Cost of Care and Redirection of Resources

Developing a high quality alternative care system requires adequate funding and resources.  In countries that are working to reform their care systems, efforts are needed to redirect financing from residential care options towards new initiatives that support parents, prevent family separation, and provide children with a range of family and community based care alternatives. 

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David Larter and Eugenia Veverita,

Reports on the financial costs of residential care for children in the Republic of Moldova. Highlights significant financial inefficiencies and advocates for closure of residential institutions.

Uganda Ministry of Gender, Labour and Social Development,

The NSPPI provides overall guidance to implementers to mitigate the impact of orphan hood and other vulnerabilities among children in Uganda.

Uganda Ministry of Gender, Labour and Social Development,

This document is the official policy governing National Orphans and OVC of the Ministry of Gender, Labour and Social Development (MGLSD) of the Republic of Uganda. The policy interprets a vision of a society where all orphans and other vulnerable children live to their full potential, where their rights and aspirations are fulfilled.

Andy Bilson, Louise Fox, Ragnar Gotestam, and Judith Harwin,

Practical guidance, case examples, and tools to assess, monitor, and evaluate child protection services and facilitate reform away from institutionalization of children.

Louise Fox and Ragnar Götestam,

A paper in a series of papers that discusses the problems associated with changing social protection services and provides guidelines to aid countries restructure their financing systems for social care. The paper proposes more family-based and inclusive care programs and less institutional care.

Helen Meintjes, Sonja Giese, Debbie Budlender and Leigh Johnson,

Research study of the current social security provisions for orphans in South Africa, with a comparison of four alternative cash grant scenarios. Recommends a universal income support system for all children in need.

Andy Bilson, Louise Fox, Ragnar Gotestam, and Judith Harwin,

Contains practical tools and policy guidance for family and child welfare policy makers and practitioners. Relevant topics include gatekeeping, redirecting resources into preventive and family based services, and standards of care.

Nader Ahmadi,

A research study on the policies, finances and current state of care of vulnerable children in Tajikistan. Includes data on budgeting and expenditures around institutional care, as well as recommendations for the creation of short-term and long-term care alternatives.

Richard P. Barth ,

A review of institutional care and family-centered care with a discussion of both positive and negative aspects of group care. This review paper is primarily focused on showing the inefficacy of group care and recommending other forms of care such as kinship care and even foster care as options that are more cost effective and better for children’s development.

Neddy Rita Matshalaga and Greg Powell ,

A brief editorial which argues that only by addressing the fundamental causes of the HIV/AIDS epidemic, such as poverty and social exclusion, will a sustainable solution be achieved. Support for extended families and education for children affected by HIV/AIDS are needed to respond the crisis, as well as a larger scale effort to transfer resources, strengthen economies and secure investments throughout Africa.