CAPE TOWN (CNS): A two-part report by 22 experts on reforming care for children was published late on June 23 in The Lancet Psychiatry and The Lancet Child & Adolescent Health journals saying that the institutionalisation of more than eight million children worldwide should be phased out in favour of family-based care.
Institutions provide suboptimal care and are associated with many developmental delays, the report said. Children can rapidly recover when they are moved into a family environment, although some effects might last into adulthood, it said.
“Children belong in families, and we work to get this message to everyone,” including governments, faith organisations and civil society, Anne Smith, Catholic Relief Services global director for Changing the Way We Care, said on June 22.
The report “confirms what we have been saying all along,” Smith said, noting that CRS and its partners, Lumos and Maestral International, help support families around the world to keep their children with them and to reunite them with members from institutions.
In Zacapa City, Guatemala, for example, a mother was helped to take home her 10-year-old daughter and four grandchildren after losing them to a public orphanage when it was found that the 10-year-old was caring for the younger children while the mother went out to work.
Noting that poverty, illness and disability often influence family decisions, Smith said sometimes “families feel they have no choice but to have their child in institutional care.”
The United Nations defines an orphan as a child under 18-years-old who has lost one or both parents.
Because of lack of services and stigma, people often believe that their children with disabilities would be better off in institutions that provide access to schooling such as those run by communities of sisters, Smith said.
But “it’s always better for children’s development” to be with families, she said.
Smith said the new report gives this issue the attention it deserves. Well-intentioned people donate to orphanages with their “support coming from the heart,” and this report will help with the understanding “that there are other ways to support children that have better outcomes,” she said.
The report calls for child protection systems to gradually redirect funding away from institutions to community-based and family-based programmes. The authors propose ways to ensure child safety, to protect children without parental care by providing high-quality family-based alternatives, and to strengthen systems for the care and protection of children.
