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ISSUE 1 / 2012


INSIGHTS: CHILD RIGHTS IN CENTRAL AND EASTERN EUROPE
                         AND CENTRAL ASIA


Keeping families together
Making social protection more effective for children

Abstract
Countries in Central and Eastern Europe and the Commonwealth of Independent States (CEE/
CIS) have a tremendously high number of children who grow up in formal care: 1.3 million. Around
half of them grow up in large scale residential care institutions which risks harming their health,
development and future life chances.

Family separation often happens because parents cannot access the support they need to take
care of their children at home. Social protection systems in the region are failing these families.
UNICEF urges governments to take immediate action to support these families by improving social
protection so that it reaches out to and has an impact on those who need it most, including families
at risk of disintegration. Most importantly, governments and societies must work to dismantle the
barriers that vulnerable families encounter when trying to access vital services and assistance.
This can help to prevent children from being arbitrarily separated from their parents.




Separation of children from families:                understand why high rates of child placement
a litmus test for the effectiveness                  in formal care persist despite this, researchers
                                                     explored barriers to and impacts of accessing
of social protection                                 social protection in each country.

One indicator of the effectiveness of a social       The research offers important insight into the
protection system is its capacity to support         weaknesses of and challenges faced by social
vulnerable families to take care of their children   protection systems in the region. These countries
at home. Rates of children living in formal care     also provide examples of good practice that point
or separated from their biological families are      to ways in which policy-makers might maximise
very high in CEE/CIS.                                the impacts of social protection systems.

This suggests that existing social protection
systems are failing to give vulnerable families      Social protection needs to address
the support they need to prevent the kinds           complex social realities                               1
of crises that lead to a child being placed in
alternative care.                                    Impoverished families face multiple challenges
                                                     that combine in ways that make them extremely
This edition of Insights summarises ndings and      difcult to overcome. A single mother living in a
recommendations of studies on the impact and         remote rural village cannot leave her children
outreach of social protection systems in Albania,    and travel to town to nd work, especially as the
Kazakhstan and Ukraine. These countries all          strain of caring for her child takes its toll on her
operate social assistance programmes and are         physical and mental health. As a lone parent
in the process of establishing social services. To   she may lose the support of friends or relatives.


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Keeping families together
    If she is from a minority group or if her child has    empower users, build their resilience and
    a disability, she may suffer further stigma and        Key Components of Social
    isolation. Coping with such circumstances drive        Protection Systems
    some to alcoholism or drug addiction, and can
    lead to destitution and family breakdown.
                                                           Social assistance: social benets or schemes
    Addressing the multiple, complex problems of           that aim to alleviate poverty by giving cash or
    vulnerable families demands well-coordinated,          in-kind transfers, tax deductions or fee waivers
    holistic and multi-sector responses; low-level         for basic services.
    cash benets are not enough. As one non-
    governmental organisation (NGO) worker                 Social services: family and child support
    in Kazakhstan commented, families need,                services that can facilitate family life and
    SRehabilitation, psychological and moral               also prevent neglect and abuse of children
    support - and targeted social assistance cannot        and family breakdown. Key services
    cover this.T To overcome hardships in the long-        include day-care, counselling, support and
    term, people need to develop their capacity            advice hotlines, rehabilitation, legal aid and
    to cope with sudden shock or changes in                employment of social workers to work with
    circumstances, such as the loss of earnings            vulnerable people to address issues related
    following an unexpected illness, or the burden         to housing, employment, and accessing
    of looking after a newborn.                            education and health services. For children
                                                           at risk, alternative care services such as
    In this way, social protection can play a vital role   foster care may be needed.
    in preventing vulnerability and strengthening
    resilience to sudden life events or crises, as         Programmes to ensure access to services:
    well as responding to their aftermath. Social
                                                           measures that reduce the nancial and social
    protection can empower the vulnerable and
                                                           barriers households face when accessing
    contribute to positive social change. For this
                                                           social services, for example, subsidies,
    to happen, the different components of the
    social protection system (see Box 1) must work         health insurance or the abolition of service
    together to offer a comprehensive package of           user fees.
    support. The social protection package must
    also have some exibility in order to respond          Legislation and policy: reforms that aim to
    to the specic individual circumstances that           address inequalities in accessing services
    families at risk of disintegration may face.           or economic opportunities. Examples might
                                                           include employment guarantee schemes or
    Social protection in CEE/CIS has traditionally         legislation against discrimination.
    focused on cash transfers for specic groups
    of people dened by the state as VdeservingW,          Source:Integrated social protection systems:       2
    for example, pensioners and military veterans.         enhancing equity for children. United Nations
2   During the Soviet era, social support for              ChildrenWs Fund, New York, 2012.
    vulnerable and poor children was built around
    networks of residential care institutions; the
    removal of children from parents struggling                                                    Box 1
    to care for them was standard practice.
    Countries have, therefore, inherited systems
    that are fragmented, over-reliant on institutional     ultimately to help them overcome the difculties
    responses and fail to provide individualized           they face. Non-cash based support services
    support to vulnerable people. Most crucially,          to families, which could help build parental
    they have not been designed to stimulate and           capacities and facilitate family life are now


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"
!
When asked why their children were placed into care,
many parents said it was because they could not find or
access other forms of support.                                                              INSIGHTS


                                           "
    emerging, but are often neither targeted to the
    most vulnerable nor widely available within a
    given country.
                                                          all case study countries have established
                                                          clear legislative frameworks for developing
                                                          comprehensive social protection systems (see
                                                          Box 2). However researchers found that many
    Identifying the most vulnerable                       families living in difcult circumstances are not
                                                          receiving effective support. They reported that:
    The studies found that low-income families,           i) Targeted social assistance programmes
    particularly those in remote rural areas or               intended to alleviate poverty are not
    caring for a disabled child, are at highest risk          reaching the majority of needy households.
    of family separation. Residential care continues          For example, Targeted Social Assistance in
    to be the main way states attempt to meet the             Kazakhstan reaches only 3 per cent of the
    needs of disabled children. Although they only            poorest households; in Albania two-thirds
    represent 1-5 per cent of the child population,           of the poor are not covered by the targeted
    in some countries they constitute over 50 per             cash-transfer programme called Ndihma
    cent of the residential care population. Young            Ekonomike.
    families with newborn babies and infants often        ii) Non-institution based social services are still
    struggle to cope with the expense of caring for           being accessed only by a small number of
    a baby while losing the earnings of one adult.            parents and carers. Family and youth social
    As a result, large numbers of 0-3 year olds are           services are being developed and expanded,
    taken into institutional care across the region.          especially in the Ukraine. However, access
    Single mothers and families with a parent                 and delivery are patchy. Qualitative data
    dependent on drugs or alcohol are agged as               collected in all three countries suggest that
    particularly vulnerable. Other high risk groups           many parents do neither access services
    include ethnic-minority Roma families in Albania          nor understand the purpose of them.
    and migrant families with no xed address in
    Kazakhstan.
                                                          Experience on the ground
    Sometimes the state places a child in institutional
    care; sometimes parents themselves decide             Interviews with parents and carers, frontline
    to do so. When asked why their children were          workers and national decision-makers, build a
    placed into care, many parents said it was            picture of the barriers vulnerable people face
    because they could not nd or access other            accessing both social assistance and services.
    forms of support.                                     They pointed out several important issues:

    Why families are not getting                          1. Lack of awareness about eligibility for
    the support they need                                 assistance

    When a social protection system is functioning        Vulnerable families say they do not know what
    well, parents struggling to care for their children   types of social assistance is available for them;
                                                                                                            3
    are able to:                                          they nd out they are ineligible for existing
    i) Receive extra cash or other resources              schemes because of restrictions built into the
        through social transfers;                         design.
    ii) Access support such as counselling, day-          ` In Albania, land-ownership automatically
        care or advice through social services.              disqualies applicants from receiving
    This combination is intended to help families            Ndihma Ekonomike. This leaves many
    get through tough times without having to                needy families that have moved from rural
    take extreme measures such as placing their              areas, where they may own a small plot of
    children in institutions. The governments of             land, to urban settlements, without support.



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Keeping families together
    `     Informal carers in Albania d a very large         social assistance, spending considerable time
          group that includes extended family d when        and money gathering documents to prove
          taking care of the child of a relative, often     themselves eligible.
          for extended periods, need to provide for
          the extra mouths to feed, but cannot access       According to a frontline worker in Ukraine,
          social assistance because they are not            SThere are so many who cannot gather all the
          formally responsible for the child they care      necessary documents and do not know where
          for.                                              to go, whom to ask, or what type of application
    `     In Kazakhstan, people who have migrated           is needed.T
          for work to another part of the country in
          which they are not ofcially resident cannot      A parent from Kazakhstan added, SApplications
          register for Targeted Social Assistance.          for benets cannot be led in a village; you have
    `     Income calculations for means-tested              to go to the district centre. I had to spend three
          social transfers sometimes include benets        days ling an application, because every time
          received through other schemes. For               some documents were missing, or there were
          example, a poor family in Kazakhstan that         errors in the papers.T
          receives a one-off grant for a newborn may
          no longer be eligible for Targeted Social         3. Lack of transparency and fairness to
          Assistance.                                       access social assistance
    `     In Ukraine calculations for the Guaranteed
          Minimum Income allowance sometimes take           Parents and carers expressed confusion about
          into account disability benets, guardianship     how and to whom social assistance benets
          allowances and old age pensions. This             were awarded. They are also frustrated
          means eligible households have to choose          at inconsistencies in monthly allowances
          between benets they may be entitled to. The      and geographical variations in the amounts
          cumulative effect of these different benets      received.
          designed to address specic sources of
          vulnerability might be lost on those families     A parent in Kazakhstan and an NGO worker
          who need it most. As a local level social         in Albania commented respectively, SThey
          care expert in Ukraine commented, SOur            calculate the amounts in a way unknown to me.
          guardians complain about the system of            They write one thing, while I receive another
          social benets especially if they have a child    amount. I cannot understand whyT and, SThere
          with disability. They really have to choose       is a lack of transparency of how the funds are
          based on what will be the larger amount d         used within nancial aid and there is a lack of
          the benet for the disabled child or social       effective monitoring of the system.T
          assistance for child deprived of parental
          care. This is not normal. Complex problems        Some recipients described discrimination
          should be addressed in a complex way.             by ofcials administering social assistance
          They (government) dene procedures and            programmes. In Kazakhstan parents and carers
4         eligibility criteria and then itWs your problem   reported particularly aggressive attitudes,
          if your prole does not match.T                   especially towards parents seeking social
                                                            assistance for disabled children. A frontline
    2. Applications for means-tested social                 worker in Albania spoke about discrimination
    assistance are too complicated                          against Roma families suggesting that SState
                                                            institutions close the doors to them, or they do
    In the opinion of a social pedagogue in                 not provide the right information.T
    Kazakhstan, parents must Sgo through all
    circles of hellT to access entitlements to              4. Social assistance disbursements are



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INSIGHTS



Key Social Protection Policies and Legislation

Albania                                             Ukraine

The development of social protection policy in      In April 2011, the Ministry of Social Policy took
Albania is taking place within the context of an    over as the lead government agency in the
on-going process of decentralisation.               development and implementation of child and
B National Strategy for Integration and             family policy. As a result, social policy-making
   Development 2008-2013: the Social                has been in ux.
   Protection Sector Strategy is central to
   this. Key areas of focus include: improved       Key policies and legislation includes:
   targeting of cash benets, decentralisation      B Law of Ukraine POn social work
   of social services, clarifying the role of          with families, children and youthS:
   NGOs as service providers and developing            amendments in 2009 broadened the scope
   community-based services.                           of social work, put families at the centre
B Social Inclusion Cross Cutting Strategy              of service provision and introduced the
   2007-2013: addresses access to services             concept of the Vcommunity social workerW.
   and living conditions of children, people        B Concept of Reform of the Social Services
   with disabilities (including developing             System: this 2007 policy is a clear written
   community-based education and services)             strategy of activities to improve the social
   and minority ethnic groups, most notably            services system in Ukraine. It has never
   the Roma.                                           been fully implemented because of a lack
                                                       of either action or nancing plans.
Kazakhstan                                          B The State Social ServicesS Strategy of
                                                       Social Service Development for Family,
Key policies and legislation includes:                 Children and Youth in Ukraine 2009-
B Ministry of Labour and Social Protection             2014: this aims to Sensure wide access for
   Strategic Plan 2011-2015: aims to increase          families, children and youth to high quality
   the coverage of benets targeted at children        social services at community level.T
   and families including an allowance to
   parents bringing up a child with a disability.
   Introduced care allowance for guardians.
B Law on Specialised Services: the 2008
   law aims to increase service provision
   targeted at families and to develop services
   in the community, including home-care for
   children with disabilities.
B Children of Kazakhstan 2007-2011:                                                                      5
   State programme that sought to ensure
   high-quality educational, health and social
   services and protection of children in hard-
   life situations.
                                                                                              Box 2




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    insufcient to lift people out of long-term          There is a tradition of centre-based institutional
    poverty                                              services with less developed networks of smaller
                                                         scale community-based services in the three
    While most parents and carers appreciate             countries. Reaching these may require travel.
    receiving assistance, some observed that the         Travel and overnight stays are expensive and
    amounts were so little that, according to a          particularly difcult for parents coming from a
    parent in Albania, SNothing has changed; we          rural area or caring for a disabled child.
    live nowadays, as we lived before, there are still
    shortages.T In Ukraine respondents felt that,        SLack of wheelchair-accessible public transport
    with the exception of the birth grant, most social   is a signicant issue preventing people from
    assistance was too small to make a difference.       accessing services,T said a social protection
                                                         professional in Kazakhstan.
    5. Parents, staff and decision-makers lack
    knowledge about social services                      In Albania respondents noted that sometimes
                                                         husbands do not want their wives to stay
    Parents who had received community and               overnight outside the home to take the child to
    family-based support from social services            service centres.
    noted mainly positive experiences. However
    the studies found that the majority of the people    8. Most people do not trust or know how
    interviewed for this research are not aware of       to use complaints procedures for social
    social services and do not know how to access        services and social assistance
    them.
                                                         ComplaintsW mechanisms can be a good tool
    A mother in Ukraine said, SI have absolutely         for people to claim their rights. Respondents
    no clue where I can refer to for support for my      in all countries expressed doubts about the
    disabled child.T A local government worker in        effectiveness of complaints procedures.
    Albania claimed, SThe mentality here is still        Comments included:
    very much related to money. People do not            ` SPeople do not want to complain because
    understand the different types of social services        it costs money. Besides, I think people
    that would support them. More public awareness           do not trust and do not believe in positive
    of social services is needed.T                           consequences of complaintsT (a mother,
                                                             Ukraine);
    6. Availability of social services is variable,      ` SFamilies can appeal if they do not receive
    delivery inconsistent and capacity of staff              the right amount of benet, but I have never
    poor                                                     heard of anyone actually doing itT (a local
                                                             government worker, Albania);
    All three countries are developing social            ` SThe law is very clear d but often procedures
    services, but these are not yet available                are not as clearT (a national informant,
    on any large scale with sustained funding.               Kazakhstan);
6   Respondents reported a lack of specialist social     ` In Kazakhstan, SGovernment OnlineT serves
    work personnel as frontline workers. SYou might          as a complaint mechanism but not everyone
    nd the same person opening the door, doing              has access to the internet. In Ukraine,
    the secretary role, the Social Administrator role,       several cases challenging decisions on
    and a lot of other roles as wellT said an NGO            social benets have gone through the courts
    worker in Albania.                                       system, however it is not known which
                                                             families use the courts. It is possible it is
    7. Centre-based social services usually in               not the poorer families who may need the
    towns and difcult for vulnerable to reach               benets the most.



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Lack of wheelchair-accessible public transport is a significant
issue preventing people from accessing services.

                                                 "               INSIGHTS




                                                                                     7




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Keeping families together
    Policy issues emerging from                           non-eligible households from receiving social
    current experience                                    assistance. But this also results in a more
                                                          complex application process which can become
    Research about the current situation in Albania,      an insurmountable barrier for some families,
    Kazakhstan and Ukraine has identied the              causing the exclusion of a large numbers of
    following policy issues:                              eligible families.

    1. Weak outreach of the available support             The inclusion of other social assistance benets
    leads to the low take-up by those who need            in calculations to determine a poor familyWs
    it most                                               income is particularly problematic, especially
                                                          when different social benets are meant to
    Social workers and administrators do not              address different types of vulnerabilities which
    systematically and proactively contact, visit and     might cumulate in the same household.
    inform vulnerable families of the assistance
    or services available to them. As a mother in         Spotlight on interesting solutions
    Ukraine said, SIf parents know, they will be
    referred and they will get the benet. It they        B   Reviewing design of targeted social
    donWt know, nobody will inform them.T                     assistance programmes: in Albania, a
                                                              major review of the Ndihma Ekonomike
    This is in contrast to residential schools and            programme is in the pipeline. This will look
    care homes which actively recruit children from           at the issue of the exclusion of families
    poor rural areas.                                         who own land. In Kazakhstan, rules that
                                                              include the value of other social assistance
    Respondents in Ukraine describe how workers               programmes in the calculations to determine
    went to remote areas and persuaded parents                a familyWs eligibility for Targeted Social
    to place their children or threatened them with           Assistance are being reviewed.
    removal of their parental rights.                     B   Moving towards categorical benets:
                                                              Both Kazakhstan and Ukraine have a broad
    Spotlight on interesting solutions                        range of categorical benets, including one-
                                                              off grants for newborns and infants, cash
    B     Community outreach in Albania: Job                  transfers for single parent families childcare
          descriptions for social workers based               assistance for children below three (Ukraine),
          in Child Protection Units in Albania now            and assistance for families with more than
          require them to go out into the community           four children (Kazakhstan). Together with
          and identify families at risk.                      disability benets, these categorical social
    B     Placing social workers: in maternity                benets are reaching higher numbers of
          wards in Ukraine and in health facilities and       the poorest families than means-tested
          community centres in Albania, and creating          schemes in all three countries. This high
          the role of VSocial PedagogueW in schools in        coverage is because administrative barriers
8         Kazakhstan has helped identify and make             to accessing these categorical grants are
          contact with harder-to-reach families who           lower and the amounts distributed are higher.
          are unlikely to approach services.                  Ukraine in particular has been phasing out
                                                              spending on means-tested benets in favour
    2. Excessive administrative barriers results              of categorical benets to support children
    in the vulnerable unable to access assistance             and carers.

    Strict eligibility criteria are intended to prevent




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Social workers in health facilities and social pedagogues
in schools have made contact with harder-to-reach families.

                                                           "   INSIGHTS




                                                                                   9




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Keeping families together
     3. Social protection system components                  B   Joint efforts of medical staff and social
     need to be integrated and coordinated                       workers: in Ukraine, and more recently
                                                                 Kazakhstan, social workers have been
     Lack of integration of support mechanisms                   placed in maternity wards to work with
     hampers the effectiveness of the system.                    pregnant women whose children are at high
     SInteragency working between sectors is the                 risk of being placed in institutional care.
     biggest problem. Everyone is working on their               These workers are able to access hard-to-
     ownn.there is little sharing of information; at local       reach woman living in difcult circumstances
     level sectors donWt come together naturally; the            and offer a range of interventions and
     Child Protection Units try to play a coordinating           advice. In Ukraine, the joint efforts of
     role but this is based on personal relationships            medical staff are linked by some research
     rather than institutional responsibility,T said a           respondents to the marked decrease in
     frontline worker in Albania.                                infants being placed in institutional care. For
                                                                 a local government expert in Ukraine, SIt is
     An NGO worker in Ukraine said, SNo Ministry                 a positive development that we have more
     considers itself responsible for supporting                 mother and baby units, more social workers
     families and children as a whole.T Each                     working in maternity wards and clinics. As
     department focuses on their own specic                     a result we have less abandonment d the
     concern. Frontline workers pointed out that while           number dropped 5 times d from 2,500 cases
     the Ministries concerned with social protection             per year to 800 cases last year.T
     in Ukraine work to develop community-based
     social services and prevent children being              4. More guidance needed for local
     separated from their parents, the Ministry of           respondents to plan, nance and implement
     Education, Science, Youth and Sports has been           services
     calling on local governments to organise the
     education of children in institutions and actively      The need for better planning and clear
     recruit children from villages to meet education        guidelines for implementation was repeatedly
     targets.                                                raised by respondents in all three case study
                                                             countries. Respondents felt that the absence of
     At the local level, social assistance ofces and        such guidelines had led to many of the barriers
     social services often do not communicate, even          and inconsistencies experienced on the ground.
     when operating from the same building.                  Many complained that strategies are not properly
                                                             planned and do not have adequate nancing to
     As a nation decision-maker in Kazakhstan                become reality.
     noted, SThe Ministry of Labour and Social Policy
     is trying to merge services and the benets             SCentral government write the laws but do not
     system but itWs not really working d at local           provide guidelines for local government on how
     level they are completely separate d the local          to implement them,T as a local government
     benets ofce is standalone.... the service area        worker in Albania said. A national level expert
10   is new and underdeveloped.T                             in Kazakhstan commented, SThe new state
                                                             social services law is not yet fully operational d
     Spotlight on interesting solutions                      clarication is needed on the role of social work
                                                             at management and practice levels d where
     B     Coordinate policy-making: in April 2011,          they should sit, what is the role of NGOs and
           overall coordination for social protection        how to involve them.T
           was brought to UkraineWs Ministry of Social
           Policy to enable better coordination at the       Secondary legislation also needs to be
           top.                                              developed, especially concerning: eligibility



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No Ministry considers itself responsible
for supporting families and children as a whole.

                                               "           INSIGHTS




                                                                               11




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Keeping families together
     criteria for social assistance programmes;               policies, in order to review and rene policy and
     roles, mandates and responsibilities within              budget decisions, is also not yet a strong and
     social services; roles and mandates of NGOs              recognized function of the system.
     and their relationship with state structures;
     funding streams and mechanisms for services;             A key informant from an Albanian NGO
     complaints procedures; standards for services            commented, SDecision-makers donWt have
     and codes of conduct for professionals.                  serious discussions about developing realistic
                                                              plans d if they sit down to discuss something ...
     Spotlight on good practice                               they donWt go into detail about how we can reach
                                                              this goalnthis is in general our way of working
     `     Developing protocols for collaborative             and thinking from the past nso they donWt think
           working: in Albania, Child Protection Units        seriously how to formulate a strategy - this
           have been set up with the contribution             leads to weak action planning, collaboration
           of donors and implemented by NGOs in               and strategies which are impossible to deliver.T
           collaboration with local authorities. To support
           this collaboration, the Ministry of Labour,        6. More better-trained and better-paid social
           Social Affairs and Equal Opportunities             workers
           developed, with the support of Terre des
           Hommes and UNICEF, the comprehensive               Poor working conditions mean that even in the
           Working Protocol for Child Protection              Ukraine, where 1,350 graduate annually, social
           Workers. This document sets out the roles          workers are not necessarily taking up relevant
           and responsibilities of child protection           posts. Interviewees suggested that social work
           workers and detailed case management               training does not always prepare students
           guidelines. It includes the recommendation         adequately for the realities of the job. Many
           that every case is reviewed at regular             struggle to work effectively with marginalised
           intervals of three months or more frequently       and stigmatized groups.
           should a childWs situation deteriorate or
           improve. Multidisciplinary teams have              Tools that social workers need to do their job
           also been established to protect, assess           effectively, such as emergency social assistance
           and refer children at risk and CPUs are            or access to housing to respond to family crisis,
           expected to act as coordination points for         have not yet been well established. Training
           linking families into social support ofces.       social workers and specialised personnel to work
           Although the study could not assess how            with, for example, children with special needs
           well the protocol was being implemented, it        also needs to be established as a priority.
           provides clear instructions and guidance for
           workers involved in assessing and working          Spotlight on interesting solutions
           with families.
                                                              B   Training social workers: in Kazakhstan,
     5. More work needed to monitor and evaluate                  increasing the number of social workers is
12   the implementation of policies                               a major priority and KZT 6 million (around
                                                                  USD 39,300) have been allotted to training
     Having moved from a system of centralized                    300 new social workers. Ukraine is leading
     planning and management of public services,                  the way developing its social work force,
     government workers are not always properly                   with 1,350 social workers graduating every
     equipped with skills and tools for programmes and            year.
     budgets. Evaluation of the impact, effectiveness,        B   Involving people from minority groups
     efciency, relevance and sustainability of public            in recruitment and service delivery: one




         unite for children
         www.unicef.org/ceecis
!
More social workers are in maternity wards and clinics.
As a result, there is less child abandonment.

                                           "                      INSIGHTS




                                                                                      13




       unite for children
       www.unicef.org/ceecis

                                                          Regional Ofce for CEECIS

© UNICEF/NYHQ2005-1776/Pirozzi
Keeping families together
         NGO in Albania has had success using                care institutions continue to receive funding and
         VmediatorsW from within the Roma community          actively recruit children from poor, rural families:
         to help that group access social services           institutional care is Vusual practiceW for provision
         and social assistance.                              of healthcare and education to children with
                                                             disabilities or from poor families. Parents tend
     7. Financing plans must aim to ensure equal             not to challenge the advice of education and
     provision across regions                                health professionals and may even consider it
                                                             a positive step for their child.
     Arrangements for nancing social protection
     measures d in particular the ow of funds from          One child rights expert policy-maker in Ukraine
     central to local level d are often inadequate.          commented that there was no requirement and
                                                             little incentive to work proactively with families,
     In Albania nine residential care institutions are       SPersonally I think in most cases it is easier to
     given funds by central government, but additional       work with the child in some type of institution than
     resources for community-based services need             to work with complex problems of families. And
     to be raised by local governments which already         it is not required by the legislation to preserve
     have constrained budgets, especially in the             the family d it is only required to protect the child
     poorest and remotest areas. Child Protection            and an ofcial can always say that taking away
     Units are all funded by NGOs and international          the child was a protective measure. Probably
     donors, raising questions about sustainability.         the state should more strictly require work with
                                                             families.T
     A key NGO informant commented, SI canWt say
     that the state hasnWt done anything d policies          Recommendations
     have been developed! But policy-makers need
     to get out into the communities and understand          The ndings from the research in Albania,
     real needs more. Now the government has                 Kazakhstan and Ukraine provide lessons
     a strategy [for Roma]nbut no nancing is                relevant to many of the countries in the
     attached. The strategy is very thorough but it          CEE/CIS region. There are seven general
     needs an action plan and budget and to have             recommendations emerging from this research,
     short, mid and long terms goals.T                       with broad application across the region.

     Researchers in Ukraine found that the system            1. Maximise impacts by integrating social
     of allocating nancial resources per head for           protection efforts
     people taken into institutional care creates
     disincentives for local authorities and state           Better impact can be achieved at low cost by
     service providers to invest in alternative social       better coordinating and integrating existing
     protection.                                             social protection interventions. In practice this
                                                             means:
     8. Funding and unchallenged public                      ` Ensuring that different sectoral policies, other
14   perceptions still favour institutional care                 than dening specic sectoral goals, jointly
                                                                 contribute to ensure larger public policy
     SA lot of ofcials somewhere deep in their heart            goals. Databases containing information
     still sincerely believe that an institution is better       on service users and beneciaries need to
     for a child and they motivate parents for thisT,            be coordinated, and sharing of information
     noted a national-level government expert in                 facilitated, with due consideration to the
     Ukraine.                                                    protection of privacy.
                                                             ` Using the existing infrastructure and reach
     Large, well-organised networks of residential               of social assistance, health and education


      unite for children
      www.unicef.org/ceecis
INSIGHTS


      structures to extend the reach of social          schemes by reviewing eligibility criteria
      services. Grants for the newborn, for             and application processes for means-tested
      example, offer unprecedented opportunities        social assistance
      to communicate with young families about
      other kinds of services. Similarly, medical       Different forms of social assistance exist in the
      professionals who come into contact               region, but outreach is vital to eliminate risks
      with vulnerable families who are seeking          such as family separation. Ensuring better reach
      medical advice related to pregnancy or            and addressing some barriers parents and
      child birth could facilitate referral to other    carers face when accessing social assistance
      social services if there is an imminent risk of   means in practice:
      disintegration of the family.                     ` Providing clear, publicly available guidance
`     Improving information sharing to the public           on application procedures, eligibility criteria
      on available benets and services. Social             and benet entitlements.
      workers in particular need to be equipped         ` Ensuring that applicants are assessed VnetW
      to inform clients of the benets available to         of other benets that they are entitled to so
      them, and social assistance ofcers should            that they do not have to choose between
      know about the kinds of services that might           different benets in case where they have
      benet their recipients.                              multiple vulnerabilities.
`     Developing protocols and training that            ` Minimising travel for registration and offering
      enable social workers, administrators of              support for acquiring documents.
      social benets and others who come in             ` Raising the value of benets for means
      regular contact with vulnerable families              tested assistance so that they represent a
      (police, staff in schools, health workers) to         higher share of average household income
      work together.                                        is also likely to increase the coverage and
                                                            longer-term impacts of these programmes.
2. Maximise impacts by developing guidance
on how to implement and enforce existing                4. Extend reach of social protection through
legislation                                             awareness-raising and pro-active search
                                                        and support to vulnerable families
Legislation has been improved but practice in
the eld is lagging. Improvements in delivery of        Extending the reach of social protection in
programmes at the local level can be achieved           practice means identifying who are the most
in practice by:                                         vulnerable groups, dening the entry points for
` Setting out clear mandates, roles and                 how to reach out to them and proactively help
    responsibilities for social workers and             to eliminate the barriers they may face to get
    develop clear guidance on eligibility               assistance. For example:
    requirements and application processes for          ` Targeting mothers in hospitals has had
    social assistance.                                      signicant and rapid impacts in Ukraine.
` Clarifying procedures for how to make claims          ` Families with children from rural areas,
                                                                                                               15
    and complaints through legal mechanisms                 families with children with a disability, families
    and, as part of this, establishing ways                 living in extreme poverty, and families where
    of enforcing legislation that prohibits                 drug and alcohol problems and mental health
    discrimination at local level.                          issues are prevalent, should be proactively
` Establishing clear and stable funding                     targeted. The introduction of a carerWs
    streams and mechanisms for programmes                   allowance in Ukraine, Kazakhstan and
    and services.                                           elsewhere, and proactive day care services
                                                            such as those introduced in Albania, have
3.     Extend      reach    of   social   assistance        had some success in supporting disabled



    unite for children
    www.unicef.org/ceecis

                                                                                  Regional Ofce for CEECIS
Keeping families together
           children within the family context.        benets of keeping children in
     `     Particular attention should be             parental care and about alternative      Credits
           focused on families with young             kinds of social services can help.       Insights Issue1/2012
           children. Interventions targeting      `   A continued and parallel closure of      on Social Protection
                                                                                               was written by Peroline
           single parent households and               care institutions will also contribute   Ainsworth and edited
           families with large numbers of             to shift the demand for support.         by Elena Gaia and
                                                                                               Anna Nordenmark
           children should also be prioritized.                                                Severinsson. The
           Community and home visits, and         7. Ensure evidence-based policy-             Design is by Yudi
                                                                                               Rusdia. To download
           media and radio publicity might be     making by developing effective               this issue, please go to
                                                                                               www.unicef.org/ceecis/
           ways of reaching these families.       monitoring and evaluation systems            Insights2012_on_
                                                                                               Social_Protection
     5. Strengthen equity in provision of         An effective and efcient social             This issue is based
     social protection                            protection system is one that is             on a study that was
                                                                                               carried out in three
                                                  continuously improved, can identify          countries in 2011,
     Social protection is meant to help           its own errors and unintended side-          called The capacity
                                                                                               of social protection
     overcome inequities, build resilience        effects. Therefore, to ensure the best       systems to provide
                                                                                               adequate support to
     and empower people so that they can          possible effects of policies in exchange     the most vulnerable
     face risk better and not fall through the    for the public resources invested, there     children and their
                                                                                               families and prevent
     cracks.                                      is a need for effective monitoring and       family separation -
                                                  evaluation. To put these in place in         a thematic study
                                                                                               covering Albania,
     As such, social protection should not        practice means:                              Kazakhstan and
     perpetuate the inequities in societies       ` Increasing the availability of             Ukraine. The study was
                                                                                               coordinated by Oxford
     that it is meant to ght. In practice this        information on the take up and          Policy Management
                                                                                               under the supervision
     means:                                            impacts of social assistance and        of Jean Claude
     ` Ensuring that there is a nationally             services among different groups of      Legrand, UNICEF.
                                                                                               To download this study,
         agreed minimum package of social              beneciaries.                           please go to
         protection services and social           ` Establishing mechanisms that allow         www.unicef.org/
                                                                                               ceecis/2011_Thematic_
         assistance for all who need it,               the views of users to reach service     Study_on_Social_
         regardless of where they live in the          providers and planners, and that        Protection.

         country and what vulnerabilities              enable them to make complaints          The rst edition of
                                                                                               the Insights series
         they face.                                    and challenge decisions. This can       of analysis was
     ` Providing a predictable and                     be part of a comprehensive data         published by the
                                                                                               UNICEF Regional
         sustainable funding for such social           and monitoring system bringing          Ofce for Central and
         protection from central level funds.          together different public services      Eastern Europe and
                                                                                               the Commonwealth of
     ` Delivering social services and                  that with deal child and family well-   Independent States.
         social assistance in ways that are            being.                                  Insights provide a
                                                                                               focused analysis on a
         empowering, respectful of rights                                                      specic aspect of child
                                                                                               rights in the region.
         and help overcome discriminatory
         attitudes which may exist in                                                          Readers are
16       societies at large.                                                                   encouraged to
                                                                                               reproduce materials
                                                                                               from Insights as long
                                                                                               as it is not being
     6. Continue drive for non-institutional                                                   sold commercially.
     care solutions                                                                            As copyright holders
                                                                                               UNICEF requests due
                                                                                               acknowledgement and
                                                                                               we kindly ask online
     Non-institutional care solutions still                                                    users to link to the
     need to be promoted at all levels. In                                                     original URL addresses
                                                                                               mentioned above.
     practice:
     ` Awareness campaigns about the



         unite for children
         www.unicef.org/ceecis

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Insights: Child rights in Eastern Europe and Central Asia - Issue 1/2012

  • 1. ISSUE 1 / 2012 INSIGHTS: CHILD RIGHTS IN CENTRAL AND EASTERN EUROPE AND CENTRAL ASIA Keeping families together Making social protection more effective for children Abstract Countries in Central and Eastern Europe and the Commonwealth of Independent States (CEE/ CIS) have a tremendously high number of children who grow up in formal care: 1.3 million. Around half of them grow up in large scale residential care institutions which risks harming their health, development and future life chances. Family separation often happens because parents cannot access the support they need to take care of their children at home. Social protection systems in the region are failing these families. UNICEF urges governments to take immediate action to support these families by improving social protection so that it reaches out to and has an impact on those who need it most, including families at risk of disintegration. Most importantly, governments and societies must work to dismantle the barriers that vulnerable families encounter when trying to access vital services and assistance. This can help to prevent children from being arbitrarily separated from their parents. Separation of children from families: understand why high rates of child placement a litmus test for the effectiveness in formal care persist despite this, researchers explored barriers to and impacts of accessing of social protection social protection in each country. One indicator of the effectiveness of a social The research offers important insight into the protection system is its capacity to support weaknesses of and challenges faced by social vulnerable families to take care of their children protection systems in the region. These countries at home. Rates of children living in formal care also provide examples of good practice that point or separated from their biological families are to ways in which policy-makers might maximise very high in CEE/CIS. the impacts of social protection systems. This suggests that existing social protection systems are failing to give vulnerable families Social protection needs to address the support they need to prevent the kinds complex social realities 1 of crises that lead to a child being placed in alternative care. Impoverished families face multiple challenges that combine in ways that make them extremely This edition of Insights summarises ndings and difcult to overcome. A single mother living in a recommendations of studies on the impact and remote rural village cannot leave her children outreach of social protection systems in Albania, and travel to town to nd work, especially as the Kazakhstan and Ukraine. These countries all strain of caring for her child takes its toll on her operate social assistance programmes and are physical and mental health. As a lone parent in the process of establishing social services. To she may lose the support of friends or relatives. unite for children www.unicef.org/ceecis
  • 2. Keeping families together If she is from a minority group or if her child has empower users, build their resilience and a disability, she may suffer further stigma and Key Components of Social isolation. Coping with such circumstances drive Protection Systems some to alcoholism or drug addiction, and can lead to destitution and family breakdown. Social assistance: social benets or schemes Addressing the multiple, complex problems of that aim to alleviate poverty by giving cash or vulnerable families demands well-coordinated, in-kind transfers, tax deductions or fee waivers holistic and multi-sector responses; low-level for basic services. cash benets are not enough. As one non- governmental organisation (NGO) worker Social services: family and child support in Kazakhstan commented, families need, services that can facilitate family life and SRehabilitation, psychological and moral also prevent neglect and abuse of children support - and targeted social assistance cannot and family breakdown. Key services cover this.T To overcome hardships in the long- include day-care, counselling, support and term, people need to develop their capacity advice hotlines, rehabilitation, legal aid and to cope with sudden shock or changes in employment of social workers to work with circumstances, such as the loss of earnings vulnerable people to address issues related following an unexpected illness, or the burden to housing, employment, and accessing of looking after a newborn. education and health services. For children at risk, alternative care services such as In this way, social protection can play a vital role foster care may be needed. in preventing vulnerability and strengthening resilience to sudden life events or crises, as Programmes to ensure access to services: well as responding to their aftermath. Social measures that reduce the nancial and social protection can empower the vulnerable and barriers households face when accessing contribute to positive social change. For this social services, for example, subsidies, to happen, the different components of the social protection system (see Box 1) must work health insurance or the abolition of service together to offer a comprehensive package of user fees. support. The social protection package must also have some exibility in order to respond Legislation and policy: reforms that aim to to the specic individual circumstances that address inequalities in accessing services families at risk of disintegration may face. or economic opportunities. Examples might include employment guarantee schemes or Social protection in CEE/CIS has traditionally legislation against discrimination. focused on cash transfers for specic groups of people dened by the state as VdeservingW, Source:Integrated social protection systems: 2 for example, pensioners and military veterans. enhancing equity for children. United Nations 2 During the Soviet era, social support for ChildrenWs Fund, New York, 2012. vulnerable and poor children was built around networks of residential care institutions; the removal of children from parents struggling Box 1 to care for them was standard practice. Countries have, therefore, inherited systems that are fragmented, over-reliant on institutional ultimately to help them overcome the difculties responses and fail to provide individualized they face. Non-cash based support services support to vulnerable people. Most crucially, to families, which could help build parental they have not been designed to stimulate and capacities and facilitate family life are now unite for children www.unicef.org/ceecis
  • 3. " ! When asked why their children were placed into care, many parents said it was because they could not find or access other forms of support. INSIGHTS " emerging, but are often neither targeted to the most vulnerable nor widely available within a given country. all case study countries have established clear legislative frameworks for developing comprehensive social protection systems (see Box 2). However researchers found that many Identifying the most vulnerable families living in difcult circumstances are not receiving effective support. They reported that: The studies found that low-income families, i) Targeted social assistance programmes particularly those in remote rural areas or intended to alleviate poverty are not caring for a disabled child, are at highest risk reaching the majority of needy households. of family separation. Residential care continues For example, Targeted Social Assistance in to be the main way states attempt to meet the Kazakhstan reaches only 3 per cent of the needs of disabled children. Although they only poorest households; in Albania two-thirds represent 1-5 per cent of the child population, of the poor are not covered by the targeted in some countries they constitute over 50 per cash-transfer programme called Ndihma cent of the residential care population. Young Ekonomike. families with newborn babies and infants often ii) Non-institution based social services are still struggle to cope with the expense of caring for being accessed only by a small number of a baby while losing the earnings of one adult. parents and carers. Family and youth social As a result, large numbers of 0-3 year olds are services are being developed and expanded, taken into institutional care across the region. especially in the Ukraine. However, access Single mothers and families with a parent and delivery are patchy. Qualitative data dependent on drugs or alcohol are agged as collected in all three countries suggest that particularly vulnerable. Other high risk groups many parents do neither access services include ethnic-minority Roma families in Albania nor understand the purpose of them. and migrant families with no xed address in Kazakhstan. Experience on the ground Sometimes the state places a child in institutional care; sometimes parents themselves decide Interviews with parents and carers, frontline to do so. When asked why their children were workers and national decision-makers, build a placed into care, many parents said it was picture of the barriers vulnerable people face because they could not nd or access other accessing both social assistance and services. forms of support. They pointed out several important issues: Why families are not getting 1. Lack of awareness about eligibility for the support they need assistance When a social protection system is functioning Vulnerable families say they do not know what well, parents struggling to care for their children types of social assistance is available for them; 3 are able to: they nd out they are ineligible for existing i) Receive extra cash or other resources schemes because of restrictions built into the through social transfers; design. ii) Access support such as counselling, day- ` In Albania, land-ownership automatically care or advice through social services. disqualies applicants from receiving This combination is intended to help families Ndihma Ekonomike. This leaves many get through tough times without having to needy families that have moved from rural take extreme measures such as placing their areas, where they may own a small plot of children in institutions. The governments of land, to urban settlements, without support. unite for children www.unicef.org/ceecis Regional Ofce for CEECIS
  • 4. Keeping families together ` Informal carers in Albania d a very large social assistance, spending considerable time group that includes extended family d when and money gathering documents to prove taking care of the child of a relative, often themselves eligible. for extended periods, need to provide for the extra mouths to feed, but cannot access According to a frontline worker in Ukraine, social assistance because they are not SThere are so many who cannot gather all the formally responsible for the child they care necessary documents and do not know where for. to go, whom to ask, or what type of application ` In Kazakhstan, people who have migrated is needed.T for work to another part of the country in which they are not ofcially resident cannot A parent from Kazakhstan added, SApplications register for Targeted Social Assistance. for benets cannot be led in a village; you have ` Income calculations for means-tested to go to the district centre. I had to spend three social transfers sometimes include benets days ling an application, because every time received through other schemes. For some documents were missing, or there were example, a poor family in Kazakhstan that errors in the papers.T receives a one-off grant for a newborn may no longer be eligible for Targeted Social 3. Lack of transparency and fairness to Assistance. access social assistance ` In Ukraine calculations for the Guaranteed Minimum Income allowance sometimes take Parents and carers expressed confusion about into account disability benets, guardianship how and to whom social assistance benets allowances and old age pensions. This were awarded. They are also frustrated means eligible households have to choose at inconsistencies in monthly allowances between benets they may be entitled to. The and geographical variations in the amounts cumulative effect of these different benets received. designed to address specic sources of vulnerability might be lost on those families A parent in Kazakhstan and an NGO worker who need it most. As a local level social in Albania commented respectively, SThey care expert in Ukraine commented, SOur calculate the amounts in a way unknown to me. guardians complain about the system of They write one thing, while I receive another social benets especially if they have a child amount. I cannot understand whyT and, SThere with disability. They really have to choose is a lack of transparency of how the funds are based on what will be the larger amount d used within nancial aid and there is a lack of the benet for the disabled child or social effective monitoring of the system.T assistance for child deprived of parental care. This is not normal. Complex problems Some recipients described discrimination should be addressed in a complex way. by ofcials administering social assistance They (government) dene procedures and programmes. In Kazakhstan parents and carers 4 eligibility criteria and then itWs your problem reported particularly aggressive attitudes, if your prole does not match.T especially towards parents seeking social assistance for disabled children. A frontline 2. Applications for means-tested social worker in Albania spoke about discrimination assistance are too complicated against Roma families suggesting that SState institutions close the doors to them, or they do In the opinion of a social pedagogue in not provide the right information.T Kazakhstan, parents must Sgo through all circles of hellT to access entitlements to 4. Social assistance disbursements are unite for children www.unicef.org/ceecis
  • 5. INSIGHTS Key Social Protection Policies and Legislation Albania Ukraine The development of social protection policy in In April 2011, the Ministry of Social Policy took Albania is taking place within the context of an over as the lead government agency in the on-going process of decentralisation. development and implementation of child and B National Strategy for Integration and family policy. As a result, social policy-making Development 2008-2013: the Social has been in ux. Protection Sector Strategy is central to this. Key areas of focus include: improved Key policies and legislation includes: targeting of cash benets, decentralisation B Law of Ukraine POn social work of social services, clarifying the role of with families, children and youthS: NGOs as service providers and developing amendments in 2009 broadened the scope community-based services. of social work, put families at the centre B Social Inclusion Cross Cutting Strategy of service provision and introduced the 2007-2013: addresses access to services concept of the Vcommunity social workerW. and living conditions of children, people B Concept of Reform of the Social Services with disabilities (including developing System: this 2007 policy is a clear written community-based education and services) strategy of activities to improve the social and minority ethnic groups, most notably services system in Ukraine. It has never the Roma. been fully implemented because of a lack of either action or nancing plans. Kazakhstan B The State Social ServicesS Strategy of Social Service Development for Family, Key policies and legislation includes: Children and Youth in Ukraine 2009- B Ministry of Labour and Social Protection 2014: this aims to Sensure wide access for Strategic Plan 2011-2015: aims to increase families, children and youth to high quality the coverage of benets targeted at children social services at community level.T and families including an allowance to parents bringing up a child with a disability. Introduced care allowance for guardians. B Law on Specialised Services: the 2008 law aims to increase service provision targeted at families and to develop services in the community, including home-care for children with disabilities. B Children of Kazakhstan 2007-2011: 5 State programme that sought to ensure high-quality educational, health and social services and protection of children in hard- life situations. Box 2 unite for children www.unicef.org/ceecis Regional Ofce for CEECIS
  • 6. Keeping families together insufcient to lift people out of long-term There is a tradition of centre-based institutional poverty services with less developed networks of smaller scale community-based services in the three While most parents and carers appreciate countries. Reaching these may require travel. receiving assistance, some observed that the Travel and overnight stays are expensive and amounts were so little that, according to a particularly difcult for parents coming from a parent in Albania, SNothing has changed; we rural area or caring for a disabled child. live nowadays, as we lived before, there are still shortages.T In Ukraine respondents felt that, SLack of wheelchair-accessible public transport with the exception of the birth grant, most social is a signicant issue preventing people from assistance was too small to make a difference. accessing services,T said a social protection professional in Kazakhstan. 5. Parents, staff and decision-makers lack knowledge about social services In Albania respondents noted that sometimes husbands do not want their wives to stay Parents who had received community and overnight outside the home to take the child to family-based support from social services service centres. noted mainly positive experiences. However the studies found that the majority of the people 8. Most people do not trust or know how interviewed for this research are not aware of to use complaints procedures for social social services and do not know how to access services and social assistance them. ComplaintsW mechanisms can be a good tool A mother in Ukraine said, SI have absolutely for people to claim their rights. Respondents no clue where I can refer to for support for my in all countries expressed doubts about the disabled child.T A local government worker in effectiveness of complaints procedures. Albania claimed, SThe mentality here is still Comments included: very much related to money. People do not ` SPeople do not want to complain because understand the different types of social services it costs money. Besides, I think people that would support them. More public awareness do not trust and do not believe in positive of social services is needed.T consequences of complaintsT (a mother, Ukraine); 6. Availability of social services is variable, ` SFamilies can appeal if they do not receive delivery inconsistent and capacity of staff the right amount of benet, but I have never poor heard of anyone actually doing itT (a local government worker, Albania); All three countries are developing social ` SThe law is very clear d but often procedures services, but these are not yet available are not as clearT (a national informant, on any large scale with sustained funding. Kazakhstan); 6 Respondents reported a lack of specialist social ` In Kazakhstan, SGovernment OnlineT serves work personnel as frontline workers. SYou might as a complaint mechanism but not everyone nd the same person opening the door, doing has access to the internet. In Ukraine, the secretary role, the Social Administrator role, several cases challenging decisions on and a lot of other roles as wellT said an NGO social benets have gone through the courts worker in Albania. system, however it is not known which families use the courts. It is possible it is 7. Centre-based social services usually in not the poorer families who may need the towns and difcult for vulnerable to reach benets the most. unite for children www.unicef.org/ceecis
  • 7. ! Lack of wheelchair-accessible public transport is a significant issue preventing people from accessing services. " INSIGHTS 7 unite for children www.unicef.org/ceecis Regional Ofce for CEECIS © UNICEF/SWZK/2011/FYROM/John McConnico
  • 8. Keeping families together Policy issues emerging from non-eligible households from receiving social current experience assistance. But this also results in a more complex application process which can become Research about the current situation in Albania, an insurmountable barrier for some families, Kazakhstan and Ukraine has identied the causing the exclusion of a large numbers of following policy issues: eligible families. 1. Weak outreach of the available support The inclusion of other social assistance benets leads to the low take-up by those who need in calculations to determine a poor familyWs it most income is particularly problematic, especially when different social benets are meant to Social workers and administrators do not address different types of vulnerabilities which systematically and proactively contact, visit and might cumulate in the same household. inform vulnerable families of the assistance or services available to them. As a mother in Spotlight on interesting solutions Ukraine said, SIf parents know, they will be referred and they will get the benet. It they B Reviewing design of targeted social donWt know, nobody will inform them.T assistance programmes: in Albania, a major review of the Ndihma Ekonomike This is in contrast to residential schools and programme is in the pipeline. This will look care homes which actively recruit children from at the issue of the exclusion of families poor rural areas. who own land. In Kazakhstan, rules that include the value of other social assistance Respondents in Ukraine describe how workers programmes in the calculations to determine went to remote areas and persuaded parents a familyWs eligibility for Targeted Social to place their children or threatened them with Assistance are being reviewed. removal of their parental rights. B Moving towards categorical benets: Both Kazakhstan and Ukraine have a broad Spotlight on interesting solutions range of categorical benets, including one- off grants for newborns and infants, cash B Community outreach in Albania: Job transfers for single parent families childcare descriptions for social workers based assistance for children below three (Ukraine), in Child Protection Units in Albania now and assistance for families with more than require them to go out into the community four children (Kazakhstan). Together with and identify families at risk. disability benets, these categorical social B Placing social workers: in maternity benets are reaching higher numbers of wards in Ukraine and in health facilities and the poorest families than means-tested community centres in Albania, and creating schemes in all three countries. This high the role of VSocial PedagogueW in schools in coverage is because administrative barriers 8 Kazakhstan has helped identify and make to accessing these categorical grants are contact with harder-to-reach families who lower and the amounts distributed are higher. are unlikely to approach services. Ukraine in particular has been phasing out spending on means-tested benets in favour 2. Excessive administrative barriers results of categorical benets to support children in the vulnerable unable to access assistance and carers. Strict eligibility criteria are intended to prevent unite for children www.unicef.org/ceecis
  • 9. ! Social workers in health facilities and social pedagogues in schools have made contact with harder-to-reach families. " INSIGHTS 9 unite for children www.unicef.org/ceecis Regional Ofce for CEECIS © UNICEF/NYHQ2011-1089/Holt
  • 10. Keeping families together 3. Social protection system components B Joint efforts of medical staff and social need to be integrated and coordinated workers: in Ukraine, and more recently Kazakhstan, social workers have been Lack of integration of support mechanisms placed in maternity wards to work with hampers the effectiveness of the system. pregnant women whose children are at high SInteragency working between sectors is the risk of being placed in institutional care. biggest problem. Everyone is working on their These workers are able to access hard-to- ownn.there is little sharing of information; at local reach woman living in difcult circumstances level sectors donWt come together naturally; the and offer a range of interventions and Child Protection Units try to play a coordinating advice. In Ukraine, the joint efforts of role but this is based on personal relationships medical staff are linked by some research rather than institutional responsibility,T said a respondents to the marked decrease in frontline worker in Albania. infants being placed in institutional care. For a local government expert in Ukraine, SIt is An NGO worker in Ukraine said, SNo Ministry a positive development that we have more considers itself responsible for supporting mother and baby units, more social workers families and children as a whole.T Each working in maternity wards and clinics. As department focuses on their own specic a result we have less abandonment d the concern. Frontline workers pointed out that while number dropped 5 times d from 2,500 cases the Ministries concerned with social protection per year to 800 cases last year.T in Ukraine work to develop community-based social services and prevent children being 4. More guidance needed for local separated from their parents, the Ministry of respondents to plan, nance and implement Education, Science, Youth and Sports has been services calling on local governments to organise the education of children in institutions and actively The need for better planning and clear recruit children from villages to meet education guidelines for implementation was repeatedly targets. raised by respondents in all three case study countries. Respondents felt that the absence of At the local level, social assistance ofces and such guidelines had led to many of the barriers social services often do not communicate, even and inconsistencies experienced on the ground. when operating from the same building. Many complained that strategies are not properly planned and do not have adequate nancing to As a nation decision-maker in Kazakhstan become reality. noted, SThe Ministry of Labour and Social Policy is trying to merge services and the benets SCentral government write the laws but do not system but itWs not really working d at local provide guidelines for local government on how level they are completely separate d the local to implement them,T as a local government benets ofce is standalone.... the service area worker in Albania said. A national level expert 10 is new and underdeveloped.T in Kazakhstan commented, SThe new state social services law is not yet fully operational d Spotlight on interesting solutions clarication is needed on the role of social work at management and practice levels d where B Coordinate policy-making: in April 2011, they should sit, what is the role of NGOs and overall coordination for social protection how to involve them.T was brought to UkraineWs Ministry of Social Policy to enable better coordination at the Secondary legislation also needs to be top. developed, especially concerning: eligibility unite for children www.unicef.org/ceecis
  • 11. ! No Ministry considers itself responsible for supporting families and children as a whole. " INSIGHTS 11 unite for children www.unicef.org/ceecis Regional Ofce for CEECIS © UNICEF/SWZK/00883/Pirozzi
  • 12. Keeping families together criteria for social assistance programmes; policies, in order to review and rene policy and roles, mandates and responsibilities within budget decisions, is also not yet a strong and social services; roles and mandates of NGOs recognized function of the system. and their relationship with state structures; funding streams and mechanisms for services; A key informant from an Albanian NGO complaints procedures; standards for services commented, SDecision-makers donWt have and codes of conduct for professionals. serious discussions about developing realistic plans d if they sit down to discuss something ... Spotlight on good practice they donWt go into detail about how we can reach this goalnthis is in general our way of working ` Developing protocols for collaborative and thinking from the past nso they donWt think working: in Albania, Child Protection Units seriously how to formulate a strategy - this have been set up with the contribution leads to weak action planning, collaboration of donors and implemented by NGOs in and strategies which are impossible to deliver.T collaboration with local authorities. To support this collaboration, the Ministry of Labour, 6. More better-trained and better-paid social Social Affairs and Equal Opportunities workers developed, with the support of Terre des Hommes and UNICEF, the comprehensive Poor working conditions mean that even in the Working Protocol for Child Protection Ukraine, where 1,350 graduate annually, social Workers. This document sets out the roles workers are not necessarily taking up relevant and responsibilities of child protection posts. Interviewees suggested that social work workers and detailed case management training does not always prepare students guidelines. It includes the recommendation adequately for the realities of the job. Many that every case is reviewed at regular struggle to work effectively with marginalised intervals of three months or more frequently and stigmatized groups. should a childWs situation deteriorate or improve. Multidisciplinary teams have Tools that social workers need to do their job also been established to protect, assess effectively, such as emergency social assistance and refer children at risk and CPUs are or access to housing to respond to family crisis, expected to act as coordination points for have not yet been well established. Training linking families into social support ofces. social workers and specialised personnel to work Although the study could not assess how with, for example, children with special needs well the protocol was being implemented, it also needs to be established as a priority. provides clear instructions and guidance for workers involved in assessing and working Spotlight on interesting solutions with families. B Training social workers: in Kazakhstan, 5. More work needed to monitor and evaluate increasing the number of social workers is 12 the implementation of policies a major priority and KZT 6 million (around USD 39,300) have been allotted to training Having moved from a system of centralized 300 new social workers. Ukraine is leading planning and management of public services, the way developing its social work force, government workers are not always properly with 1,350 social workers graduating every equipped with skills and tools for programmes and year. budgets. Evaluation of the impact, effectiveness, B Involving people from minority groups efciency, relevance and sustainability of public in recruitment and service delivery: one unite for children www.unicef.org/ceecis
  • 13. ! More social workers are in maternity wards and clinics. As a result, there is less child abandonment. " INSIGHTS 13 unite for children www.unicef.org/ceecis Regional Ofce for CEECIS © UNICEF/NYHQ2005-1776/Pirozzi
  • 14. Keeping families together NGO in Albania has had success using care institutions continue to receive funding and VmediatorsW from within the Roma community actively recruit children from poor, rural families: to help that group access social services institutional care is Vusual practiceW for provision and social assistance. of healthcare and education to children with disabilities or from poor families. Parents tend 7. Financing plans must aim to ensure equal not to challenge the advice of education and provision across regions health professionals and may even consider it a positive step for their child. Arrangements for nancing social protection measures d in particular the ow of funds from One child rights expert policy-maker in Ukraine central to local level d are often inadequate. commented that there was no requirement and little incentive to work proactively with families, In Albania nine residential care institutions are SPersonally I think in most cases it is easier to given funds by central government, but additional work with the child in some type of institution than resources for community-based services need to work with complex problems of families. And to be raised by local governments which already it is not required by the legislation to preserve have constrained budgets, especially in the the family d it is only required to protect the child poorest and remotest areas. Child Protection and an ofcial can always say that taking away Units are all funded by NGOs and international the child was a protective measure. Probably donors, raising questions about sustainability. the state should more strictly require work with families.T A key NGO informant commented, SI canWt say that the state hasnWt done anything d policies Recommendations have been developed! But policy-makers need to get out into the communities and understand The ndings from the research in Albania, real needs more. Now the government has Kazakhstan and Ukraine provide lessons a strategy [for Roma]nbut no nancing is relevant to many of the countries in the attached. The strategy is very thorough but it CEE/CIS region. There are seven general needs an action plan and budget and to have recommendations emerging from this research, short, mid and long terms goals.T with broad application across the region. Researchers in Ukraine found that the system 1. Maximise impacts by integrating social of allocating nancial resources per head for protection efforts people taken into institutional care creates disincentives for local authorities and state Better impact can be achieved at low cost by service providers to invest in alternative social better coordinating and integrating existing protection. social protection interventions. In practice this means: 8. Funding and unchallenged public ` Ensuring that different sectoral policies, other 14 perceptions still favour institutional care than dening specic sectoral goals, jointly contribute to ensure larger public policy SA lot of ofcials somewhere deep in their heart goals. Databases containing information still sincerely believe that an institution is better on service users and beneciaries need to for a child and they motivate parents for thisT, be coordinated, and sharing of information noted a national-level government expert in facilitated, with due consideration to the Ukraine. protection of privacy. ` Using the existing infrastructure and reach Large, well-organised networks of residential of social assistance, health and education unite for children www.unicef.org/ceecis
  • 15. INSIGHTS structures to extend the reach of social schemes by reviewing eligibility criteria services. Grants for the newborn, for and application processes for means-tested example, offer unprecedented opportunities social assistance to communicate with young families about other kinds of services. Similarly, medical Different forms of social assistance exist in the professionals who come into contact region, but outreach is vital to eliminate risks with vulnerable families who are seeking such as family separation. Ensuring better reach medical advice related to pregnancy or and addressing some barriers parents and child birth could facilitate referral to other carers face when accessing social assistance social services if there is an imminent risk of means in practice: disintegration of the family. ` Providing clear, publicly available guidance ` Improving information sharing to the public on application procedures, eligibility criteria on available benets and services. Social and benet entitlements. workers in particular need to be equipped ` Ensuring that applicants are assessed VnetW to inform clients of the benets available to of other benets that they are entitled to so them, and social assistance ofcers should that they do not have to choose between know about the kinds of services that might different benets in case where they have benet their recipients. multiple vulnerabilities. ` Developing protocols and training that ` Minimising travel for registration and offering enable social workers, administrators of support for acquiring documents. social benets and others who come in ` Raising the value of benets for means regular contact with vulnerable families tested assistance so that they represent a (police, staff in schools, health workers) to higher share of average household income work together. is also likely to increase the coverage and longer-term impacts of these programmes. 2. Maximise impacts by developing guidance on how to implement and enforce existing 4. Extend reach of social protection through legislation awareness-raising and pro-active search and support to vulnerable families Legislation has been improved but practice in the eld is lagging. Improvements in delivery of Extending the reach of social protection in programmes at the local level can be achieved practice means identifying who are the most in practice by: vulnerable groups, dening the entry points for ` Setting out clear mandates, roles and how to reach out to them and proactively help responsibilities for social workers and to eliminate the barriers they may face to get develop clear guidance on eligibility assistance. For example: requirements and application processes for ` Targeting mothers in hospitals has had social assistance. signicant and rapid impacts in Ukraine. ` Clarifying procedures for how to make claims ` Families with children from rural areas, 15 and complaints through legal mechanisms families with children with a disability, families and, as part of this, establishing ways living in extreme poverty, and families where of enforcing legislation that prohibits drug and alcohol problems and mental health discrimination at local level. issues are prevalent, should be proactively ` Establishing clear and stable funding targeted. The introduction of a carerWs streams and mechanisms for programmes allowance in Ukraine, Kazakhstan and and services. elsewhere, and proactive day care services such as those introduced in Albania, have 3. Extend reach of social assistance had some success in supporting disabled unite for children www.unicef.org/ceecis Regional Ofce for CEECIS
  • 16. Keeping families together children within the family context. benets of keeping children in ` Particular attention should be parental care and about alternative Credits focused on families with young kinds of social services can help. Insights Issue1/2012 children. Interventions targeting ` A continued and parallel closure of on Social Protection was written by Peroline single parent households and care institutions will also contribute Ainsworth and edited families with large numbers of to shift the demand for support. by Elena Gaia and Anna Nordenmark children should also be prioritized. Severinsson. The Community and home visits, and 7. Ensure evidence-based policy- Design is by Yudi Rusdia. To download media and radio publicity might be making by developing effective this issue, please go to www.unicef.org/ceecis/ ways of reaching these families. monitoring and evaluation systems Insights2012_on_ Social_Protection 5. Strengthen equity in provision of An effective and efcient social This issue is based social protection protection system is one that is on a study that was carried out in three continuously improved, can identify countries in 2011, Social protection is meant to help its own errors and unintended side- called The capacity of social protection overcome inequities, build resilience effects. Therefore, to ensure the best systems to provide adequate support to and empower people so that they can possible effects of policies in exchange the most vulnerable face risk better and not fall through the for the public resources invested, there children and their families and prevent cracks. is a need for effective monitoring and family separation - evaluation. To put these in place in a thematic study covering Albania, As such, social protection should not practice means: Kazakhstan and perpetuate the inequities in societies ` Increasing the availability of Ukraine. The study was coordinated by Oxford that it is meant to ght. In practice this information on the take up and Policy Management under the supervision means: impacts of social assistance and of Jean Claude ` Ensuring that there is a nationally services among different groups of Legrand, UNICEF. To download this study, agreed minimum package of social beneciaries. please go to protection services and social ` Establishing mechanisms that allow www.unicef.org/ ceecis/2011_Thematic_ assistance for all who need it, the views of users to reach service Study_on_Social_ regardless of where they live in the providers and planners, and that Protection. country and what vulnerabilities enable them to make complaints The rst edition of the Insights series they face. and challenge decisions. This can of analysis was ` Providing a predictable and be part of a comprehensive data published by the UNICEF Regional sustainable funding for such social and monitoring system bringing Ofce for Central and protection from central level funds. together different public services Eastern Europe and the Commonwealth of ` Delivering social services and that with deal child and family well- Independent States. social assistance in ways that are being. Insights provide a focused analysis on a empowering, respectful of rights specic aspect of child rights in the region. and help overcome discriminatory attitudes which may exist in Readers are 16 societies at large. encouraged to reproduce materials from Insights as long as it is not being 6. Continue drive for non-institutional sold commercially. care solutions As copyright holders UNICEF requests due acknowledgement and we kindly ask online Non-institutional care solutions still users to link to the need to be promoted at all levels. In original URL addresses mentioned above. practice: ` Awareness campaigns about the unite for children www.unicef.org/ceecis