An Analysis of Child-Care Reform in Three African Countries: Summary of Key Findings

Better Care Network and UNICEF, with support from PEPFAR and USAID

This report summarizes the care-reform process of three sub-Saharan African countries – Ghana, Liberia and Rwanda. The review covers the key components of the reform including the legal and policy framework, programmes and service delivery, advocacy and networking. The purpose of this document is to increase the visibility of these country examples and provide useful information about their processes, successes, as well as challenges, in order to support further exchange and learning in the region and reinforce and encourage care reforms in other countries.

This report draws from findings of the detailed care profiles of each of the three countries. All three country profile reports are available on the BCN website:  These country care profiles provide a more comprehensive overview of key lessons learned, including successes, challenges, gaps identified and promising practices for child-care reform.

This report and the three country care profiles build on the momentum generated by child-care reform and child protection systems strengthening initiatives, deinstitutionalization efforts, and country-level child protection and care networks in the region. They are intended for governments, non-governmental agencies/organizations (NGOs), community – and faith-based organizations (CBOs, FBOs) and donors. Thus the care profiles can facilitate increased collaboration among national and regional actors who are contributing to, supportive of and advocating for care reform, strengthening child protection systems and family-based care options for children.

View the collection of Country Care Profiles here.