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This learning brief was developed as part of the CTWWC 2021 annual report and shares learning from several contexts and is intended to share learning on how family strengthening, reunification, case management and workforce strengthening can be integrated in care reform.
Changing The Way We CareSM (CTWWC) is a global initiative designed to promote safe, nurturing family care for children. This includes reforming national systems of care for children, strengthening families, family reunification and preventing child-family separation, which can have harmful, long-term…
In 2019, the Ministry of Community Development and Social Services (MCDSS) pioneered a three-year multi stakeholder pilot to reintegrate 200 children from Child Care Facilities (CCFs) in Lusaka district to their families and communities. The Children in Families (CIF) collective effort is designed to clarify and refine systematic child reintegration processes formerly addressed in isolation and without clear coordination. The CIF Plus (CIF+) pilot is an opportunity to showcase the collective impact that can be achieved when government provides program direction in collaboration with Non-…
Catholic Care for Children (CCC) is a visionary initiative, led by Catholic sisters, to see children growing up in safe, nurturing families. Guided by the biblical mandate to care for the most vulnerable and animated by the principles of Catholic Social Teaching—especially the dignity of each person—CCC teams are reducing the need for institutional care by encouraging and facilitating family- and community-based care for children.
CCC began in Uganda in 2016 after the government enacted legislation favoring family- and community-based care. The goal was to remedy the alarming increase in…
Catholic Medical Mission Board Zambia (CMMB), SPOON, and St. Catherine's University conducted a Health Impact Assessment (HIA) in Lusaka Province, Zambia, to understand the disparate impact that COVID-19 and the containment measures had on children with disabilities and their families. This two-phased assessment is designed to gather evidence about the impact through seven domains: COVID-19 knowledge and practices, food consumption, housing and livelihood, child safety and risk of separation, child health and wellness, parental and child stress, and education. The first phase…
This issue brief from the UNHCR highlights key messages from UNHCR in regards to family tracing and reunification. The brief outlines the importance of children growing up in a safe family environment and the positive impact this has on a child's psychological, cognitive and physical development. In the best case, alternative care is only required as an interim measure while family tracing is carried out and until the time when children can be reunited with parents or family members.This brief is part of a series developed by UNHCR which aims to guide field operations on key thematic child…
This paper assesses the impact of Ethiopia's flagship social protection program, the Productive Safety Net Program on the adverse impacts of the COVID-19 pandemic on the food and nutrition security of households, mothers, and children. The analysis uses pre-pandemic, in-person household survey data and a post-pandemic phone survey. Two-thirds of the respondents reported that their incomes had fallen after the pandemic began, and almost half reported that their ability to satisfy their food needs had worsened. Employing a household fixed effects difference-in-difference approach, the study…
Abstract
The United Nations and WHO have summoned governments from low-income and middle-income countries to institute universal health coverage and thereby improve their population’s healthcare access and outcomes. Until now, few countries responded favourably to this international plea. The HIV/AIDS epidemic, a major global public health challenge, resulted in over 11 million orphans in sub-Saharan Africa. Extended families have taken responsibility for more than 90% of these children. HIV orphans are likely to be poorer and less healthy. Burkitt lymphoma is the most common childhood…
Abstract
Background: Street-connected children and youth (SCY) in Kenya disproportionately experience preventable morbidities and premature mortality. We theorize these health inequities are socially produced and result from systemic discrimination and a lack of human rights attainment. Therefore, we sought to identify and understand how SCY’s social and health inequities in Kenya are produced, maintained, and shaped by structural and social determinants of health using the WHO conceptual framework on social determinants of health (SDH) and the Convention on the Rights of the Child (CRC)…
Background: Although Tanzania experiences a general decline in HIV prevalence, some populations such as caregivers of orphans may be at a higher risk than the general population, suggesting that infection pathways still need further exploration. This study examines how food insufficiency relates to HIV infection among caregivers of orphans and vulnerable children (OVC) in Tanzania.
Data and Methods: Data are from a community-based, USAID-funded Kizazi Kipya project that aims at increasing the uptake of HIV services, as well as other health and social services by OVC and their caregivers in…
This document is intended to provide concrete advice on how to put the guiding principles common to most child protection actors into practice. Though cultural traditions and customs may require the advice to be adapted to the specific context, the authors believe that the advice provided is grounded in sufficiently broad experience to guide measures that ensure children under five are not separated when this can be avoided, and, if separated, can be reunited with their families as quickly as possible.
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