Behind the Mask of Care: A Report Based on the Results of the Situation Analysis of Baby Homes in Ukraine

USAID, UK aid, Hope and Homes for Children

This report presents the findings of the 2019-2020 assessment conducted within the Pilot assessment of residential healthcare facilities for children and development of recommendations for reform with assistance from the Health Reform Support, funded by the United States Agency for International Development (USAID) and the UK Government’s Good Governance Fund in five baby homes of Dnipropetrovsk, Poltava and Kherson regions. The Pilot was implemented by Hope and Homes for Children with assistance from the Presidential Commissioner for Children’s Rights, in cooperation with the Ministry of Healthcare of Ukraine and the Ministry of Social Policy of Ukraine, structural subunits of three region state administrations, and the baby homes. 

In addition to the findings from the assessment of baby homes, the report presents results from the region assessments regarding needs in the medical rehabilitation, paediatric palliative care, and social services for children aged 0-6 years and their families. 

The assessment results demonstrate the established practice and operation of baby homes and provide an evidence base for the authorities and management to measure the ability of these healthcare facilities to serve as medical rehabilitation and palliative care centres for children and help to find balanced solutions based on children’s interests about their future, in the context of reforming the health and institutional care systems of children.