weapon?
Coerced Sex
25 Have vou ever been forced to YES NO
. have sex with someone?
Sometimes
Always
2 Have Y N
9. you es o
ever
been
injure
d in a
fight
Thank you for your participation
48
Smoking
30. How often do you use cigarette?
Never
Sometimes
Everyday
31. How did you react when you friends tolcl you to follow them to smoke?
Walk way
32. How old were you when you start smoking cigarette? (In years)
\Vhere did it happen? Hom On
e the
street
49
Alcohol Use
Sometimes
Everyday
Illegal drugs
37. Have you ever used "weed" Home On
(marijuana)in month ? the
street
38. How often do you smoke "weed" (marijuana) in a month?
Never
Sometimes
Everyday
Difficult
43. Have you used the following drugs? (Never — 0, Sometimes 1 and Always 2)
Glue
Hoonga
Cracks
51
APPENDIX C: A SIMPLE TIMEFRAME FOR RESEARCH
PROPOSAL
52
APPENDIX D: SAMPLE BUDGET FOR A RESEARCH PROPOSAL
ITEM DESCRIPTION QUANTITY UNIT AMOUN
COST
Books A4 Counter books 2 5,000 10,000
development
'lÄotal 146000
53
COLLEGE OF HUMANITIES AND SOCIAL SCIENCES
DEPARTMENT OF APPLIED PSYCHOLOGY
Any data shared with him will be used for academic purposes only and shall be kept with
utmost confidentiality.