Changing The Way We Care℠ (CTWWC) is an initiative designed to promote safe, nurturing family care for children: those reunifying from residential care facilities (also known as “orphanages”) or those at risk of child-family separation. This includes strengthening families and reforming national systems of care for children, including family reunification and reintegration, and development of alternative family-based care. CTWWC envisions a world where all children thrive in safe and nurturing families. CTWWC is implemented by Catholic Relief Services and Maestral International, along with other global, national and local partners working together to change the way we care for children around the world. Our principal global partners are the Better Care Network and Faith to Action. CTWWC is funded in part by a Global Development Alliance of USAID and the GHR Foundation.
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Baltimore, MD
United States
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CTWWC Kenya
CTWWC Kenya works with the Kenyan government’s Department of Children’s Services, National Council of Children’s Services, county governments and many non-government partners to improve children’s care in Kenya. Key work includes: a national Case Management Package for Reintegration, Alternative Family Care SOPs and Training Package, national gatekeeping guidelines, disability inclusion training, supporting the National Care Reform Strategy development, parenting curriculum and training, etc.
Together with local partners, CTWWC Kenya is strengthening systems, communities and families, strengthening caregivers and families with parenting, economic strengthening and access to services. CTWWC Kenya partners with the Kenyan Society of Care Leavers (KESCA) and other care leaver networks and individuals to ensure their voices are elevated and children/youth leaving care can participate in decisions affecting them. KESCA and CTWWC Kenya have developed a life skills programming and published the Engaging Care Leavers Guidance and Meaningful Engagement Series.
CTWWC Kenya works with many others to change community attitudes and practices in support of family care, working closely with networks and faith communities such as the Coast Interfaith Council of Clerics, the Association of Sisterhoods Kenya, the Association of Alternative Care Organizations, etc.
CTWWC Kenya supports organizations and charitable children's institutions to transform their services by supporting case management for reintegration, strategic organizational development, and more.
CTWWC Kenya has contributed to research and evidence on care in Kenya including situation analysis, COVID impact and a care system assessment - all available on BCN and highlighted in the BCN Newsletter March 2021.
CTWWC Kenya shares learning through regional events and opportunities such as via the network of Catholic Relief Services offices in the region, the UNICEF/CTWWC supported East and Southern Africa Regional Learning Platform, REPSSI and other regional conferences, and various webinars and trainings.
CTWWC India
CTWWC India focuses on preventing the separation of children from their families and their institutionalization, using a family strengthening approach of case management, parenting skills, household economic strengthening and connection to services. CTWWC India works to:
Help state government to establish and roll out case management systems and standard operating procedures for family strengtheng, prevention of separation and reunification/reintegration of children from children's care institutions, including adaptations for the COVID context like virtual case monitoring
Establish and strengthen community-level groups that make decisions about children’s care by setting up Village Child Protection Committees (VCPCs). VCPCs are community groups made up of service providers, community leaders and families who identify, plan, and act upon child protection risks in their villages.
Create awareness campaigns on the harmful impact of child separation and institutionalization, particularly with community actors and with the Catholic Church actors. CTWWC India works with residential care facilities to transition to family support centers - with a focus on Odisha and Tamil Nadu States.
Support local authorities and partners in developing a care reform strategy that includes preventing child separation and institutionalization, taking into consideration the Covid-19 context
Promote family strengthening of at-risk families in collaboration with local district child protection providers. At the national level CTWWC India works with the India Alternative Care Network and UNICEF to influence national policy and practice and conducts research into topics such as public finance and children's care. CTWWC India developed a compilation toolkit on emerging practices in care reform.
CTWWC Moldova
CTWWC Moldova launched in 2019 and is building a collective effort for the continued care reform in Moldova by mobilizing government and community leaders, organizations and families to plan key interventions together. CTWWC Moldova is working closely with and under the new National Programme for Child Protection. CTWWC partners with experienced care reform organizations, government, faith actors, and community based organizations. Government and civil society partners are working together to support the remaining children in residential institutions to reintegrate with families and communities. Partners are also strengthening social services for reunified families, improving case management systems, training workers, and working with local authorities and community organizations to strengthen families.
CTWWC Moldova has completed research which is available on BCN and provides an update on the situation of children and families, social service workers, services, etc. in the country.
CTWWC Moldova focuses on: reunifying children remaining in residential institutions with families, strengthening systems of support to prevent family-child separation, providing expertise to strengthen national care strategies including improvements in the social workforce and case management practices, accessibility and quality of the family, community, and support services available for children and families, advancing public policies and making the case for adjusting public finance to fund community services, engaging faith and community actors to influence public opinion on the above activities, and transforming residential care models to family support services and/or redirecting resources from residential to family care.
CTWWC Guatemala
CTWWC Guatemala helps children currently living in residential care facilities (referred to as protection homes in Guatemala). The initiative does this through: reforming the care system at the national level, strengthening families and commmunities, and advocacy and awareness efforts.
CTWWC Guatemala works at the national level with the four responsible government institutions to build programs and services for children and families including prevention of separation/ family strengthening, case management for reintegration, family-based alternative care, and more. CTWWC Guatemala connects families with community support and existing social services and ensures children are cared for in safe and nurturing families and has adapted to emergency response under COVID.
CTWWC Guatemala trains government staff charged with child protection and care, mentors workers to provide quality case management, conducts research to inform national care reform policy and practice, analyzes state budgets and provides cost comparisons to advocate for family care. CTWWC Guatemala works closely with government and nongovernment partners to prevent unnecessary family separation and promote support services for families, expand family-based alternative care such as kinship care and temporary foster care, ensure children's quality care as related to migration, planned reunification of children from residential care into family-based care, transition or transformation of residential care models (protection homes) to community and family services.
CTWWC Guatemala makes learning from the work in the country available to other countries and organizations via webinars, training and exchanges.
CTWWC Haiti
CTWWC Haiti focuses on preventing the separation of children from their families by building the capacity of community child protection committees, and strengthening families with parenting skills training and economic strengthening. Case management for reunification and reintegration has supported children with disabilities to return to family care - with birth parents, kin and, in some cases, foster families.
CTWWC Haiti works in partnership with community organizations, Catholic Church partners, residential care facilities and community leaders. In response to emergencies, COVID and natural disasters, CTWWC Haiti connects with Catholic Relief Services (CRS) long history with emergency response.
CTWWC Haiti works with Catholic residential care facilities to reunify children and transition to community support services. This experience includes services for children with disabilities. CRS Haiti is a partner to an anti-trafficking initiative in the country, which includes raising awareness around the connection of residential care with trafficking and helping to build capacity for reunification.
Organization Resources
In Guatemala, the survey in 2023 targeted all families who had participated in a case management process with CTWWC due to a reintegrating child or a child identified as at risk of separation, as well as a sample of households where the caregiver had attended a parenting school.
This is a summary of a household survey conducted in Moldova by CTWWC to provide insights for policymakers and practitioners on the impacts of interventions to support reintegrating families and those at risk of separation. For Moldova, CTWWC adapted its survey tool to fit the local context by adjusting terminology and phrasing of some questions and responses, and removing questions that were not relevant.
Ce document explore le rôle de la gestion de cas dans le contexte des réformes de la prise en charge. Il propose des principes transversaux de bonnes pratiques, des étapes essentielles et décrit les facteurs critiques impliqués dans des pratiques efficaces de gestion de cas. S’appuyant sur la littérature de la région, ce document vise à fournir une orientation générale aux professionnels et aux acteurs impliqués dans la prise en charge, le bien-être et la protection de l’enfance. L’annexe fournit des détails sur les ressources en matière de gestion de cas dans la région de l’Afrique de l’Est et australe ainsi qu’au-delà.
Este artigo explora o papel da avaliação e gestão de caso no contexto das reformas do sistema de cuidados alternativos. Oferece princípios transversais de boas práticas, as etapas essenciais e descreve os fatores críticos envolvidos nas práticas de avaliação e gestão de caso eficazes. Baseando-se na literatura da região, o artigo visa fornecer uma orientação abrangente aos profissionais e às partes interessadas envolvidas nos cuidados, no bem-estar e na proteção das crianças. O anexo fornece detalhes dos recursos de avaliação e gestão de caso da região da África Oriental e Austral e também em outros lugares.
This paper explores the role of case management in the context of care reforms. It offers cross-cutting principles of good practice, essential steps, and describes critical factors involved in effective case management practices. Drawing on literature from the Eastern and Southern Africa region and beyond, the paper aims to provide overarching guidance to professionals and stakeholders involved in children’s care, welfare, and protection.
This brief provides an overview of Kafaalah, an alternative family care option rooted in Islamic tradition, where a sponsor (Kafiil) cares for a child (Makfuul) without severing the child's ties to their birth family. It explains how Kafaalah differs from adoption by emphasizing that the child retains their birth family name and inheritance rights.
In Kenya, economic challenges often force families to place their children in residential care facilities (sometimes referred to as orphanages), leading to long-term negative impacts.
The Changing the Way We Care (CTWWC) initiative conducted its Year 5 Household Survey as part of its commitment to building evidence around outcomes for children and families in the context of care reform. The second round of this survey in Kenya and Guatemala, and first round in Moldova, aimed to understand the impact of CTWWC interventions on children and families transitioning from residential care to family-based alternatives or receiving support to prevent separation.
The Changing the Way We Care (CTWWC) initiative conducted its Year 5 Household Survey as part of its commitment to building evidence around outcomes for children and families in the context of care reform. The second round of this survey in Kenya and Guatemala, and first round in Moldova, aimed to understand the impact of CTWWC interventions on children and families transitioning from residential care to family-based alternatives or receiving support to prevent separation.
The Moldova Ministry of Labor and Social Protection, in cooperation with CTWWC Moldova and local partner CCF Moldova, organized an international conference on March 21, 2024. More than 100 participants, representing the wide array of care reform actors and decision makers in the central and local government, NGOs, academia and international experts, reviewed findings of the Bucharest Early Intervention Project and national research conducted in 2023 on the potential for a moratorium on placing children 0-6 in institutional care.