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According to the literature, the success of deinstitutionalization (DI) practices in low- and middle-income countries (LMICs) is dependent on key factors including, a well-functioning family-based alternative care and social protection system, adequate funding and resources, and professional and other stakeholders' engagement and support. Following a practice research qualitative method, the study explored practitioner's experiences and perceptions on the status of Ghana's ongoing DI efforts and their recommendations for improving implementation.
The study's main themes were establishing…
Case management is the process of identifying, assessing, planning, referring, and tracking referrals, and monitoring the delivery of services in a timely, context-sensitive, individualized, and client-centered manner. Case management is used within child welfare and protection programming, and has been shown to improve decision-making and service delivery, to enhance child and family outcomes.
Changing the Way We CareSM (CTWWC) recognizes the importance of using case management as the preferred approach when supporting children to reintegrate from residential care to…
This webinar provided an opportunity for the care community to share experiences on the transformation of residential care.
The webinar included:
- A presentation by Rebecca Nhep, Senior Technical Advisor, Better Care Network, who shed light on emerging lessons and ongoing efforts/work done to ensure effective transitioning.
- A panel discussion on the transformation of Catholic child-care institutions in Zambia and Uganda and the transformation of residential care facilities for children with disability in Rwanda.
- The government’s perspectives on linking…
Alternative care refers to non-traditional family-based or residential care for children when they are deprived of parental care. It is estimated that between 3.2 and 9.4 million children reside in institutional-type residential care settings globally. Most commonly, children enter residential care due to a combination of factors that may include natural disaster, poverty, abuse, neglect, or risks to safety. Introduction to residential care is also associated with low household income, lack of access to basic services (e.g., education), disability, and/or parental challenges. …
This case study details the experience of Attim, a 54-year-old grandmother from Eastern Uganda who provides care for her grandchildren after they left residential care. Social workers in Uganda often find that placement with extended family members is the most appropriate option for children leaving residential care.
This case also details that the successful reintegration from residential to kinship care requires preparing families well so that they have realistic expectations around the challenges that they may face.
This document has been produced as part…
This article examines how language, liminality, and social marginalization converge in the institutional lives of two displaced children in Angola. A displaced child is very likely to be placed into institutionalized care, which in Angola exists in the form of centros de acolhimento, residential centers that house minors affected by orphanhood, poverty, displacement, or abandonment.
Drawing on one year of ethnographic research in two residential centers, the article argues that despite being sites of care and protection, some children come to desire living on the street…
Orphans and vulnerable children in children’s homes are exposed to multiple psychosocial risks. This study aimed to explore the risks facing orphans and vulnerable children in a children’s home in a township setting during COVID-19. Fifty-eight female Black African children (n = 58) in a children’s home were individually interviewed to ascertain the psychosocial risks that they experienced during COVID-19. The participants were orphans and vulnerable children residing in a children’s home located in Johannesburg in South Africa. All children were enrolled in either primary…
Accurate data on the extent to which residential homes for children in Ghana are in compliance with national standards for quality of care and case management are lacking. To begin to address this gap, a census of residential homes and an enumeration of the child population were undertaken in 2019, followed by a survey on a representative sample of children living in such homes. Data were gathered on the types and characteristics of all 139 residential homes operating in the country at the time and the demographic profiles and well-being of children living in such facilities.
The purpose…
There is limited evidence on family reintegration for children who have been in residential care within the African context. The goal of this study is to find out what factors impact reintegrated institutionalized children’s desire to remain with their biological parents or extended family. The dataset included records for 659 interviewed children and their guardians. However, the analyses were limited to 408 cases with complete data on the dependent and independent variables.
Most of the children in the study (73%) preferred to remain with their relatives. The age of the child, length of…
Webinar Recording: Transforming Children's Care Webinar #8 - Transitioning Residential Care Services
This webinar is the eighth in the Transforming Children's Care Webinar Series. This webinar was hosted by the Transitioning Residential Care Working Group of the Transforming Children’s Care Global Collaborative Platform and showcased learning around the transition of residential care services, and the recently released Transition Framework; an interactive, digital open-source…