Mental health challenges of the lived experiences of adolescents orphaned by HIV and AIDS in South Africa

Abstract

Situational analysis approach was used to explore the mental health challenges of the lived experiences of 
adolescents aged 14 to 18 years living in South Africa who have lost their parents to HIV and AIDS. A qualitative 
phenomenological approach using reflective diaries was used to extract the lived experiences. Fifteen adolescents 
orphaned by HIV and AIDS aged between 14 to 18 years participated in the study. Eight adolescents made weekly 
entries for eight months and 7 of the participants brought empty diaries. Two major themes of experiences with loss 
and expressed emotions emerged from the reflective diaries. Experiences with loss had three subthemes of personal 
experience with loss, experiences with adoptive families and experiences at school. Anger, discrimination and not 
being told the truth were espoused from the diaries as mental health challenges. Expressed emotions included 
expression of anxiety, guilt, pretence, denial and hope. It became clear from these experiences and expressed 
emotions that adolescents orphaned by HIV and AIDS need love, caring, support and to be given hope for the future.