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Summary This article describes caregivers' strategies for reaching children on the streets and caring for them at institutions of care. Data was collected over a period of two years from 70 caregivers in 35 organisations in Nairobi, Nakuru and Muranga, identified by snowball sampling strategy. Data was collected using a semi-structured topic guide based on issues emerging from earlier studies with street boys. Direct observation, video recording and photography were used to study interactions between the children and their caregivers. Findings Two themes were developed: the “dedicated” caregiver confronting street realities, and making a difference despite the limitations. The way caregivers interacted with the children on the streets and in the institutions influenced the children's decision to leave the streets, to be initiated into residential care, and attend rehabilitation and reintegration programmes. Children were more positive to caregivers who took time to understand them and were soft in establishing rapport with them. Application The results suggest that caregivers' strategies are potential contributors to reversing trends in the street children phenomenon as they influence the children's decision to leave the streets and undergo rehabilitation at institutions of care. We thus recommend development of educational efforts focusing on helping caregivers develop healthy relationships and positive interactions with the children. [ABSTRACT FROM AUTHOR]

Abstract: This paper is about how street boys described their experiences of sexually transmitted infections and the care they sought in Nakuru, Kenya. The data were collected over a six-month period at a Soup Kitchen frequented by street children aged 5 to 18 years. Data were generated using participant observation of 115 children; group discussions with 12 boys; interviews with 20 boys; 17 key informant interviews; two home visits; and clinical records of five boys that had sexually transmitted infections. The findings revealed who the boys'' sexual partners were, their sexual practices, and their pattern of condom use, their experience of sexually transmitted infections, how they communicate symptoms and when and how they seek care. Lack of money for treatment delayed care seeking. The study also indicated the existence of strong bonds and support networks as a survival strategy on the streets. In conclusion, understanding the ways the street boys experience, reason and communicate their symptoms as well as their support networks is useful in the prevention of sexually transmitted infections and the promotion of their general health and wellbeing. Moreover, eliminating the barrier to health care is imperative for the sustainable provision of care to this vulnerable group of children. [Copyright &y& Elsevier]