National Care System Assessment Toolkit

Changing the Way We Care

This toolkit includes guidance for implementing the care system assessment, the assessment framework itself, and corresponding training materials. Together, this guidance document, the framework and training resources are intended to support stakeholders to plan and conduct an assessment, use assessment results to develop a national strategy and, over time, monitor progress in strengthening national care systems.

Care System Assessment Framework

Changing the Way We Care

This is an assessment framework with a series of assessment questions for countries interested in furthering care systems. It is intended as a participatory self-assessment and planning exericse to continue to improve national care systems. This assessment information can then be used to develop strategy and action planning towards improving systems of care. This document should be used together with CTWWC's Care System Assessment Guidance document. 

National Care System Assessments: Guidance to conduct a participatory self-assessment to inform national strategic planning

Changing the Way We Care

This guidance document is intended to support countries to assess nationalcare systems using the Care System Assessment Framework developed and implemented by Changing the Way We CareSM. This document is part of a toolkit that includes the assessment framework and corresponding training materials. Together, this guidance document, the framework and training resources are intended to support stakeholders to plan and conduct an assessment, use
assessment results to develop a national strategy and, over time, monitor progress in strengthening national care systems.

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The Power Behind Good Intentions: A toolkit for critical European volunteering organisations and Global Education practitioners

Service Civil International Austria

This toolkit is the outcome of four seminars organised by the Service Civil International (SCI), and calls for all volunteering organisations in Europe to take a strong stand against racism and colonialism. 

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Residential Care: U.S. Giving and Missions

Barna Group

This report contains the findings from a nationally representative study conducted by Barna Group of U.S. Christians to better understand U.S. Christian beliefs around and support for orphanages, children’s homes and other forms of residential care for children. It includes data on the amount of funding given to residential care, as well as visits and short-term missions to orphanages.

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Readjusting to Parenthood: Peer Support Groups for Grandparents Assuming Care for Orphaned Children (Upendo Village, Kenya)

Better Care Network

When parents pass away, grandparents often assume the role of caregivers. Being thrust back into parenthood during a time of immense grief, and with a two-generation gap to bridge, introduces a range of challenges grandparents must overcome. This video look at the learning of practitioners from Upendo Village in Kenya in supporting grandparents caring for grandchildren after their own children have passed away from HIV/AIDs.

Grandmothers are Part of the Parenting Network, Too! A longitudinal study on coparenting, maternal sensitivity, child attachment and behavior problems in a Chinese sample

Xi Liang, Yige Lin, Marinus H. Van IJzendoorn, Zhengyan Wang

Grandmothers are important in Chinese families. This study explored the early emerging mother-grandmother-infant network and its association with a child's socioemotional development in multigenerational families in a non-WEIRD country. 

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Case Study: Malaika Babies Home Uganda

Better Care Network, Child's i Foundation, USAID

Overtime, and after realising the full cost of running even a small residential program, and witnessing first-hand the developmental gains made by children once placed in foster care, Child’s i Foundation made a decision to fully transition and phase out their residential care program entirely.

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Cycles of Exploitation: The Links Between Children's Institutions and Human Trafficking

Emiel Coltof and Abigail Munroe

This Global Thematic Review examines the growing evidence of the links between the institutionalisation of children and human trafficking. It highlights how the relationship between the two compounds the harmful nature of both phenomena and offers insight into the global response needed.

Catholic Care for Children: Principles, Beginnings, & Impact

Catholic Care for Children - A Family for Every Child

Catholic Care for Children (CCC) is a visionary initiative, led by Catholic sisters, to see children growing up in safe, nurturing families. Guided by the biblical mandate to care for the most vulnerable and animated by the principles of Catholic Social Teaching—especially the dignity of each person—CCC teams are reducing the need for institutional care by encouraging and facilitating family- and community-based care for children.

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Kinderen zonder ‘thuis’

Mirjam Vossen, Loïs Batteux, Patricia Nieuwenhuizen

Miljoenen kinderen in ontwikkelingslanden kunnen tijdelijk of langdurig niet thuis wonen. Soms omdat hun ouders zijn overleden of omdat de problemen thuis te groot zijn. Soms omdat ze zijn weggelopen of van hun familie gescheiden door oorlogen, rampen of kinderhandelaren. Het lot van deze kwetsbare kinderen gaat veel mensen aan het hart. Ze starten een project, doen vrijwilligerswerk met kinderen of ondersteunen een weeshuis.

Voor hen is Kinderen zonder ‘thuis’ bedoeld.

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Children Without a 'Home'

Mirjam Vossen, Loïs Batteux, Patricia Nieuwenhuizen

Millions of children in developing countries are unable to live at home for a variety of reasons. The fate of these children is a concern for many people. Some start projects, volunteer with children or support an orphanage. This guide is for them. It is also important for organisations that do not specifically focus on vulnerable children. Because children without sufficient paren-tal care are everywhere: in schools, villages and poor areas in big cities.

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Webinar Recording: Transforming Children's Care Webinar #7: Foster Care

Transforming Children's Care Global Collaborative Platform

This webinar, co-hosted with the Martin James Foundation, explores lessons learned in the development and strengthening of foster care systems in a number of countries and contexts, including emerging foster care systems in Bulgaria, Uganda, Cambodia, and Bangladesh as well as the more established foster care system in the UK, with a view to examining challenges and successes in implementation.

Participant Handbook Companion: Practical Life Skills - A workshop for care leavers and those who have recently left care aged 18 to 25 years

Kenya Society of Care Leavers, Changing the Way We Care

This participants handbook has come into being by care leavers for care leavers. It has been developed based on the myriad of challenges shared and experienced by care leavers, hoping with the hope that it will support others leaving care.

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Facilitator's Guide: Practical Life Skills - Workshops for care leavers and those who have recently left care aged 18 to 25 years old

Kenya Society of Care Leavers, Changing the Way We Care

This series of resources are designed by care leavers for care leavers to help equip youth for life outside of care, strengthen coping strategies, foster safety nets and community networks. It builds from earlier life skills work that the Kenyan Society of Care Leavers has done, supported by Changing the Way We Care with global best practices.

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Facilitator's Guide: Practical Life Skills - Workshops for care leavers and those remaining in care aged 14 to 17 years old

Kenya Society of Care Leavers, Changing the Way We Care

This series of resources are designed by care leavers for care leavers to help equip youth for life outside of care, strengthen coping strategies, foster safety nets and community networks. This Facilitator's Guide is based on the 10 to 13 guidebook and 18 to 25 guidebook.

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Facilitator Guide: Practical Life Skills - Workshops for care leavers and those remaining in care aged 10 to 13 years old

Kenya Society of Care Leavers, Changing the Way We Care

This series of resources are designed by care leavers for care leavers to help equip youth for life outside of care, strengthen coping strategies, foster safety nets and community networks. It builds from earlier life skills work that the Kenyan Society of Care Leavers has done, supported by Changing the Way We Care with global best practices.

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Policy Brief: International Review of Parent Advocacy in Child Welfare

Better Care Network, International Parent Advocacy Network

This policy brief summarizes the key findings and recommendations from the International Review of Parent Advocacy in Child Welfare in low, middle and high-income countries, and identifies elements of a strategy to strengthen children’s care and protection through parent participation.

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Put Children First: Recommendations to End Orphanage Volunteering and the Institutionalisation of Children

Put Children First: End Orphanage Care Campaign

Research has shown the harm of orphanage care on children’s health, development and wellbeing and how orphanage volunteering is working to perpetuate these institutional systems which separate children from their families and communities. There is now a global movement to end both practices. These key policy recommendations were published as part of the "Put Children First: End Orphanage Care" campaign.

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Global COVID-19 Associated Orphanhood Webinar

Centers for Disease Control and Prevention (CDC)

The COVID-19 pandemic is destined to leave millions more children without family caregivers. Increases in mortality of parents and other caregivers in the COVID-19 pandemic are accompanied by increases in extreme vulnerability from loss of livelihoods, schooling, health recovery and usual sources of service provision and support. This webinar aims to bring an understanding of how COVID-19 will affect the lives of children, how lessons learned from prior emergencies can be adapted, and how an understanding of complex adversities can maximize the effectiveness of our response.

The Views of Children in Residential Care on the COVID-19 Lockdown: Implications for and their well-being and psychosocial intervention

Carme Montserrat, Marta Garcia-Molsosa , Joan Llosada-Gistau and Rosa Sitjes-Figueras

Recent international research has warned of the impact of the COVID-19 lockdown on vulnerable children. However, little is known regarding the in-care population. The objective of this study was to find out how children in residential care perceived the influence of the COVID-19 lockdown in their everyday life, relationships and subjective well-being. Participants and setting: 856 children from 10 to 17 years old (Mage = 15.5, males = 71.2%, females = 28.8%) living in residential centres in Catalonia.

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Guidance for Mental Health Professionals Serving Unaccompanied Children Released from Government Custody

Stanford Early Life Stress and Resilience Program, National Center for Youth Law, Center for Trauma Recovery and Juvenile Justice

Providing effective mental health services to unaccompanied children released from federal immigration custody is both critically important and incredibly challenging. Developed by children’s rights attorneys and mental health experts on trauma and immigration, this Guide is grounded in the voices and experiences of unaccompanied children.

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Evaluation of the Impact of the COVID-19 Pandemic on the Reporting of Maltreatment Cases to the National Family Safety Program in Saudi Arabia

Shuliweeh Alenezi, Mahdi Alnamnakani, Mohamad-Hani Temsah, Rozan Murshid, Fahad Alfahad, Haitham Alqurashi, Hana Alonazy, Mohamad Alothman, Majid A. Aleissa

This report found that the types of abuse and the characteristics of both abused children and offenders in Saudi Arabia saw significant changes during the COVID-19 pandemic. Sexual and emotional abuses were reported more frequently, and the male gender is considered to feature more commonly in reports prior to the pandemic era than during the pandemic.

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Screening for Trauma and Behavioral Health Needs in Child Welfare: Practice implications for promoting placement stability

Becci A. Akin, Crystal Collins-Camargo, Jessica Strolin-Goltzman, Becky Antle, A. Nathan Verbist, Ashley N. Palmer, Alison Krompf

Findings of this report suggest that early screenings for trauma and behavioral health needs may provide important information that could be used to identify children's needs, make appropriate service referrals, establish well-matched placements, and support resource parents and birth parents toward better permanency outcomes.

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Physical Abuse of Young Children During the COVID-19 Pandemic: Alarming Increase in the Relative Frequency of Hospitalizations During the Lockdown Period

Mélanie Loiseau, Jonathan Cottenet, Sonia Bechraoui-Quantin, Séverine Gilard-Pioc, Yann Mikaeloff, Fabrice Jollant, Irène François-Purssell, Andreas Jud, Catherine Quantin

In France, the COVID-19 pandemic led to a general lockdown from mid-March to mid-May 2020, forcing families to remain confined. This study found a significant increase in the relative frequency of young children hospitalized for physical abuse from 2017 (0.053%) to 2020 (0.073%).

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Care Reform in Malawi: A Virtual Study Tour

Emily Delap of Child Frontiers, UNICEF Malawi country office, UNICEF ESARO, Changing the Way We Care, Government of Malawi

This virtual study tour aims to provide you with an overview of care reform in Malawi from the comfort of your own home. Care reform relates to the care of children. It refers to efforts to improve the legal and policy frameworks, structures, services, supports and resources that determine and deliver alternative care, prevent family separation and support families to care for children well.

Caring Systems: Maximising Synergies Between Care Reform and Child Protection System Strengthening in Eastern and Southern Africa

UNICEF ESARO, Changing the Way We Care

This paper promotes a system strengthening approach to care reform. It begins with an explanation of child protection and care and the relationship between these two concepts. It goes on to explain why system strengthening is needed to improve children’s care, and how care reform can be carried out systematically, using a range of examples from across the Eastern and Southern Africa region. The paper is aimed at UNICEF country office staff, government and others working on children’s care and protection in the region.

Practical Guide on How to Protect Family Unity and Reunification More Effectively in Human Mobility and Mixed Movement Contexts During the Ongoing COVID-19 Pandemic

Inter-American Commission on Human Rights

The guide recommends a series of measures aimed at States, which focus on protecting family unity, preventing separation, and ensuring reunification in the context of human mobility, including for unaccompanied or separated children and adolescents, who require international protection or who leave their homes in search of better opportunities or family reunification.

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South American Panorama of Adoption Practices: Cases of Countries in Transformation

Child Identity Protection (CHIP)

This research brought together the testimonies of adoption professionals (national and international) concerned with the situation of abandoned and placed children in five South American countries: Argentina, Bolivia, Chile, Colombia and Peru. The aim of this study is to gain a better understanding of the new realities of adoption, in a context where these countries have chosen to limit or stop their foreign adoption practices. 

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Gatekeeping Factsheet

Changing the Way We Care

This Gatekeeping Factsheet, targeting those engaged in care decisions, including government actors/institutions, civil society organizations, practitioners and parents/caregivers explains the objectives of gatekeeping and essential components of a gatekeeping system, core principles of effective gatekeeping and signs that a gatekeeping system is operating well or needs to be strengthened.

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Introducing Guidance for Alternative Care Provision During COVID-19: Policy Makers

READY: Global Readiness for Major Disease Response

This second webinar in the 'Introducing Guidance for Alternative Care Provision During COVID-19' webinar series hosted on 28 January 2021, is aimed at policy makers and explains their role in developing policies and guidance to prevent family separation during an outbreak.

Introducing Guidance for Alternative Care Provision During COVID-19: For Health Practitioners

READY: Global Readiness for Major Disease Response

The first webinar, hosted on 27 January 2021, is aimed at health practitioners with the goal of introducing the guidance and helping practitioners understand their role in preventing family separation and supporting unaccompanied and separated children.

Lessons from the Children in Families Plus Pilot - Volume 3: Introducing the Hotspot Community-Based Approach to Support Child Reintegration

Children in Families (CIF) Technical Working Group

To complement the CIF partner interventions targeting the child and family and to enhance the sustainability of reintegration efforts, the project is using a Hotspot approach to address community-level, environmental factors that may contribute to a child’s increased risk of family separation. The collective application of the Hotspot approach is completely innovative in the Zambian child care reform space. In this brief, we spotlight the Hotspot approach and promising observations to date in undertaking this strategy.

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Lessons from the Children in Families Plus Pilot - Volume 2: A Collective, Holistic Approach to Reintegrate Children in Residential Facilities to Family Care

Children in Families (CIF) Technical Working Group

Building on the CIF+ Learning Brief Vol 1.pdf, Volume 2 draws from CIF+ partner programming experience, achievements and lessons learned. This document outlines lessons for stakeholders that are interested in child reintegration efforts and highlights examples of the pilot as it works to support children and families in Zambia.

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Lessons from the Children in Families Plus Pilot - Volume 1: A Collective, Holistic Approach to Reintegrate Children in Residential Facilities to Family Care

Children in Families (CIF) Technical Working Group

The CIF+ pilot is a collaborative, locally led, intensive effort with the main aim to reintegrate 200 children from Child Care Facilities (CCFs) in Lusaka district, into families over a period of three years (2019-2021).

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Mapping Children on the Move Within Africa

African Committee of Experts on the Rights and Welfare of the Child

This study provides an overview of the situation of children on the move within Africa and assessed the extent to which Member States of the African Union have established normative and institutional structures to address the needs of children on the move in their territories. It presents an informed overview of the routes that children move along in within the continent, the reasons why they move and where these children move to as well as the risks that they are exposed to whilst on the move. The study also scrutinises the legal frameworks affecting child mobility in the continent.

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