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			| Abstract #2332  -  Migration and HIV |  
					| Session: 22.2: Migration and HIV (Parallel) on Wednesday @ 16.30-18.00 in C002 Chaired by Christiana Noestlinger,
 Dolores Albarracin
 Authors:
 Presenting Author:   Dr Constance Nyamukapa - Biomedical Research and Training Institute, Zimbabwe
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					| Aim: To investigate the effect of migration on school enrolment and to investigate whether greater migration contributes to higher rates of school out amongst orphaned children in a population subject to a large generalised HIV epidemic.
 
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					| Method / Issue: Prospective data were collected in two rounds of a general population cohort of 645 children in Manicaland, Zimbabwe, stratified by orphan status. Multivariate regression models were used to investigate the effects of migration on school enrolment.
 
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					| Results / Comments: 763 children aged 6-18 years were enumerated at baseline (June 2003 – November 2004), of whom 645 (85%) were followed up (July 2004 - March 2006). School enrolment at baseline was significantly associated with a child’s relationship to their primary caregiver, their household socio-economic status, community type, and age, but not with their gender or orphan status. Eleven percent (50/467) of the children who were enrolled in school at baseline moved households between survey rounds 9 percent (56/590) had ped out of school at follow-up. Children who moved household were at 7-times greater odds of ping out of school (adjusted OR=7.02, 95% CI, 2.76-17.87), with the risk being highest for those who moved longer distances. Maternal orphans (but not other orphans) were significantly more likely to migrate than other children. However, migration did not result in higher school -out in OVC than in non-OVC.
 
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					| Discussion: More frequent movements between households may explain previously observed associations between maternal orphanhood and non-enrolment. Interventions are needed to ensure that children who migrate are re-enrolled in school.
 
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