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Street Children With Disabilities: Poor Health and Violence

young boy looking scared, hiding between some wooden planks.

Impacts Of Living with Disability As A Street Child: Poor Health & Violence

Living on the street

Some street children are forced to live and fend for themselves with no adults to care for them. This can be due to illness, exclusion or humanitarian crisis (1). For example, the HIV pandemic and ongoing war in many countries has left many children orphaned (1). This has forced more on to the streets (1). Others still have families to return home to at night but work on the street to contribute to their family’s income (2). Regardless, street children are more likely to be affected by disability due to poor health and violence (1). Disability also makes children more vulnerable to illness and violence. Many children with pre-existing disabilities often end up on the street due to discrimination and rejection from their communities (3).

Poor health in street children

Children living with disability are at greater risk of illness, which can be partly due to difficulties in accessing health services (4). For example, children with disabilities commonly receive fewer essential vaccinations and basic healthcare (5). Similarly, the poor health and illness suffered by street children is often as a result of poverty and limited access to healthcare (7). This suggests that also living with disability exacerbates the poor health experienced by street children. Almost all street children experience health problems, relating to growth, violence and infectious diseases along with mental illness and substance abuse (8). In addition, a study carried out in Alexandria in Egypt found that 83% of street children were malnourished (9). This is not surprising, but it highlights how the health of almost all street children can be affected by poverty.

Street children also suffer from disproportionately high levels of HIV / AIDs, overlapping with other groups affected by HIV, including intravenous drug users (10;11). As a result, there have been specific targets of HIV/AIDs interventions towards street children. While these have been effective, further progress will better protect street children and those with disability from illness. Railway Children is an organisation which works at three levels to better support all street children (12). They work at street level and community level to work with people directly and also at government level to influence policy for better protection of street children (12).

Abuse and violence in street children

Both street children and children with disabilities are more susceptible to violence (5). Studies carried out in Cairo and Alexandria in Egypt found that as much as 93% of street children had experienced harassment and abuse (11). Most of this abuse was by police and other street children (11). In addition, research shows that children with disabilities are as much as three times more at risk of violence than non-disabled children (5). Exclusion and sometimes a lack of care can leave them more vulnerable to harm, where they viewed as ‘easier targets’ (5).

Improving the health of street children with disabilities

It has been suggested that the creation of safe shelters could help improve poor health (8). These would be very helpful in providing safe spaces for street children and those with disability, which would limit their risk of harm (8).  However, beyond support by charities and other non-governmental organisations, there is a need to introduce new policies which better protect street children (8).

Chance for Childhood works with KUAP to support street children and street children with disabilities, in Kisumu, Kenya (13). Unfortunately, COVID-19 forced them to pause much of their work. In response, remote counselling had been arranged for some of the children (13). However, KUAP has also continued to supply food packages to 60 local families with children struggling with dysphagia. This programme has been essential in helping to improve the health of street children and those with disabilities. KUAP also tries to reunite street children with their families. (13).

There are some positive steps in place to improve the poor health of street children with disabilities. However, more help is urgently needed, which is why here at Poverty Child we are dedicated to supporting street-connected children. We would be grateful for any donations. If you wish please donate to Poverty Child.


References

1.     Child S. The Facts about Street Children | Consortium for Street Children [Internet]. Consortium for Street Children. 2021 [cited 24 August 2021]. Available from: https://www.streetchildren.org/about-street-children/

2.     On International Day of Persons with Disabilities we Advocate for Inclusive Education — Street Child [Internet]. Street Child. 2019 [cited 24 August 2021]. Available from: https://www.street-child.co.uk/blog/2019/12/4/on-international-day-of-persons-with-disabilities-we-advocate-inclusive-education

3.     Our work / Toybox [Internet]. Toybox.org.uk. [cited 24 August 2021]. Available from: https://toybox.org.uk/our-work

4.     Kuper H, Monteath-van Dok A, Wing K, Danquah L, Evans J, Zuurmond M et al. The Impact of Disability on the Lives of Children; Cross-Sectional Data Including 8,900 Children with Disabilities and 898,834 Children without Disabilities across 30 Countries. PLoS ONE [Internet]. 2014 [cited 24 August 2021];9(9):e107300. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159292/

5.     World Health Organization & United Nations Children’s Fund (‎UNICEF)‎. (‎2012)‎. Early childhood development and disability: a discussion paper. World Health Organization. https://apps.who.int/iris/handle/10665/75355

6.     Panter‐brick C. Homelessness, poverty, and risks to health: beyond at risk categorizations of street children1. Children’s Geographies [Internet]. 2004 [cited 25 August 2021];2(1):83-94. Available from: https://www.tandfonline.com/doi/full/10.1080/1473328032000168787?casa_token=IrddfS6UXfoAAAAA%3AR_P9f01XM_z57spnmwwr9dOShWSZ33cpaFX98fy6UXBNkmOpVXvdkhqupQhPAM-m_PAhOhpH84VVlA

7.     Cumber S, Tsoka-Gwegweni J. The health profile of street children in Africa: a literature review. Journal of Public Health in Africa [Internet]. 2015 [cited 25 August 2021];. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349275/

8.     Cumber S, Tsoka-Gwegweni J. The health profile of street children in Africa: a literature review. Journal of Public Health in Africa [Internet]. 2015 [cited 25 August 2021];. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349275/

9.     Salem E, el-latif F. Sociodemographic characteristics of street children in Alexandria. East Mediterranean Health Journal [Internet]. 2002 [cited 25 August 2021];8(1):64-73. Available from: https://pubmed.ncbi.nlm.nih.gov/15330562/

10.  Marshall B, Kerr T, Shoveller J, Montaner J, Wood E. Structural factors associated with an increased risk of HIV and sexually transmitted infection transmission among street-involved youth. BMC Public Health [Internet]. 2009 [cited 25 August 2021];9(1). Available from: https://pubmed.ncbi.nlm.nih.gov/19134203/

11.  Nada K, Suliman E. Violence, abuse, alcohol and drug use, and sexual behaviors in street children of Greater Cairo and Alexandria, Egypt. AIDS [Internet]. 2010 [cited 25 August 2021];24(Suppl 2):S39-S44. Available from: https://journals.lww.com/aidsonline/Fulltext/2010/07002/Violence,_abuse,_alcohol_and_drug_use,_and_sexual.5.aspx

12.  Fighting for Street Children [Internet]. Railwaychildren.org.uk. [cited 25 August 2021]. Available from: https://www.railwaychildren.org.uk/

13.   How we’re supporting vulnerable children during Coronavirus | Chance for Childhood – Children’s charity [Internet]. Chance for Childhood. 2020 [cited 25 August 2021]. Available from: https://chanceforchildhood.org/latest-news/how-were-supporting-vulnerable-children-during-coronavirus/

 

Street Children With Disabilities: Education

Picture of a classroom in a developing country, filled with students

Impacts of living with disability as a street child

School as a street child

Street children are rarely enrolled in formal education. They are often excluded from normal classrooms, which can make learning more difficult.  Instead, those who are in education tend to use local programmes with teaching that is better tailored to the needs of street children (1). This includes time for children to work to support themselves or their families (1). These programmes have been vital in supporting street children as education is often essential for them to survive extreme poverty (2).

Regardless of the school system, it is common for street children to face many difficulties with education due to poverty, discrimination and difficulty getting to school. Like street children, it is also common for children living with disability to experience discrimination, bullying and isolation while at school (1;3). Due to the discrimination already experienced by street children in education, it is easy to imagine how street children also impacted by disability can find education even more challenging, whether in formal education or in street-connected programmes. Therefore, street children living with disability often experience even more hardship at school (4).

Lack of resources for street children with disabilities

Particularly in low-income areas, school budgets cannot afford for funds to be directed towards the needs of special needs children (3). For example, classrooms are often too noisy for children with hearing difficulties to learn and those with visual and physical disabilities cannot be given the support they need for them to manage their impairments at school (2). Therefore, programmes aiming to improve the inclusion of street children in education, whether that be formal or those tailored for street children, are very important. Education is suggested to be the single most effective way for a street child to thrive (2). Furthermore, if on their own, being out of school can force a street child to fend for themselves all day and all night.

What can be done to help

  1. Mobile schools and financial help

Some projects aim to provide a school format for street children which allows time for work, due to many also needing to work on the streets to support themselves and potentially their families (1). For example, the Mobile School NPO created by the CSC Network helps to support street children by delivering teaching in remote areas. This allows them to learn in an open and accessible environment.

Another benefit of programmes like the Mobile School is that they are scalable. In addition, Street Child’s ‘Family Business for Education’ model has made progress in tackling the social and financial barriers experienced by street children and children with disabilities (5). Through this programme, families receive training in developing and saving a stable income, which helps them send their children to school. ‘Family Business for Education’ has been extremely successful by helping more than 50,000 children attend school. Education is vital in helping street children move out of poverty, allowing them to live healthier adult lives (1).

  1. Promoting inclusion of street children with disabilities

Non-governmental organisations (NGOs) are continuing to develop interventions which are inclusive of street children. Street Child is keen to make education more accessible and inclusive for those living with disability (5). They are continuing to train teachers to promote an inclusive environment which is supportive of their students (5)

Similarly, Chance for Childhood has worked with partners via Comic Relief in Western Kenya, to improve the quality and accessibility of education for street children with additional needs (6). This project is called ‘LEAP’ and one of its main objectives is to promote the inclusion of street children with disabilities. ‘LEAP’ workers believe that children living with disability should be included in formal school, rather than enrolled into separate education (6). They feel that this inclusion is essential to tackle the negative attitudes towards street children and disability. It can be challenging to bring these children back into mainstream education as they can have specific needs. However, with particular support it is possible (6).

  1. Specialist education programmes

The view of ‘LEAP’ is important. However, not all projects aim to re-introduce street children to mainstream education. It is sometimes necessary for street children to have access to an alternative school format as some feel that formal education is not a priority (1;7). Therefore, it is important to communicate with children about their needs. Tailored programmes may suit some street children better. However, further projects which focus on the needs of street children with disabilities as an individual group are needed within schools. If we continue to tackle the stigma surrounding these children, we can hope to improve their education, whether in tailored education or formal school (1;7).

 


References

  1. Clark J. Realising street children’s right to education | CSC [Internet]. Consortium for Street Children. 2019 [cited 25 August 2021]. Available from: https://www.streetchildren.org/news-and-updates/realising-street-childrens-right-to-education/#_edn1
  2. On International Day of Persons with Disabilities we Advocate for Inclusive Education — Street Child [Internet]. Street Child. 2019 [cited 24 August 2021]. Available from: https://www.street-child.co.uk/blog/2019/12/4/on-international-day-of-persons-with-disabilities-we-advocate-inclusive-education
  3. Mizunoya S, Mitra S, Yamasaki I. Towards Inclusive Education The impact of disability on school attendance in developing countries, Innocenti Working Paper 2016-03 [Internet]. UNICEF, office of research; 2016. Available from: https://www.unicef-irc.org/publications/pdf/IWP3%20-%20Towards%20Inclusive%20Education.pdf
  1. Weimert F. Discrimination is the biggest obstacle to education for children with disabilities — Street Child Switzerland [Internet]. Street Child Switzerland. 2018 [cited 5 May 2021]. Available from: https://www.street-child.ch/news/discrimination-education-children-with-disabilities
  2. Nepal — Street Child [Internet]. Street Child. 2021 [cited 25 August 2021]. Available from: https://www.street-child.co.uk/nepal
  3. LEAP from the Street – Learning, Educating And Protecting: Our new education project for street children in Kisumu, Kenya. | Chance for Childhood – Children’s charity [Internet]. Chance for Childhood. 2016 [cited 25 August 2021]. Available from: https://chanceforchildhood.org/latest-news/leap-street-learning-educating-protecting-new-education-project-street-children-kisumu-kenya/
  4. Turgut N. The protection and promotion of human rights for street connected children: legal, policy and practical strategies for change [Internet]. Consortium for Street Children; 2017. Available from: https://www.streetchildren.org/wp-content/uploads/gravity_forms/1-07fc61ac163e50acc82d83eee9ebb5c2/2017/04/CSC_Briefing-Paper_March-2017_FINAL-Hi-res_No-crops.pdf

Street Children With Disabilities: Discrimination

two young boys running in muddy clothes, smiling at the camera.

Impacts Of Living with Disability As A Street Child

Ableism – discrimination against disability

The negative treatment of people living with disabilities is known as ableism (1). Sadly, this is experienced by almost all people living with disability at some point in their lives. People living in financial difficulty or poverty experience greater levels of disability-related stigma (2). The level of discrimination can also depend on an individual’s type of impairment (2). For example, children with intellectual disabilities often experience greater levels of exclusion than those with physical disability (2).

Amar, a 17-year old boy from Yemen was interviewed for a study on disability and poverty (3). He is deaf and uses sign language to communicate. He explained that he is made to feel uncomfortable when he uses sign language on the street (3). People often stare at him. This is not uncommon and sadly many other children with disability share his experience (4). It is also common for parents of children with disability to be made to feel like outsiders within their own communities (5). There is evidence that this also contributes to their rejection from jobs (5). This can have a further negative effect on a child’s health, with some feeling like they will only be further mistreated if they try to seek help from healthcare professionals (3).

Education as a street child with disability

The discrimination and judgement experienced by children often adds to the difficulties street children have with school (6). For example, according to Street Child, almost half of the children interviewed felt that discrimination was their main barrier to attending school (7). As children also experience discrimination due to disability, street children with disability can have a very difficult time trying to fit in. They can experience discrimination due to both factors, where already belonging to another disadvantaged group can make a child feel even more marginalised (8).

Tackling discrimination against street children and disability

The discrimination faced by street children urgently needs addressed, as negative attitudes prevent many from seeking help. This prevents many from receiving care when they need it (3).

Although it may be that attending specialised education for street children would result in less isolation, some projects such as ‘LEAP’ feel that it is important to include them in mainstream education. They also work to strengthen the systems which protect street and disabled children (9). This project is run by Chance for Childhood through partners in Western Kenya. They aim to improve education for street children and those living with disability (9).

In addition, organisations including Street Girls Aid are working to improve education, nutrition and the safety of street-connected children (10). In partnership with Chance for Childhood, this has helped many children like Ebo, a boy called from Accra who at 18 months old could no longer walk due to malnutrition. Through support by Street Girls Aid, Ebo and his mother were given the support they needed to improve Ebo’s health, and with time Ebo could not only walk again but he also joins in with singing and dancing with other children in his community (10). This is just one example of the good work improving the health of street children.

Impacts of disability on health, education and discrimination in street children

Overall, it is very likely that living with disability as a street child exacerbates the difficulties experienced by street children. They often suffer from poverty and poorer health, worse education and greater discrimination than non-disabled children and those not living on the street (11; 12; 13). However, organisations have together made some excellent steps towards better inclusion and protection of disabled street children. We hope to have highlighted their significance, while there are also many other interventions doing great work. Overall, the articles in this series aim to raise the awareness of the various disabilities and difficulties experienced by disabled street children. This group is often overlooked and therefore need our continued support (14). If interested in the other articles in this series, or indeed any of our other blog updates.

 


References

  1. Definition of ABLEISM [Internet]. Merriam-webster.com. 2021 [cited 24 August 2021]. Available from: https://www.merriam-webster.com/dictionary/ableism
  2. UK Department for International Development and other Government departments. Disability stigma in developing countries. K4D helpdesk service, Institute of Development Studies; 2018.
  3. Eid A, Ingstad B. Disability and Poverty: A Global Challenge. Bristol; 2011.
  4. Kuper H, Monteath-van Dok A, Wing K, Danquah L, Evans J, Zuurmond M et al. The Impact of Disability on the Lives of Children; Cross-Sectional Data Including 8,900 Children with Disabilities and 898,834 Children without Disabilities across 30 Countries. PLoS ONE [Internet]. 2014 [cited 24 August 2021];9(9):e107300. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159292/
  5. Rohwerder, B. (2018) Disability Stigma in Developing Countries. K4D Helpdesk Report. Brighton, UK: Institute of Development Studies.
  6. Weimert F. Discrimination is the biggest obstacle to education for children with disabilities — Street Child Switzerland [Internet]. Street Child Switzerland. 2018 [cited 5 May 2021]. Available from: https://www.street-child.ch/news/discrimination-education-children-with-disabilities
  7. Weimert F. Discrimination is the biggest obstacle to education for children with disabilities — Street Child Switzerland [Internet]. Street Child Switzerland. 2018 [cited 24 August 2021]. Available from: https://www.street-child.ch/news/discrimination-education-children-with-disabilities
  8. Children with disabilities [Internet]. Unicef.org. 2021 [cited 25 August 2021]. Available from: https://www.unicef.org/eca/children-disabilities
  9. LEAP from the Street – Learning, Educating And Protecting: Our new education project for street children in Kisumu, Kenya. | Chance for Childhood – Children’s charity [Internet]. Chance for Childhood. 2016 [cited 25 August 2021]. Available from: https://chanceforchildhood.org/latest-news/leap-street-learning-educating-protecting-new-education-project-street-children-kisumu-kenya/
  10. The streets are stealing children’s futures | Chance for Childhood – Children’s charity [Internet]. Chance for Childhood. [cited 25 August 2021]. Available from: https://chanceforchildhood.org/our-work/children-on-the-streets/
  11. Kuper H, Monteath-van Dok A, Wing K, Danquah L, Evans J, Zuurmond M et al. The Impact of Disability on the Lives of Children; Cross-Sectional Data Including 8,900 Children with Disabilities and 898,834 Children without Disabilities across 30 Countries. PLoS ONE [Internet]. 2014 [cited 24 August 2021];9(9):e107300. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159292/
  12. Clark J. Realising street children’s right to education | CSC [Internet]. Consortium for Street Children. 2019 [cited 25 August 2021]. Available from: https://www.streetchildren.org/news-and-updates/realising-street-childrens-right-to-education/#_edn1
  13. Weimert F. Discrimination is the biggest obstacle to education for children with disabilities — Street Child Switzerland [Internet]. Street Child Switzerland. 2018 [cited 5 May 2021]. Available from: https://www.street-child.ch/news/discrimination-education-children-with-disabilities
  14. Our work / Toybox [Internet]. Toybox.org.uk. [cited 26 August 2021]. Available from: https://toybox.org.uk/our-work

 

Street Children: Everything About This Global Humanitarian Crisis

Street Children in Cambodia

Across the world there are millions of children who face the reality of spending their everyday life living or working on the streets. The quality of life of these children is poor, as they are exposed violence, deprived living conditions and a lack of access to basic necessities, healthcare and education. The numbers of street children around the world are also likely to be rising, especially in developing countries where rapid urbanisation has led to the creation of urban slums in which children often experience extreme poverty.

A global crisis is rapidly unfolding and yet the international community continues to largely ignore children connected to the street. As a result, the need to alleviate the problems causing children to become involved with the street as well as support and protect those already living in these conditions is ever more vital.

Here we introduce the crisis, with four main sections:

  1. Who are street children?
  2. What causes children live and work on the street?
  3. Life on the street
  4. How do street children process into adulthood and what are the long-term effects of street involvement?

Who are street children?

Who does the term ‘street children’ refer to?

Street children are a group of children with diverse characteristics and have very complex lives. Because of this, definitions of the term ‘street child’ are often disputed and vary significantly between policy makers, researchers, NGOs and other social actors.  Earlier work on street children tended to focus on just those living (sleeping) and/or working on the streets (1). More recently the term has also come to include those who spend a significant amount of time on the streets (2), whether that be hanging out with friends, accompanying their parents working on the street or for any other reason.

Generally speaking we can say that street children are children who, for whatever reason, depend on the streets for their survival. The street is a central reference point for them, plays a significant role in their everyday life and forms a vital part of their identity (3).

How many street children are there and where do they live?

Latest figures on the number of street children living globally emerged more than a decade ago, published by the international children’s charity, Unicef. In 2005, the organisation predicted that there are more than 100 million street children around the world (2). This is just an estimate, however, and many other agencies working with street children have doubted the accuracy of the claim (1).

Finding a more accurate and up-to-date figure for the number of street children globally is difficult due to the challenges which come along with counting these children: street children tend to move around a lot, they may also not want to be found or are scared and mistrustful of authorities (2). Since definitions of the term ‘street child’ and methods used for counting vary significantly between organisations, it can also prove unreliable to compare and compile data collected in different cities or regions (3)(4)(5).

While the true number of street children living globally is disputed, many researchers and NGOs agree that their numbers are rising. This is occurring alongside the world’s growing population and due to certain global trends, such as rapid urbanisation, increasing inequalities and migration (3). Although it is often thought that street children only live in the poorer nations of Asia, Africa and South America, they are found all over the world, including in richer countries and regions (2).

Street children have diverse characteristics and experiences 

As mentioned above, street children are not a clearly defined, consistent group (5). Their characteristics are diverse, coming from a range of different backgrounds, ethnicity and ages (3).

Stereotypically street children are often thought of as boys and it is true that studies in many locations have counted more boys on the street than girls (2)(5). This is likely due to the more traditional gender roles at play in many cultures, which encourage boys to be independent, work and socialise outside of the home, while girls stay indoors (5). Girls are also often less visible on the street, keeping out of sight to protect themselves from the dangers of street living or being more likely to work as domestic servants or involved in commercial sex (5)(6).

As a result of their varying identities and locations in which they live, street children will have different experiences, needs and struggles and will use the street in diverse ways (5)(7).

What causes children to live or work on the street?

Push and pull factors

Broadly speaking we can put the presence of children living, working or spending large amounts of time on the street down to a range of so called ‘push’ and ‘pull’ factors. Push factors are aspects which force children on to the street (3). These could be reasons such as family collapse, death, economic difficulties, domestic violence, abuse or neglect (8)(10). Pull factors, meanwhile, are circumstances which make the street attractive to a child, for example friendships or the sense of independence, freedom and adventure (3)(2).

In many cases, the process of a child becoming involved in the street is not the result of a single one of these factors, but rather a combination of reasons which have left them in an extremely vulnerable position and meant that the street has become their best or only option for survival (2)(5).

The society in which a child lives also has a huge influence on their likelihood of taking to the streets. In many countries there are wider societal problems at play which make life challenging for children and intensify the conditions which make street involvement more likely.

Broader societal problems

Poverty and income inequality: In societies where income inequality is high, children from the poorest families can be forced onto the street as a means of economic survival for themselves or their families (4)(10). Once there, they are likely to take part in income-generating activities, such as begging, street trading, collecting raw materials, or more dangerous practices, such as stealing or commercial sex work (6)(9)(10).

Financial instability not only puts a strain on families economically, but also emotionally (10). Research has found that stress associated with economic hardship can cause a weakening of relationships between family members (10)(4). This can lead to more conflicts within the family and increased incidences of domestic violence, abuse and neglect, all of which can contribute to a child leaving home (4).

Inadequate social protection for vulnerable children: Many children experiencing hardships and violations of their basic rights at home are reliant on government social services or support from NGOs to provide them with care and protection. In situations where these provisions are unavailable, not accessible or inadequate to meet their needs, children are left vulnerable and exposed to many forms of abuse (3)(11). These children may take to the streets as a means of protecting themselves from the dangers they face at home, after being left with no feasible alternative (1).

Wars, conflicts, epidemics and disasters: Numbers of street children often increase during times of crisis, such as wars, health epidemics, natural disasters, famine and economic recessions. While the consequences of such events are varied, they typically result in death, displacement and disruption of the normal running of services. All of these factors lead to a deepening of poverty and can leave children without care and protection stopping them from becoming involved in the street (5). Recent examples of crises that have had a damaging impact on children include:

  • The 2014 Ebola crisis in Sierra Leone to which over 12,000 children lost their primary care giver (12).
  • The war and refugee crisis in Iraq which forced more than 12.3 million children from their homes (13).
  • The HIV/AIDS pandemic which has left an estimated 16.6 million children as orphans, 90% of whom live in Sub-Saharan Africa (5).

Patterns of urbanisation: Over the last fifty years, movement from rural to urban areas has increased significantly. Currently the highest levels of rural to urban migration are taking place in Asia and Africa, where rapid urbanisation has led to the creation of large unplanned, informal settlements and urban slums (5). Physical conditions in these areas are poor and the settlements are often characterised by poverty, limited resources, little access to social provisions and large family populations per household (3)(5). Children living in these slums are at risk of being forced onto the streets to earn a living or survive, given their poor economic background, little education and limited means for securing their basic needs (11).

Discrimination against certain groups: Studies in many locations have found higher percentages of children from ethnic minorities on the streets than those from native backgrounds. This is the case in South Eastern Europe where children from Roma backgrounds represent a large proportion of children on the street, as high as 89 percent in Serbia and 67 percent in Bosnia and Herzegovina. In these countries, Roma families face many challenges in their everyday lives, including extreme poverty, unemployment, little access to services, as well as prejudice, discrimination and intolerance, which are likely to be the reasons behind this trend (10).

Discrimination not only affects ethnic minorities but also other marginalised groups. In the Democratic Republic of Congo, the HIV pandemic has led to an extreme form of discrimination targeted at AIDS orphans. These children are frequently accused of witchcraft, shunned by their extended families and left with no option but to struggle on the streets to survive (5).

Life on the street

Challenges faced by street children

For the many children who have moved onto the street to live or work, life is extremely challenging. On the streets they are subjected to poor physical conditions and have little access to basic necessities, such as food, clothing and shelter (10). They are also likely to find it difficult to access relevant social services, such as healthcare, either because they do not have the documents required for using such services, lack information or are discriminated against by service providers (3).

Low school attendance is common among children in street situations too. Many street children struggle to stay in standard education because of the attendance requirements, routine and discipline of school, especially when having to juggle work on the street alongside. In addition, street children often experience discrimination from other pupils and teachers, have little family support to help them with schoolwork and find the topics taught irrelevant to their everyday lives, meaning that they do not enjoy school (2)(10)(11).

Violence becomes a part of everyday life

Another major difficulty of life on the street is the constant threat of violence. While the street can be a place for friendships, violence between street children is also common. A study looking at children living alone on the streets in Kenya and Tanzania found that incidences of violence took place as a result of stealing, conflicts over owing money and securing places to stay. A lot of this behaviour was directed at younger children, who not only experienced physical abuse, but also sexual abuse at the hands of older street youths. Many of these older children had been raped themselves when they were younger and used sexual abuse as a means of expressing power and anger over their younger peers (4).

In addition to violence from other street inhabitants, street children are vulnerable to experiencing abuse from the police, local business owners and other members of the public (3)(5). Police brutality against street children has been witnessed in many locations worldwide. In Kenya, for example, there has been extensive reporting of the maltreatment of street youths by the country’s authorities which has sometimes led to bodily harm and even death (14).

Forced sex-selling and begging is also common on the streets, leaving children at risk of abuse and exploitation from the adult organisers of this work. Sex work is particularly prevalent among girls: a study in Tanzania found that 79 percent of girls counted on the street at night were involved in commercial sex work, rising to 86 percent of the 15 to 18 year old girls counted (9).

Crime as a means of survival and coping mechanism

Street children are often viewed negatively by officials and others in the community. They are seen as a problem and associated with crimes, such as stealing, loitering, sleeping in prohibited places, selling goods illegally, as well as using drugs and alcohol (2).

Stereotypes of street children as ‘criminals’ and ‘delinquents’ fail to understand the complex lives that these children lead (1)(3). In many incidences, street children only resort to illegal work practices or crimes like stealing after being left with no other alternative to earn a living or for survival (2)(4). They can also be forced into it by adults and other children who are exploiting them. Drugs and alcohol, on the other hand, are often used as a coping mechanism by street children, thought to offer a relief from the harsh realities of their everyday lives (1)(4).

How do street children process into adulthood and what are the long-term effects of street involvement?

Pathways in adulthood

Research has shown that children’s lives can develop in numerous directions once being involved with the street (4). Some of these pathways are more negative, as former street children are more likely to take part in organised crime and end up in the penal system. In Brazil it is thought that over a third of street children have been placed inside young offender institutions (13).

Some of the pathways which street children take into adulthood are more positive. They can find routes into housing, off-street work or education (1). In many cases, children require interventions from the government, NGOs or other support networks to help with the transition into off-street life and overcome barriers, such as costs, lack of documentation, fear and discrimination (1)(4)(5). With this support not available for every child, it is the case that many children remain street dwellers into late adulthood (1).

Worryingly, several studies have also indicated that there is a high mortality rate among street children. Incidences of death among street youth can be linked to a number of factors, including their exposure to violence, high rates of substance use, mental health problems and susceptibility to illness and diseases like HIV, combined with their lower uptake of health care (1)(14). The nature of street work is often dangerous, meaning that street children are also prone to accidents, such as when begging close to traffic in busy cities (10).

Long-term effects of street involvement

The experiences which street children face in the early stages of lives can have a range of impacts on their physical, mental and emotional wellbeing. All of these factors have consequences on a child’s long-term health and personal development through adolescence and into adulthood.

Mental and emotional impacts: Violence is one of the biggest dangers of street life, affecting children not just physically, but also mentally and emotionally. Research suggests that incidences of abuse can severely affect children’s ability to trust and form attachments and, thereby, make it difficult to form appropriate and meaningful relationships in the future (3)(4). The violence experienced by street children can also result in trauma and emotional distress, which if not addressed can cause psychological damage and mental health problems, such depression, post-traumatic stress and anxiety (4).

High levels of substance use, which is common among street children, has also been proven to have a negative effect on mental health (1)(3)(4).

Physical impacts: The physical conditions which street children are subjected to are poor. They often work and sleep in areas which are dirty, polluted and exposed to harsh weather. These environments pose a major risk to children’s health, as chest problems are likely and infectious diseases like malaria and cholera spread easily. Since many street children lack food or have a poor diet, it is also common for them to experience shunted growth and appear physically much younger than their actual age (4). Being deprived of nutrition negatively affects a child’s activity and motivation levels too, which are important for their cognitive development (10).  

Given the lack of medical care accessible to children on the street, those suffering from health problems or injuries from accidents and assaults frequently do not get the treatment they need (4)(10). This can increase the severity of the issue in the long term and even have fatal consequences.

To conclude…

With millions of children living and working on the streets around the world and evidence to suggest these numbers are rising, it is clear that the global humanitarian crisis of street children needs to be tackled. Before coming to the streets, these children have already lived in deprived conditions, often experiencing extreme poverty, family collapse, death, abuse or neglect at home, meaning that the street has become their best or only option for survival. On the streets they face more dangers, including high rates of violence, poor physical conditions and a lack of access to healthcare, education and basic necessities, like food, clothing and shelter.

Without proper support street children may struggle to adapt to life off the street and pursue negative pathways into adulthood, such as becoming involved in organised crime and ending up in the penal system. If their issues are not addressed, they are also likely to experience long-term impacts on their mental and physical health, and even face higher risks of death. As this is the case, the support from charities and NGOs is vital in helping alleviate the problems of street children and providing them with the care and protection they need.

Sources used in this article:

  1. Benitez S (2011) State of the World’s Street Children: Research. Consortium for Street Children.
  2. Consortium for Street Children (2015) Street-Connected Children Myth Busters: Challenge Your Perceptions.
  3. OHCHR, United Nations Children’s Fund, Consortium for Street Children and Aviva (2013) Protection and promotion of the rights of children working and/or living on the street.
  4. Smeaton, E (2012) Struggling to Survive: Children Living Alone on the Streets in Tanzania and Kenya. Railway Children.
  5. Ray P, Davey C and Nolan P (2011) Still on The Streets – Still Short of Rights: Analysis of policy and programmes related to street involved children. Plan and Consortium for Street Children
  6. Railway Children (2016) Children on the streets of Kitale: Headcount findings 2015.
  7. Consortium for Street Children (2015) Advocacy and Action Guide: Making rights a reality for street-connected children.
  8. Comic Relief (2009-12) Street and Working Children & Young People’s Programme (SWC&YP) Strategy 2009-12.
  9. Government of the United Republic of Tanzania and USAID Kizazi Kipya Project (2018) Street-Connected Children in Tanzania: Headcount Findings 2017.
  10. Duci V and Tahsini I (2016) Regional research on prevalence of street children phenomenon in Albania, Bosnia and Herzegovina, Montenegro and Serbia. Save The Children.
  11. Guga E S (2010) Final Evaluation of Building the Capacity of Local CBOs and Government Agencies to Improve the Lives of Migrant Children Project. FTF/ICT/ CSC, Dar es Salaam.
  12. Street Child (2015) The Street Child Ebola Orphan Report.
  13. Consortium for Street Children (2016) Street Children: A Global Picture (Infographic/Map).
  14. Embleton L, Ayuku D, Makori D, Kamanda A and Braitstein P (2018) Causes of death among street-connected children and youth in Eldoret, Kenya. BMC International Health and Human Rights, 18 (19).