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According to this report from Lumos, in 2010 there were more than 6,700 children living in institutions in Bulgaria. This rate was higher than the international average. In 2009, 3,000 children in Bulgaria were admitted into institutions. Lumos reports that conditions were particularly poor in disability institutions and mortality rates were unusually high.
In 2010 Bulgaria launched many reforms in order to lower the number of children entering and living in institutions. The reforms involved strengthening social services, foster care development programs, and…
This research study aimed to identify and assess the cost effectiveness for existing models of care for Children Affected by HIV and AIDS (CABA) in Nepal (defined as children under 15 for the purpose of this study). The study performed a cost effective analysis for types of care and support models available for CABAs in order to provide program mangers and childcare professionals comparative economic evidence of the cost of caring for these children. Comparative analysis for cost effectiveness was done in terms of quality and overall modes of care delivery,…
This recent study by UNICEF in Armenia costed different types of residential care and community based services in order to forecast the financial implication of the Government of Armenia’s reform policies which emphasize deinstitutionalization and transition to community based forms of care. The study shows that the reallocation of children into family care does not necessarily lead to the creation of an additional burden on the state budget. On the contrary, depending on the policy chosen, the savings can be quite tangible, even if the reform costs include the provision of jobs to excessive…
One of the legacies of the command economy in Central and Eastern Europe and the former Soviet Union is the development of a social protection system for vulnerable individuals focused on institutional care. It has been well established that the approach of removing a child or an adult from the family and the community is more expensive per client served than more inclusive approaches which are designed to support individuals within their own families and communities, main streaming them as much as possible. Institutional approaches also produce worse outcomes than community-based approaches…
This paper discusses the available literature relating to the cost of care and support for people who are infected and affected by HIV/AIDS in South Africa. The focus is primarily on orphans for this allows us to acknowledge the need for HIV/AIDS management interventions to incorporate those affected, but not necessarily infected by HIV/ AIDS, and to cover the issue of ‘support’. We conclude the paper by outlining areas requiring more research, in view of our argument that South Africa still has some way towards the design and implementation of an effective care and support strategy.
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