CHOOSING TO CARE... fostering or adopting children with h.i.v.

Your choice

There are many factors you will want to take into consideration before deciding that you are willing to accept a foster or adoptive child with HIV.  Below are some questions that will give you some things to think about.

1.  Do you consider yourself educated about HIV?  For instance, do you know how it's spread?  Do you trust that HIV isn't spread through casual contact or do you feel you might be fearful of a child with the disease?

2.  Do you have other children?  How do you think those children would react to having a possibly terminally ill child come into the home?  Are you prepared to seek counseling for your children?

3.  Children with HIV or AIDS have compromised immune systems.  Consequently, even 'healthier' HIV-positive children miss a lot of school.  Is your job flexible so that you can be home with the child during an illness?  If not, do you have a plan for who might care for an ill child?

4.  Medication is a daily necessity for children with HIV, and is usually taken multiple times a day sometimes at all hours of the night.  Are you prepared to persist with a child's medical regimen?  How about the many different follow-up appointments children with this condition have?

5.  Due to confidentiality, as a foster parent you will not be permitted to disclose the child's condition to anyone.  Are you ready to handle questions about the child's illness, from family, friends, schools, neighbors, or anyone who senses a problem? 

6.  HIV or AIDS will most likely not be your foster or adoptive child's only problem.  Will you be willing to accept that HIV might be a secondary issue and that a child coming in to your home will carry all the usual baggage and maybe even more? 

7.  A foster or adopted child aware of his/her HIV status may choose to tell others about having the disease.  Are you prepared to become an 'educator' to those who don't know much about HIV?  Are you aware that some people still discriminate against HIV-positive people and your family may be stigmatized due to having a child with HIV?

There are many other things to take into consideration beyond the issues raised above.  While it is definitely a challenge and a big commitment to take in a child with HIV or AIDS, please keep in mind that it's not going to be exactly the way you think it will.  Terminally ill and chronically ill children bring, along with their illnesses, an enormous amount of courage, love, and joy to families who are willing to accept them. 

While it's not a bad thing to prepare for the worst, it's also good to prepare for the best.  Many HIV-positive children thrive with decent care.  If that is the difference between life or death for these children, then choosing to care for them can make all the difference in the world.  You won't know exactly what to expect, but nobody ever does.  Please keep that in mind as you come closer to making your decision.


© 2003 Sarah P. All rights reserved.

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