Journal of Global Social Work Practice, Volume 2, Number 1, May/June 2009
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Empowering HIV/AIDS Orphans Through Teaching Vocational Trades: A SWOT Analysis of a Community-Based Orphan Training Program in Malawi The HIV/AIDS pandemic has caused a dramatic increase in the number of orphaned children in sub-Saharan Africa. In the country of Malawi, 25% of children are without parents, and some of these children live in child-headed households. In an effort to increase the self-sufficiency of adolescent orphans and other vulnerable children, the Rural Livelihood Support Program operates a vocational skills training program in Southern Malawi. Adolescent orphans are trained in trades such as building, carpentry, and tailoring. A strategic planning method known as the SWOT (strengths, weaknesses, opportunities, and threats) analysis was performed using data collected from focus group interviews with 113 individuals. Recommendations for improvements to the orphan training program's policies and practices are proposed. Keywords: HIV/AIDS orphans, Malawi, vocational training, Rural Livelihood Support Programme, focus groups, strategic planning, program analysis Contents
Introduction The AIDS pandemic has orphaned more than 14 million children in sub-Saharan Africa (Lau & Muula, 2004). In Malawi, it is estimated that 14% of all children are orphans and 48% of them have lost one or both parents to AIDS (Republic of Malawi, 2005). In the past, the extended family system in Malawi provided a safety net for orphans. If a family could not provide care, other people in the community would take the children into their homes. Today, that safety net is stretched beyond its capacity because of the significant and growing number of children who need homes (Beard, 2006). HIV/AIDS also continues to reduce the number of caregivers who can assume responsibility for orphans. The confluence of these factors has resulted in a growing number of child-headed households. Malawi is one of the poorest countries in the world (WHO, 2008). It is a land locked country bordered by Tanzania in the north, Mozambique in the south, and Zambia in the west. Fifty-five percent of the population lives below the poverty line and 90% lives in rural areas. Malawi's economy revolves around agriculture - most citizens are subsistence farmers - and 88% of exports are agricultural products. The Gross National Income per capita was $690 per year in 2006, the seventh lowest in Africa (WHO, 2008). One of the major effects of the HIV/AIDS pandemic in Malawi is the rising number of orphans due to the early deaths of parents infected by HIV. Currently, Malawi has 1.4 million orphans, representing 25% of the country's population that is between ages 0 to 14 years old (National AIDS Commission, 2004). AIDS is responsible for one of every two orphan cases. The United Nations' (UN) projections indicate that orphan numbers will continue to rise through 2010, although at a decreasing rate (UNICEF, 2004). Definitions of Orphans and Vulnerable Children In Malawi, orphans are one component of a group termed by the Government of Malawi "orphans and vulnerable children," or OVC. Children are considered to be in the group of OVC when they can be identified as one or more of the following: (1) children whose parents or caregivers are ill or dying, (2) children who do not have parents, (3) children who are without family, (4) children who do not have a home, (5) children who are traumatized, (6) children who live in an area with a high HIV prevalence or within close proximity to high-risk behaviors, (7) children who live on the street, (8) children who are in jail or prison, (9) children who are exploited or abused, or (10) children who are discriminated against or who are at risk of social exclusion. Because of their low socio-economic status, anatomy, and generally weaker physical health, girls are even more vulnerable than boys (MDHS, 2004). Vocational skills training is recognized as an appropriate and effective solution to prepare older orphans for heading their own household and caring for younger siblings (Republic of Malawi, 2005). Pilot studies conducted by the International Labour Organisation (ILO) suggest that vocational training programs for adolescents are effective in preparing participants for the labor market (Bhargava & Bigombe, 2003). This study examines the operation of a new orphan skills training program in the Chiradzulu District in Malawi. Chiradzulu District is in the Southern region of Malawi, and its HIV prevalence is estimated to be at 20% in the adult population. Of these, 2,700 to 5,000 individuals are in immediate need of antiretroviral therapy (ART) (MDHS, 2004). Life expectancy at birth is 39.8 years for males, 40.6 years for females, with the overall median age at 16.4. Almost one in five children dies before reaching his or her first birthday. Less than half of primary school-aged children are enrolled in school (UNAIDS, UNICEF & USAID, 2002). Health expenditures per capita are a mere US $13, and the governmental share of this amount is 36%, with out-of-pocket citizen expenditures accounting for 44% and the remaining amount covered by nonprofit organizations (WHO, 2004). The extreme poverty and the inadequate health care system combine to create a very low standard of living in Malawi (Zimmerman, 2005). Over the past six years, the Government of Malawi has made several efforts to address the plight of orphans. One such effort is the implementation of a nine-year Rural Livelihoods Support Programme (RLSP) which is co-financed by the Government of Malawi and the International Fund for Agricultural Development (IFAD), at a total cost of US $16.5 million. The program is being implemented in the three districts of Chiradzulu, Thyolo, and Nsanje in the Southern part of Malawi. The program has a Facilitation Unit with offices located in Blantyre, Malawi. The RLSP is designed to operate in selected villages; the target population is estimated to be 10,000 households in Chiradzulu, 16,000 to 20,000 in Thyolo, and 10,000 households in Nsanje. These targeted households cover 160,000 to 180,000 people representing about 21% of the total population in these districts. The program targets the vulnerable poor: marginalized female headed households, school dropouts, and households supporting chronically ill patients. The aim of the study was to document what is known to be working, what more can be done, and what promising practices exist to serve orphans and other vulnerable children in Traditional Authority (TA) Chiradzulu. A SWOT analysis was utilized to achieve this aim. SWOT analysis is a strategic planning and evaluation method that inquires into internal strengths and weaknesses, external opportunities, and threats (SWOT) with respect to a particular program, policy, or application (Valenitn, 2001). After the initial examination of a program, the next step in a SWOT analysis is to contemplate how strengths can be "leveraged to realize opportunities, and how weaknesses, which exacerbate threats or impede progress, may be overcome" (Valentin, 2001, p. 54). The SWOT analysis approach originated at the Harvard Business School, where, in the 1950s, business policy professors became interested in evaluating organizational strategies in relation to their environment (Panagiotou, 2003). Because of its focus on both internal and external factors, a SWOT analysis is an appropriate tool to use in guiding and focusing a study of the effectiveness of a newly implemented program, such as the RLSP in southern Malawi. HIV/AIDS has a particularly negative impact on a household's capacity to generate income and produce an adequate amount of food. The reduction in yields of food crops and income is made worse because members of the family spend most of their time and resources on providing care and support for the patient (Munthali & Ali, 2000). For example, a study conducted in Blantyre, Malawi showed that persistent illness or death of proprietors resulted in the closure of small scale businesses and abandonment or reduction in size of cultivated gardens. Families have also reported declines in food availability since the onset of illness (Munthali, 1998). In other instances, people in households affected by HIV/AIDS sought casual labor on other people's farms to earn money so that they could meet the needs of the patient and the household, but at the expense of working on their own plots of land (Munthali & Ali, 2000). This shows that while poverty contributes to HIV/AIDS, AIDS creates poverty as resources are spent on caring for the patient and maintaining the household. Children and their grandparents suffer greatly because of the loss of social and economic support. Even though the parents may leave behind some economic resources for their children, in some instances relatives of the husband seize the property, leaving the children destitute. For grandparents, the AIDS pandemic ushers in the responsibility of looking after orphaned grandchildren and, in the end, it is the population of older adults that is raising a whole new generation (Guarcello et al., 2004). The Government of Malawi, non-governmental organizations (NGOs), and donors provide funding for some of the activities carried out by community-based organizations (CBOs). The Ministry of Local Government through the RLSP (Rural Livelihood Support Programmes), along with the Ministry of Youth, Community Services and Social Welfare, are responsible for the welfare of orphans and provide limited financial and material assistance to orphans and their guardians. The Ministries have also been in the forefront in establishing the policy guidelines for the caring of orphans in the country (Phiri & Leroy, 1997; Hunter & Williamson, 2000). The RLSP fulfills a number of activities in its respective locations, including HIV/AIDS prevention promotion, business skill development for orphans, and income generation activities to orphans willing to engage in business and financial assistance to their families in order to pay school fees and other expenses. Until very recently, advocates of "best practice" in orphan care in Malawi emphasized formal institutional approaches using set indicators: planning and programming, consultation and coordination, formation of task forces or the creation of more structures, advocacy and networking, transparency and good management, holistic approaches in the design of interventions, and project evaluation and monitoring. The focus is now shifting towards what are known as "bottom up" approaches. In comparison to a more traditional "top down" approach, which relies on the top manager of a project or program to strategize, a "bottom up" approach proactively utilizes team input. Team members are encouraged to participate at every step of the planning, implementation, and evaluation processes (Filev, 2008). Bottom up approaches motivate a community to collaboratively work together as a team. In Malawi, bottom up approaches have been proving successful in many areas, including community mobilization and the involvement of community leaders, use of traditional structures and channels of communication, volunteerism and voluntary participation, life skills training (including HIV/AIDS education), civic education on child rights, child participation, gender sensitization, traditional forms of counseling and rehabilitation, and the integration of orphans in the community (Chijere-Chirwa, 2002). This "new" thinking is accompanied by recognition of the importance of local communities as change agents. Hence the call now is for "community-based" organizations (CBOs) to take a leading role in orphan care. The CBOs include religious-based or village-based committees charged with the responsibility for orphan care. NGOs, multilateral and bilateral aid agencies, and government and religious institutions are setting up these CBOs as their "best practice" in orphan care. A needs assessment was conducted to determine what trainings would most benefit orphans, as well as their eligibility for the trainings offered under the village polytechnic in the program impact area in the three districts. Available skills for each trade (namely carpentry, bricklaying, tailoring, micro-business, hen-raising, and tinsmithing) were identified, as well as the number of school drop-outs who could be the potential beneficiaries. Once the orphans acquire trade skills, they are loaned various tools to enable them to start a business. The amount of the loans differs from one trade to another depending on the items required. The currency used in Malawi is the Kwatcha (MK). One US dollar is equal to 140 MK. For those doing carpentry, each orphan receives equipment worth MK19,790 (US $141), while tinsmiths receive MK14,430 (US $103), tailors MK28,168 (US $201) and brick layers MK13,070 (US $93). All the loans are to be repaid within one year to the Village Development Committees' (VDCs) revolving funds. To date, 56 OVC have been trained by the program (see Table 1). Table 1: Number of Orphans Reached from 2004 to 2008
Permission to conduct this study in Chiradzulu District was secured from The Government of Malawi and the International Fund for Agricultural Development. The research protocol was approved by the Institutional Review Board (IRB) at the University of North Carolina at Charlotte, along with a similar body at The Catholic University of Malawi. Representatives from the RLSP in the Traditional Authority (TA) Nkolo in Chiradzulu District were contacted and their support for the research project was gained. Arrangements were then made to meet with participants from six villages in the TA Nkolo in Chiradzulu where the RLSP is implementing its activities: 1) Namonde, 2) Barasoni, 3) Matuwa, 4) Kholomana, 5) Mpulula, and 6) Sakwata. Arrangements were made to meet with four categories of people: I) the orphans and vulnerable children in the seven villages of TA Nkolo; II) skills trainers for carpentry, building, and tailoring trades; III) local leaders who are village headmen and group village headmen; IV) RLSP staff. The sample included 113 interviews comprising men, women, boys, girls, and local leaders. The participants interviewed included people who were in one of the four categories for interviews who met with the researchers at the agreed time and venue. Informed consents were obtained from participants using documents prepared by the researchers, which were then adapted and translated into the local Chichewa language. Information for the SWOT analysis was obtained from qualitative interviews with small groups of participants using focus group methods. Figure 1 gives a graphic illustration of the groups of participants. Figure 1: Focus Group Categories - 113 Total Interviews
The co-researchers from Malawi and the United States led the scheduled focus group meetings. The groups were interviewed using a guiding set of questions approved by the IRB and translated into Chichewa by the co-researcher from Malawi, a native speaker of Chichewa. He asked the focus group questions in Chichewa. Responses were given in both Chichewa and English. Responses in Chichewa were translated into English by the co-researcher. Community leaders and all the people were informed in advance about the focus group interviews. There was no monetary incentive offered to participants, but they reported that they felt "important" to be asked their opinions. Many OVC walked a long distance from their village to meet at the designated location. Most of the meetings took place in the yard surrounding Namadidi Primary School in Chiradzulu District. Category I, orphans and vulnerable children (OVC), were grouped according to the trades they were learning in the program. Category II, the skills trainers, were grouped according to the trades they taught. Category III, the village headmen and group village headmen, were interviewed together. Category IV, the RLSP staff, were interviewed separately before and after the other focus group meetings. After the focus groups were organized, the members waited in either the cool shadows of a few shade trees in the yard or in the shadow of the buildings in the school yard. The co-researchers moved from group to group to ask the focus groups the questions of interest.
A sample of guiding questions is included below:
Category II: Skilled Tradesmen
Category III: Group Village Headmen and Village Headmen
Category IV: Administrators of Rural Livelihood Support Programme
In addition to these general guiding questions, the members of this group were asked more specific questions based on their area of responsibility in operation of the program. Questions evolved based on feedback received from the other categories. The village headmen and group village headmen (Category III) were actually interviewed twice. First, they were asked questions about their perceptions of the program. Then, after the OVC and trainers were interviewed, the village headmen and group village headmen were asked to respond with verifications, disputes, explanations, or clarifications of what the other focus groups had shared. RLSP personnel were interviewed continually through the process. They provided general information at the start of the process and gave follow-up and more detailed information upon request as the study progressed. The last interviews were conducted in meetings with several RLSP staff. All of these individuals were responsive with information and support. The content of the interviews was not audio taped or videotaped, per IRB protocol. Instead, detailed written notes were taken by the researchers during and after the focus group meetings. These data were then discussed, analyzed, compiled, and sorted for assignment to one of the four quadrants of the SWOT matrix. Implications for policy and practice were developed from analyses of the results. The main themes in the results are presented in Table 2 and are organized by internal and external factors according to the four SWOT matrix quadrants (strengths, weaknesses, opportunities, and threats). Elaborations on each of these are provided. Table 2: SWOT analysis grid; orphan skills training program (Rural Livelihood Support Programme) southern Malawi
Strengths Four main strengths were identified from the interviews. The skills trainers interviewed all had words of praise for the willingness of the OVC to work hard and to learn the skills. An additional strength noted was the identification of children to be served by the program using a broad inclusion criterion. By allowing not only "orphans" to participate, but also "vulnerable children", a greater number of at-risk children could be helped. Specifically, the orphan skills program includes children who were orphaned by HIV/AIDS or other reasons, while "other vulnerable children", as determined by the Government of Malawi in Streuli and Moleni (2008), is based on a set definition of vulnerability: [The child] has no able parents or guardians, is staying alone or with elderly grandparents or lives in a sibling headed household or has no fixed place of abode and lacks access to health care, material and psychological care, education and has no shelter. (p. 33) Moreover, children affected by HIV/AIDS include not only those who have lost parent(s) to AIDS, but also HIV-infected children, children living in households with sick family members, and those children living in households expanded by the inclusion of children orphaned by AIDS (Streuli & Moleni, 2008). The broad inclusion policy of the orphan skills program allows all of these groups to benefit. The content of the interviews verified that the children served in the program represent all of these groups. It was estimated that 75% of the orphans and vulnerable children in the program were orphaned due to AIDS. A third strength was the fact that the orphan skills program is a community-based program. In recent years, "best practices" in orphan care in Malawi have shifted from formal institutional approaches toward "bottom-up" approaches. The interviews with the village headmen and group village headmen revealed that they felt involved and empowered to guide the operation of the orphan skills program. Also, these community leaders demonstrated the involvement of village leadership by their conscientious participation in the focus group discussions. Their personal evaluations of the orphan skills program showed that traditional structures and channels of communication were used by the administrators of the parent RLSP. A final strength, transparency in leadership, was evidenced by the open door policy offered by the RLSP staff. All questions were answered to the best of their ability. No corruption or irresponsibility in management of funds was discovered; instead, a genuine concern for the welfare of the OVC was portrayed by those in leadership positions. Weaknesses Five weaknesses were identified from SWOT analysis of the interviews. First, there appears to be a breakdown in supplying the orphan skills program with the equipment and raw materials needed to train the OVC as effectively as possible. The researchers heard numerous reports from OVC and skills trainers of tools breaking quickly, perhaps due to their poor quality: "We get new hammers and they break after one week of use." Skills trainers also reported a shortage of raw materials to work with in teaching trades. The tailoring trainers said not only did they need yardage of cloth to make clothes from, but they also needed more than one sewing machine per group of children. The carpenters reported needing planks and nails. The OVC and skills trainers repeatedly reported not having the proper uniform or garb for themselves or the OVC. For example, OVC working in the building and masonry trade reported having no gloves to wear when scooping mortar and having no "dustcoat" to protect their clothes and skin. A second weakness had to do with the age of participants. OVC eligibility for the program includes individuals who are up to 19 years old. Since there are no birth certificates in Malawi, one's age can be a best guess. During the focus group interviews, the OVC were asked their age. The youngest orphan interviewed said she was 13. The oldest age reported was a 19 year old male. The village headmen and group village headmen reported, however, that they wondered if some of the OVC might be older. Some of the female OVC had one or more children with them, and some of the male OVC had thick beard growth. The thickness of a man's beard growth is known to be a way of determining age in this culture. While there is nothing damaging about training young adults in itself, it may be that younger OVC are not being served because the funds and other program resources are being used by an older cohort. However, no evidence of children being turned away from the orphan skills program was discovered. A third weakness was the fact that some of the OVC had been determined by the skills trainers to be illiterate. This is not surprising since the adult literacy rate in Malawi is only 64% (UNICEF, 2008), and school enrollment rates in sub-Saharan Africa are often below 50%. When a parent dies, older children may be expected to take up work and care for younger siblings (Bhargava & Bigombe, 2003). However, trades require the OVC to be able to write and do basic math. One skills trainer said "If they can't enumerate, I can't teach them to measure and build." Basic math skills are necessary to do all vocational skills, including tailoring, building, and carpentry. Hunger was a common complaint the co-researchers repeatedly heard from the OVC participating in the orphan skills program. This is consistent with a recent study by Beard (2006) of orphan care programs in Malawi, which found that food and water were ranked as the highest need in 94% of the programs surveyed. Furthermore, most Malawian households are food insecure for 2 to 4 months of the year, with the hungry season being December through February (IFAD, 2007). In the orphan training program studied, many of the interviewed orphans reported working 12 hours a day (6:00 a.m. to 6:00 p.m.) with no food to eat. One orphan reported that working this long on an empty stomach "felt like punishment." This was such a frequent complaint that it was shared by the researchers with the RLSP administrators to see why this situation existed. It was explained to the co-researchers that all participants in the orphan support program are given a stipend to pay for lunch. They are instructed to bring food to prepare and cook to eat during the day. However, it appears that most, if not all of the OVC use the money for something else. Therefore, it was recommended that a mid-day meal be provided instead of a stipend, to ensure that the OVC receive at least one nutritious meal a day. Also, when questioned, RLSP staff disputed the hours of 6:00 a.m. to 6:00 p.m. given by the OVC. They said this may include walking time to and from the training site, because many trainers start at 8 a.m. and some finish as early as 3 p.m. A final weakness appeared to be trouble in controlling the timeline of the training. This was a frequent complaint from both the OVC in the skills program and the skills trainers. For example, the team of trainers for building trades reported that after they completed their training program to become trainers, they waited 5 months to receive their first "students." Others reported having to wait 4 months for raw materials to be supplied. The carpentry and tailoring trainers reported that 7 week attachments were too brief and a longer length of time was needed to teach the skills necessary for the trades. The tailors felt that 6 to 8 months would be an appropriate length of time. OVC reported that they felt they wasted a lot of time during the day while waiting for their turn to use the limited number of tools. Opportunities Everyone interviewed reported a high demand for these skills. The literature stipulates that "vocational training programs should ideally be matched to the demands in the labor markets" (Bhargava & Bigombe, 2003, p.1388). In this region of Malawi (as reported by trainers and village headmen), there is a high demand for the following: roofs for houses, chairs, beds, and clothes, such as dresses, shorts, jerseys, and children's clothes. Also, because of the high death rate due to AIDS, coffin makers are in high demand. Coffin workshops are a common sight on the side of the roads, and the previous generation of skilled craftsmen has dwindled due to early deaths. This means that trained OVC will be able to either be gainfully employed or start their own businesses. A steady income will be crucial in enabling them to care for themselves and their younger siblings and other family members. Success of the orphan skills program is illustrated by the case of an early "graduate" of the program. A graduate of the tailoring training was interviewed. He was 19 years old and had his own sewing machine. He reported that he was using the skills he learned in the program, was "getting business," and was supporting himself. He was very positive in his evaluation of the program. The addition of a paper certificate to document completion of this training would help OVC who have "graduated" from the program to market their skills. Several orphans interviewed asked if this would be possible, so that they could quickly prove that they had skills and training, rather than having to complete a free trial period on a new job. When asked, leaders felt this would be a good idea and would be a simple addition to the program. Finally, the funding stream for the orphan skills program is stable. The program is part of the RLSP, which has been funded US $16.6M for a 9 year period by the Government of Malawi (GoM) and the International Fund for Agricultural Development (IFAD). Funding is secure until 2013. This predictable funding stream allows for infrastructure of the program to be built, developed, and maintained. Personnel can be retained and rewarded for successful outcomes. Threats Although the funding stream for the orphan support program is secure and predictable, disbursement of the funds to end users appears to have been slow and unpredictable. This was evidenced in two ways. First, the procurement of supplies and tools for the skills trainers and training projects was reported to be very slow. There appeared to be no explanation for these long (multiple months) delays other than slow funding. Second, the skills trainers interviewed "complained bitterly" about the long delays they experienced in being paid. A few reported fear that they might never be paid for days of training already completed. Others talked about how the wage paid was not enough to support their family, and the commitment they had to make to the RLSP prohibited their taking other work to supplement their income. These reports were explained to the village headmen and group village headmen to verify the authenticity of the claims. The feedback received indicated that the pay was indeed slow, but it was reliable. Also, the pay was less than the skills trainers felt they deserved because they reportedly personally elected to start their work at a sooner date than their required start date. Even though some contradictory information was gathered, the researchers felt that the degree of frustration of the skills trainers around the issue of pay warranted a purposeful, measured response from the program administrators. The skills trainers reported that when the OVC complete their skills training, they must find an avenue where they can "use them, or else they will lose them." Trainers expressed concern about the fact that even though the orphan support program has a mechanism for providing "graduates" with a low interest loan for tools and supplies with which to start a business, the process may take so long that the skills are forgotten. Additionally, motivation may be lost through delays. OVC may find themselves drawn into a less productive, dangerous, or even self-destructive activity to support themselves while they wait for loan processing. Finally, the cities and villages can be dangerous for foot travel. OVC reported concerns about safety as well as the amount of time it took to walk from their homestead to the location where they engaged in the skills training. Due to the widespread unavailability of automated vehicles, bikes, or even developed roads, the OVC must rely on foot travel. The literature supports the claim that orphans, especially those orphaned by HIV/AIDS, are prone to harsh stigmatization, exploitation, and cruel treatment (Beard, 2006). The OVC interviewed reported both harassment and exploitation. The process of conducting the SWOT analysis of the orphan skills training program through focus group interviews had clear impacts on both the immediate practices and future policies of the program. The RLSP staff and village headmen heard about and discussed the results of the focus group conversations with the OVC and skills trainers. They also began to think through and process their own strategies and decisions with regard to running the program. Our questioning appeared to increase awareness and spur more strategic planning on the part of the leadership. At the end of data collection, the leaders said that they intended to do exactly what the researchers were about to advise them to do, that is, "stop the program and start over." Their plan was to regroup, secure supplies and tools, negotiate payment schedules for trainers, and begin operation of the program again. They concluded that the principle of vocational training to prepare orphans for self-sufficiency is sound. Execution of the policies in practice has been flawed, but can be modified to achieve better outcomes. This study focused on a program aimed at equipping adolescents with vocational skills and resources so that they can support themselves and, perhaps, other members of their family. It is essential to acknowledge and recognize that the societal, cultural, and geographic context of this program is that of rural Malawi in sub-Saharan Africa. A program with this aim would be impractical, unnecessary, and perhaps illegal with respect to truancy and child labor laws in many locations around the world. The societal climate in Malawi, where older generations of caregivers and providers have been decimated by HIV/AIDS, necessitates an approach which equips older children to care for themselves, their siblings, and perhaps their own young children. The SWOT analysis of the orphan skills training program for OVC of the villages in Chiradzulu District in Southern Malawi showed that the mission and goals of the program are indeed appropriate, but that there exists gaps between policies and practice. The major drawbacks of the program were found to be issues that are fairly easily improved, such as problems with keeping the trainers and participants equipped with proper tools and supplies, communicating with and paying training staff in a timely manner, and paying attention to the long-term and short-term timelines of the training, with respect to how the hours, days, weeks, and months are spent. These drawbacks are mitigated by some significant observed advantages. The vocational skills training program is an appropriate means to help OVC in Chiradzulu District secure employment and support themselves and their family members. The labor market in the areas surrounding Chiradzulu District in southern Malawi is able to support and employ trained adolescents in the trades taught, namely building, carpentry, and tailoring. The willingness of the OVC to learn the skills was determined to be high. The commitment of the trainers and program staff to helping the OVC was also high. No corruption or misuse of funds was discovered. The approach of the orphan skills training program is community-based, with considerations made from the "bottom-up." This model appears more effective than an institutional structure that designs programs from the top, without concern for the unique needs of the end-users. The village headmen interviewed reported that they are involved in referring children to the program, and the involvement of local community leaders is advantageous. Children who have cared for and buried dying parents are likely to be "stressed, traumatized, and broken-hearted" (Beard, 2005, p.114). The literature therefore emphasizes the importance of providing psychosocial care to orphans (Beard, 2006). The authors recommend that the staff of the orphan skills training program consider integrating into the program some elements that assess and tend to the psychosocial needs of the OVC. Although the respondents reported deficits in their psychosocial needs being met, the orphan skills training program is not presently designed to meet these needs. For example, HIV/AIDS orphans are at risk of infection with the virus themselves, early pregnancies, early marriages, conflicts with the law, and fragmentation of families (The Republic of Malawi, 2005). Adding a culturally sensitive psychosocial component to the training program could help stabilize the condition of these orphans. Ideally, a trained social worker would benefit the orphan skills training program in that they could more skillfully assess and intervene around the psychosocial needs of the OVC. It is understood that the availability of trained social workers in Malawi is currently extremely low and it is recommended that professional social work education opportunities in the region be expanded. Currently, only two universities in Malawi offer a degree in social studies or social work and there is no national credentialing or licensing body for social workers. The use of the SWOT analysis framework proved to be very effective at identifying both internal and external factors relevant to the operation of the program. SWOT analysis could be useful for evaluations of other programs, especially those that are largely influenced by factors in the social environment. The SWOT analysis framework allows the inclusion and consideration of cultural variables. Because of this flexibility, it appears to be an appropriate framework for application across countries and cultures. Therefore, the use of this model for analyzing a program in operation could be used in other countries and with other types of social programs. The authors of this study would like to express their gratitude to The Catholic University of Malawi and The University of North Carolina at Charlotte for their interest in and support to the researchers throughout the study. Sincere thanks go to the Rural Livelihood Support Program staff, (in particular Mr. Maurice Kalimba and Mrs. Elda Ganda), and local leaders and the general community from Traditional Authority Nkolo in Chiradzulu district who took time from their busy schedules to be interviewed and provide input for this research. The researchers also thank the latter for their cooperation, active participation, and contributions during field work (data collection). Many thanks also to all those who contributed to this study as informants, for without them this study would not have been a success. In particular, our very best wishes are extended to the children and young adults who participated in the study. Beard, B.J. (2005). Orphan care in Malawi: Current practices. 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