The document provides an overview of care reform efforts in Ghana, including achievements, challenges, and recommendations. It summarizes that Ghana has made progress in shifting from institutional to family-based care, supporting over 1,500 child reunifications. Key reforms include establishing standards for residential homes and promoting foster care and adoption. However, challenges remain around workforce capacity, funding, and monitoring care quality. The document recommends evaluating reforms and strengthening family support to prevent separations.
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This document discusses the importance of understanding financial management for healthcare professionals. It notes that the healthcare industry is complex and that financial management has spread beyond finance departments, with managers from different areas now making financial decisions. To be effective, all healthcare managers need a firm grasp of financial concepts. The document also provides definitions of management, financial management, and accounting. It emphasizes that generating margin or profits is important for both non-profit and for-profit healthcare organizations.
The document discusses sector-wide approaches (SWAps) in health sectors, including defining SWAps, their components and evolution in Nepal's health sector. It outlines Nepal's policy context for SWAps, challenges in implementing SWAps, opportunities they provide, and recommendations for strengthening SWAps such as designing awareness and leadership programs.
This document discusses clinical audits and the process for conducting them. It explains that a clinical audit committee comprised of hospital administrators and department heads meets monthly to review patient cases, seek ways to improve care, and address quality issues. The committee keeps discussions secret and communicates important findings to relevant departments to take corrective action. It also emphasizes the importance of complete and accurate medical records for facilitating clinical audits. The clinical audit process involves measuring current performance levels, making improvements, sustaining enhancements, and ongoing monitoring and evaluation.
Financial Management In Healthcare PowerPoint Presentation SlidesSlideTeam
This document discusses various topics related to financial management in healthcare, including:
- Key financial trends in the healthcare industry such as value-based payments and data analytics.
- A comparison of healthcare expenditures as a percentage of GDP across different countries.
- An overview of different healthcare financing models.
- Metrics and analysis used for healthcare system financial analysis including profitability ratios.
- A comparison of hypothetical healthcare organization financial statements under two alternatives.
- Calculations of direct and indirect healthcare costs.
- Various statistics related to healthcare spending, quality, and the size of the global healthcare market.
HEALTH SECTOR TRANSFORMATION IN QUALITYMarkos Paulos
This document provides guidelines for quality improvement in Ethiopian health facilities. It discusses key quality improvement concepts like quality planning, improvement, and control. Quality is defined as care that is safe, effective, patient-centered, timely, efficient, and equitable. Quality improvement is presented as a cyclical process involving setting standards, assessing performance against standards, identifying and prioritizing problems, analyzing causes, developing solutions, and implementing and evaluating action plans. The principles of client focus, provider focus, systems approach, teamwork, effective communication, and data use are also outlined.
Regional and International Organizations Engaged in Accounting HarmonizationSundar B N
Regional and International Organizations Engaged in Accounting Harmonization.
Subscribe to Vision Academy for Video assistance https://www.youtube.com/channel/UCjzpit_cXjdnzER_165mIiw
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Challenges and Prospects of Derivative Market in NepalKarna Lama
The document provides an introduction and background on derivatives markets in Nepal. It discusses how derivatives first originated in Japan in the 1650s and were introduced in Nepal in 2006. It notes that Nepal's derivatives market is still developing and limited mostly to commodity derivatives. The objectives of the study are to analyze the growth patterns, problems, and future prospects of derivatives in Nepal. It identifies several research questions around the challenges facing the Nepalese derivatives market and its potential contributions to the economy. The study aims to provide an overview of the Nepalese derivatives market and examine regulations, policies, and concepts of derivatives trading in Nepal. It acknowledges limitations due to the market being recently established and lack of information.
This document discusses the importance of understanding financial management for healthcare professionals. It notes that the healthcare industry is complex and that financial management has spread beyond finance departments, with managers from different areas now making financial decisions. To be effective, all healthcare managers need a firm grasp of financial concepts. The document also provides definitions of management, financial management, and accounting. It emphasizes that generating margin or profits is important for both non-profit and for-profit healthcare organizations.
The document discusses sector-wide approaches (SWAps) in health sectors, including defining SWAps, their components and evolution in Nepal's health sector. It outlines Nepal's policy context for SWAps, challenges in implementing SWAps, opportunities they provide, and recommendations for strengthening SWAps such as designing awareness and leadership programs.
This document discusses clinical audits and the process for conducting them. It explains that a clinical audit committee comprised of hospital administrators and department heads meets monthly to review patient cases, seek ways to improve care, and address quality issues. The committee keeps discussions secret and communicates important findings to relevant departments to take corrective action. It also emphasizes the importance of complete and accurate medical records for facilitating clinical audits. The clinical audit process involves measuring current performance levels, making improvements, sustaining enhancements, and ongoing monitoring and evaluation.
Financial Management In Healthcare PowerPoint Presentation SlidesSlideTeam
This document discusses various topics related to financial management in healthcare, including:
- Key financial trends in the healthcare industry such as value-based payments and data analytics.
- A comparison of healthcare expenditures as a percentage of GDP across different countries.
- An overview of different healthcare financing models.
- Metrics and analysis used for healthcare system financial analysis including profitability ratios.
- A comparison of hypothetical healthcare organization financial statements under two alternatives.
- Calculations of direct and indirect healthcare costs.
- Various statistics related to healthcare spending, quality, and the size of the global healthcare market.
HEALTH SECTOR TRANSFORMATION IN QUALITYMarkos Paulos
This document provides guidelines for quality improvement in Ethiopian health facilities. It discusses key quality improvement concepts like quality planning, improvement, and control. Quality is defined as care that is safe, effective, patient-centered, timely, efficient, and equitable. Quality improvement is presented as a cyclical process involving setting standards, assessing performance against standards, identifying and prioritizing problems, analyzing causes, developing solutions, and implementing and evaluating action plans. The principles of client focus, provider focus, systems approach, teamwork, effective communication, and data use are also outlined.
Regional and International Organizations Engaged in Accounting HarmonizationSundar B N
Regional and International Organizations Engaged in Accounting Harmonization.
Subscribe to Vision Academy for Video assistance https://www.youtube.com/channel/UCjzpit_cXjdnzER_165mIiw
The document discusses various approaches to quality improvement in healthcare, including Six Sigma, Total Quality Management (TQM), and the FADE model. Six Sigma uses statistical methods and aims for near-zero defect rates. TQM takes a customer-focused approach to continuous process improvement through methods like scientific problem-solving and participation at all levels. The FADE model outlines five steps for quality improvement projects: focus, analyze, develop, execute, and evaluate. Microsystems thinking views individual care units as the building blocks for organizational outcomes.
Uganda has undertaken significant care reform efforts to strengthen family-based care and reduce reliance on residential care facilities. Key achievements include developing a legal framework promoting family preservation, reunifying over 1,600 children with families, closing substandard residential facilities, and regulating foster care. Challenges remain in fully implementing policies, building workforce capacity, and developing family support services to prevent separation. Overall, Uganda has made progress establishing alternative care policies and programs, but continued efforts are needed to strengthen family-based care.
The document discusses resource mobilization for PEPFAR's gender programs in Nigeria. It describes PEPFAR's $15 billion commitment over 5 years and its focus on addressing gender norms and inequities. It outlines PEPFAR's gender framework and strategies to integrate gender throughout HIV prevention, care, and treatment programs by understanding the unique needs of different groups and ensuring meaningful participation and equitable access to services.
The document discusses resource mobilization for PEPFAR's gender program in Nigeria. It outlines PEPFAR's $15 billion commitment over 5 years to fight HIV/AIDS in 15 countries. It describes how PEPFAR Nigeria supports gender programming through capacity building. The gender framework aims to promote gender equality and reduce gender-based violence to ultimately lower HIV incidence and impact.
Day 1 session 3 strengthening policy engagement in imcha ppdea-imcha
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Session 3 strengthening policy engagement in imcha ppdJoshua Waema
This document summarizes a workshop organized by Partners in Population and Development (PPD) on strengthening policy engagement efforts in their Innovating for Maternal and Child Health in Africa (IMCHA) program. The workshop discussed definitions of policy engagement, attributes of effective policy engagement including being evidence-based and using champions. It also addressed challenges like different policymaker backgrounds and data quality issues. The document provides examples of PPD's policy engagement achievements and opportunities to strengthen engagement, such as repackaging data, understanding policymaker priorities, and establishing partnerships.
Connect the Dots: Building a Movement for Children and Families -- Project LA...Jim McKay
This document discusses building a social movement to promote protective factors for children and families. It provides examples of how individuals, community organizations, and policymakers can collectively work to connect actions that strengthen families. This includes faith-based organizations promoting protective factors, a community dashboard to track outcomes, and advocating for policies that reduce senior poverty through programs like Social Security and Medicare. The overall goal is for diverse stakeholders to take coordinated actions and measure shared outcomes to achieve greater impact in supporting children and families.
Children's Services Council of Broward County, Systemic Model of Preventioncscbroward
Research Analyst Laura Ganci and Program Specialist Melissa Stanley of the Children's Services Council of Broward County, hosted a webinar for the Florida Alcohol and Drug Abuse Association on Implementing a Collaborative Approach to Child Welfare.
The Children's Services Council of Broward County provides leadership, advocacy and resources necessary to enhance children's lives and empower them to become responsible, productive adults. To learn more, visit us online at www.cscbroward.org and on social media at www.facebook.com/cscbroward; www.twitter.com/cscbroward; and www.youtube.com/cscbroward
Community health systems strengthening in Petit-Goave, Haiti_SankarCORE Group
This document outlines objectives and lessons learned from a community health systems strengthening project in Petit-Goave, Haiti. The project worked to expand access to maternal and child health services through partnerships with the Ministry of Health, local NGOs, and faith-based organizations. Traditional birth attendants were trained and community health workers engaged to link communities with formal health services. While the project achieved positive outcomes like a network of trained community providers, challenges included sustainability and true community engagement. Key learnings included the need for long-term health system support, innovative community health worker models, and greater involvement of all stakeholders.
CSHGP Operations Research Findings_Jennifer Weiss and Khadija Bakarr_5.8.14CORE Group
1. The Operations Research study tested an Integrated Care Group model in Burundi which achieved at least the same improvements in key health knowledge and practices as the traditional Care Group model.
2. The Integrated Care Group model was found to function as well as the traditional model in terms of volunteer attendance and household visits.
3. The Integrated Care Group model was determined to be as sustainable as the traditional model in the six months following the end of project support.
The document outlines Lincolnshire County Council's strategic direction and financial challenges over the next few years. It summarizes:
1) The council faces a funding gap of £148 million by 2015 due to grant reductions and budget pressures, with an additional £90 million challenge expected by 2018-2019.
2) Commissioning strategies are outlined to improve services for children, adults, and communities in light of reduced funding.
3) The vision is for more integrated and proactive health and care services delivered through community teams and urgent care centers, freeing hospitals for specialist care.
4) Emerging proposals are described to restructure services around proactive urgent care, planned care, and women's and children's services
This document outlines a 5-year, 5.4 million Euro project in Malawi aimed at improving comprehensive sexuality education and family planning among adolescents and women. The project will be implemented in 5 districts by 4 partners led by Save the Children International. It aims to reduce teenage pregnancy and unplanned childbearing through increased access to reproductive health services, especially among underserved populations. Key strategies include training community health workers, establishing youth centers, integrating HIV/AIDS services, and conducting communication programs to increase demand. The project expects to reach 160,000 individuals through activities linked to its 4 result areas: increasing access to services, improving service quality, enhancing demand, and strengthening advocacy. It has made progress in areas such as outreach clinics,
The document summarizes key points from a presentation on implementing the Care Act. It examines challenges to implementation, discusses orienting practice around outcomes to improve wellbeing, and addresses partnership working. Some of the main topics covered include the final regulations and guidance, wellbeing and eligibility criteria, working in partnership through greater integration and co-production, and shifting to an outcomes-based approach. Representatives were asked about issues they are facing in their planning and how to strengthen cooperation across services. The presentation aimed to help organizations prepare for the changes required under the Care Act.
The presentation discusses initiatives at the Georgia Department of Human Services (DHS) across multiple areas:
1) The Integrated Eligibility System aims to stabilize systems, consolidate eligibility call centers, prepare for increased volume under the Affordable Care Act, and develop the new eligibility system.
2) Attacking Fraud, Waste and Abuse includes implementing an able-bodied program for food stamps, recontracting for benefit fraud prosecution, increasing collaboration with GBI, and supporting legislative changes.
3) Developing self-sufficiency and independence involves expanding problem-solving courts, collaborating on re-entry programs, job grants for ex-offenders, and establishing a community outreach council.
WASH Debate: Building institutional capacity for behaviour change & sanitatio...IRC
The aim of this WASH debate - jointly organised by IRC and IHE Delft - is to bring greater attention to the variety of behaviours that make up good sanitation, and the range of actors involved in keeping a toilet functional and an environment clean. Specifically it will focus on questions such as:
- How can CLTS be best combined with other sanitation approaches?
- And, in situations where CLTS might be mismatched for local contexts, what alternative methods can be applied to effect change?
- How can the capacity for behaviour change and sanitation programming be institutionalised?
The document provides an overview of the Healthy Chicago initiative's progress in its first year. It summarizes the status of strategies across multiple health priorities such as tobacco use, obesity prevention, HIV, and access to care. Charts show the percentage of strategies completed, in progress, and pending for each priority. The presentation highlights accomplishments within each priority and outlines selected activities for the second year. Overall, 47% of strategies were completed and 45% were in progress after the first year of Healthy Chicago implementation.
Cross-cutting Themes in Community_Sacks_MorrowCORE Group
This document summarizes a panel discussion on cross-cutting themes in community health from USAID's Child Survival and Health Grants Program (CSHGP) 2014 cohort. It discusses USAID's commitment to ending preventable child and maternal deaths through community-based programming. Two grantee presentations showcase models for community engagement in Bangladesh and quality improvement initiatives in Benin. A cross-cutting analysis identifies key themes of community engagement and integrated service delivery. MCSP aims to accelerate institutionalization of community health and proposes a "Looking Glass" model of essential elements for viable integrated community health platforms.
This document summarizes a panel discussion on cross-cutting themes in community health from USAID's Child Survival and Health Grants Program (CSHGP) 2014 cohort. It discusses USAID's commitment to ending preventable child and maternal deaths through community-based programming. Two grantee presentations showcase integrated quality improvement collaboratives in Benin and a people's institutions model in Bangladesh. A cross-cutting analysis identifies key themes of community engagement and service delivery. MCSP aims to accelerate institutionalization of community health and proposes a "Looking Glass" model of viable integrated community health platforms centered around interventions, workforce, governance, learning and support.
Managing missing values in routinely reported data: One approach from the Dem...MEASURE Evaluation
This Data for Impact webinar was held in December 2020. Access the recording and learn more at https://www.data4impactproject.org/resources/webinars/managing-missing-values-in-routinely-reported-data-one-approach-from-the-democratic-republic-of-the-congo/
This Data for Impact webinar took place October 29, 2020. Learn more at https://www.data4impactproject.org/resources/webinars/use-of-routine-data-for-economic-evaluations/
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Uganda has undertaken significant care reform efforts to strengthen family-based care and reduce reliance on residential care facilities. Key achievements include developing a legal framework promoting family preservation, reunifying over 1,600 children with families, closing substandard residential facilities, and regulating foster care. Challenges remain in fully implementing policies, building workforce capacity, and developing family support services to prevent separation. Overall, Uganda has made progress establishing alternative care policies and programs, but continued efforts are needed to strengthen family-based care.
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The document summarizes a workshop on strengthening policy engagement efforts to improve maternal and child health in Africa. It discusses definitions of policy engagement, attributes of effective engagement, and challenges and opportunities for engagement. Partners in Population and Development, the organization hosting the workshop, promotes reproductive health and population issues through evidence-based advocacy and engagement with policymakers in 14 African countries. The workshop aimed to share lessons on building support among leaders, increasing funding commitments, and transferring knowledge through regional cooperation.
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This document summarizes a workshop organized by Partners in Population and Development (PPD) on strengthening policy engagement efforts in their Innovating for Maternal and Child Health in Africa (IMCHA) program. The workshop discussed definitions of policy engagement, attributes of effective policy engagement including being evidence-based and using champions. It also addressed challenges like different policymaker backgrounds and data quality issues. The document provides examples of PPD's policy engagement achievements and opportunities to strengthen engagement, such as repackaging data, understanding policymaker priorities, and establishing partnerships.
Connect the Dots: Building a Movement for Children and Families -- Project LA...Jim McKay
This document discusses building a social movement to promote protective factors for children and families. It provides examples of how individuals, community organizations, and policymakers can collectively work to connect actions that strengthen families. This includes faith-based organizations promoting protective factors, a community dashboard to track outcomes, and advocating for policies that reduce senior poverty through programs like Social Security and Medicare. The overall goal is for diverse stakeholders to take coordinated actions and measure shared outcomes to achieve greater impact in supporting children and families.
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Research Analyst Laura Ganci and Program Specialist Melissa Stanley of the Children's Services Council of Broward County, hosted a webinar for the Florida Alcohol and Drug Abuse Association on Implementing a Collaborative Approach to Child Welfare.
The Children's Services Council of Broward County provides leadership, advocacy and resources necessary to enhance children's lives and empower them to become responsible, productive adults. To learn more, visit us online at www.cscbroward.org and on social media at www.facebook.com/cscbroward; www.twitter.com/cscbroward; and www.youtube.com/cscbroward
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This document outlines objectives and lessons learned from a community health systems strengthening project in Petit-Goave, Haiti. The project worked to expand access to maternal and child health services through partnerships with the Ministry of Health, local NGOs, and faith-based organizations. Traditional birth attendants were trained and community health workers engaged to link communities with formal health services. While the project achieved positive outcomes like a network of trained community providers, challenges included sustainability and true community engagement. Key learnings included the need for long-term health system support, innovative community health worker models, and greater involvement of all stakeholders.
CSHGP Operations Research Findings_Jennifer Weiss and Khadija Bakarr_5.8.14CORE Group
1. The Operations Research study tested an Integrated Care Group model in Burundi which achieved at least the same improvements in key health knowledge and practices as the traditional Care Group model.
2. The Integrated Care Group model was found to function as well as the traditional model in terms of volunteer attendance and household visits.
3. The Integrated Care Group model was determined to be as sustainable as the traditional model in the six months following the end of project support.
The document outlines Lincolnshire County Council's strategic direction and financial challenges over the next few years. It summarizes:
1) The council faces a funding gap of £148 million by 2015 due to grant reductions and budget pressures, with an additional £90 million challenge expected by 2018-2019.
2) Commissioning strategies are outlined to improve services for children, adults, and communities in light of reduced funding.
3) The vision is for more integrated and proactive health and care services delivered through community teams and urgent care centers, freeing hospitals for specialist care.
4) Emerging proposals are described to restructure services around proactive urgent care, planned care, and women's and children's services
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The document summarizes key points from a presentation on implementing the Care Act. It examines challenges to implementation, discusses orienting practice around outcomes to improve wellbeing, and addresses partnership working. Some of the main topics covered include the final regulations and guidance, wellbeing and eligibility criteria, working in partnership through greater integration and co-production, and shifting to an outcomes-based approach. Representatives were asked about issues they are facing in their planning and how to strengthen cooperation across services. The presentation aimed to help organizations prepare for the changes required under the Care Act.
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2) Attacking Fraud, Waste and Abuse includes implementing an able-bodied program for food stamps, recontracting for benefit fraud prosecution, increasing collaboration with GBI, and supporting legislative changes.
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- How can CLTS be best combined with other sanitation approaches?
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- How can the capacity for behaviour change and sanitation programming be institutionalised?
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3. Main Demographic, Economic, and
Social Indicators
Population 24.97 million (Ghana Statistical Service, 2010)
Population of children under 15 42 percent of the population
0–14 years (%) 38.7
15–24 years (%) 18.8
Life expectancy male/female (years) 63/68
Infant and child mortality rates
5) (2012)
72 per 1000 births
Gross domestic product per capita $1,387.9 U.S. dollars (USD) (United Nations
Development Programme [UNDP], 2014)
Human Development Index: 0.579
ranking
135 out of 187 (UNDP, 2013)
Poverty rate (population below the
international poverty line)
28.6% live on less than $1.25 USD per day (UNDP,
2013)
4. • Traditional forms of care
o Informal foster care by extended family
o Community care (e.g., Queen mothers)
• Religious and belief systems
• Introduction of residential homes for children
(RHC) by colonial administration
• Evolution of RHCs from the precolonial to
postcolonial era
Cultural and Historical Influences on Care
5. Background to Childcare Reform
• Rapid growth of RHCs: (from 10 in 1997 to 148 in 2006)
• Comments from the Convention on the Rights of the
Child on Ghana’s country report
• Mapping and census of RHCs in 2006 by Ghana’s
Department of Social Welfare (DSW) with funding from
OAfrica
• Most RHCs did not meet standards set in the 1998
Children’s Act (Article 108 and 109).
6. Establishment of the Care Reform Initiative (CRI) in
2007 by the Government, UNICEF, and OAfrica, with
the following objectives:
• Promote family-based care
• Deinstitutionalization and reintegration of children
• Prevention of unnecessary separation of children
• Alternative to residential homes (adoption and
foster care)
Background to Childcare Reform (2)
7. • Ministries, departments, and agencies
• Families, communities, and individuals, including
o Religious groups and organizations
o Traditional chieftaincy system—Chiefs & Queen
mothers
• Committees and networks
• Social workers and institutions such as universities
• The United Nations and nongovernmental organizations
(NGOs)
• Development partners and donor partners
• RHCs
Key Actors in Care Reform
8. • Improvement in
foster care and
adoption regulation
through
development of
guidance
instruments
• Development of
policies, standard
operating procedures
(SOPs), and
regulations.
• Reduction in
residential care
• Supporting
family
strengthening
Major Outcomes for Children
Resulting from Care Reform
9. Major Outcomes for Children
Resulting from Care Reform
• Sustainable political will in support of care reform (2006–ongoing)
• Creation of the CRI (2007) and a monitoring and evaluation (M&E) unit
within the DSW (2017)
• Creation of multisectoral monitoring teams (ongoing)
• Capacity building of key sector stakeholders (ongoing)
• Shift from residential to family-based care
• Increased and consistent funding (The United Nations Children’s Fund
[UNICEF] and The United States Agency for International Development
[USAID]/Displaced Children and Orphans Fund [DCOF])
• Standards developed for RHCs (2010)
10. • In 2016, the DSW turned down an estimated 40
applications from NGOs to establish RHCs.
• Applicants encouraged to design programs and
projects promoting family-based care
• 85 RHCs closed down (2007–2017)
• As of April, 2013, 1,577 children reintegrated back
to their parents and extended families (Country
Care Profile, 2015).
Major Outcomes for Children
Resulting from Care Reform
13. Key Achievements of Care Reform:
Prevention of Unnecessary Family Separation
Present
• Better Care for Children Committee to coordinate the
implementation of the National Plan of Action for
Orphans and Vulnerable Children
• Conditional cash transfer programme through the
Livelihood Empowerment Against Poverty (LEAP)
programme since 2008
• Training of the workforce on alternative care and child
protection, development of SOPs for DSW, and
community development to raise awareness
14. Key Achievements of Care Reform:
Prevention of Unnecessary Family Separation
What is under way
• Engagement and mobilization of communities (child
protection toolkit)
• Social drive and communication campaign to be
launched on 31 August 2017
• Development of an information system and case
management system
Factors that facilitated or made change possible
• Government commitment (LEAP)
• Stakeholder coordination
• Advocacy
15. Key Achievements of Care Reform:
Residential Care
Present
1) What has been done in terms of
• Child and Family Welfare Policy
• 2010 standards and checklist
• Mapping and monitoring of RHCs
2) What is under way
• Revisions of the 2010 standard
• The roadmap for licensing and closure of RHCs
• Piloting of a monitoring system for children in formal care,
including RHCs
3) Factors that facilitated or made change possible
• Openness of some RHCs/NGOs to shift from residential care to
family-based care
16. Key Achievements of Care Reform:
Foster Care
Present
1) What has been done
• Legal reform provision on foster care in lieu of
residential care (e.g., Child and Family Welfare Policy)
• Foster parents—354 identified,100 screened and
trained; partner NGOs identified 80 foster parents
17. Key Achievements of Care Reform:
Foster Care
2) What is under way
• Legal reform provision on foster care in lieu of residential care
(e.g., Child and Family Welfare Policy)
• Complete screening and training of foster parents
• Development and finalization of the training and operational
manual
• Pilot of monitoring system of children in foster care
3) What factors facilitated or made change possible
• NGO collaboration
• Government commitment—Ministry of Gender, Children and
Social Protection (MOGCSP)/DSW
• Awareness, sensitization, and advocacy on foster care and
adoption regulations and procedures
18. Key Achievements of Care Reform:
Kinship Care
CRI in Ghana currently focuses on traditional kinship
care through its gatekeeping mechanisms.
19. Key Achievements of Care Reform:
Adoption
1) What has been done
• Legal reform and policy including the Children Amendment Act
2016
• The Central Adoption Authority was established.
• Regulations on adoption are being developed and finalized.
• A moratorium was placed on “unregulated” adoptions.
2) What is under way
• Passage of the regulations and finalization of a training manual.
3) Factors that facilitated or made change possible
• Government commitment
• NGO support and collaboration
• Advocacy
20. Key Achievements of Care Reform:
Family Reunification and Reintegration
Present
1) What has been done
• Tools have been developed to assess and document the
reintegration of children.
2) What is under way
• Strengthening of DSW’s reintegration capacity
• Profiling and documentation of reintegrated children
3) Factors that facilitated or made change possible
• NGO support and expertise
• RHC openness to deinstitutionalize children, in
collaboration with DSW
21. Key Challenges and Opportunities
• Workforce: limited capacity of DSW at all levels
• Finance: limited financial resource to implement the
reform
• Weak coordination among key stakeholders
including NGOs and RHCs
• Limited understanding of the CRI and lack of
evaluation to assess the impact of the reforms on
children in care and their families
22. Key Challenges and Opportunities
• Weak monitoring and enforcement of standards
of RHCs and foster care
• Weak legal enforcement of reintegration
procedures
• Capacity building in case management, referral
mechanisms, and M&E are necessary
23. Key Challenges and Opportunities
Present
Family Strengthening
• Challenges accessing operational funds from the District Assembly
Common Fund/Government of Ghana
• Donor project funds seen as the only reliable source of income for
implementing child protection activities
• Limited information on NGO programmes
Monitoring Children in Formal Alternative Care
• Standardised, reliable monitoring system necessary to support care
reform. Standardised data needed for:
o Monitoring trends in formal alternative care
o Case management by district officers and RHCs
24. Key Challenges and Opportunities
Possible untapped resources and opportunities
• Social drive to be launched to change behavior
• Broader child protection system strengthening
• Implementation and enforcement of the law
• Intersectoral and interdepartmental collaboration
• District- and community-level stakeholder
collaboration
• Staff capacity: well-organized trainings on
reintegration for DSW staff and NGO partners
25. Recommendations
• Ghana should undertake a programme evaluation
of the first 10 years of implementation of its CRI to
assess the following:
o Governance and leadership
o Relevance
o Effectiveness and efficiency in programming
o Funding
o Sustainability issues
o Monitoring and evaluation mechanisms
o Coordination and collaboration
o Changing trends and political dynamics
26. Recommendations (1)
• Efforts should be intensified in the
reintegration of children. More
collaboration will be sought from other
stakeholders to ensure efficiency.
• Progress was made in early years, with
more than 1,500 children (more than 40%
of children) reintegrated.
• There is a need to better address
underlying causes of family separation and
institutionalization of children.
27. Recommendations (2)
• The system strengthening approach is seen as
an opportunity to prevent children from being
placed in institutions and family separation.
• Addressing children in residential homes must
be done within the legal and policy framework.
• There is a need to recognize informal care, and
reform should be built on positive indigenous
models.
• Residential homes are a measure of last resort
for children and should be emphasized as part
of the behavior and social change
interventions.
28. References (1)
• Accelerating National Child Care Reform in Ghana – Baseline Report – 2017
• Better Care Network and the United Nations Children’s Fund Country. (2015).
Care Profile – Ghana. Retrieved from http://bettercarenetwork.org/bcn-in-
action/technical-guidance/country-care-profiles/country-care-profile-ghana
• Department of Social Welfare. (2010). National Standards for Residential
Homes for Orphans and Vulnerable Children in Ghana. Retrieved from
http://www.ovcghana.org/past_actions.html
• Ghana Statistical Service. (2014). Ghana Living Standards Survey - 6 Mapping
and Analysis of Ghana’s Child Protection System. Retrieved from
http://www.statsghana.gov.gh/glss6.html
• Ghana Ministry of Employment and Social Welfare. (2010). National Plan of
Action for Orphans and Vulnerable Children (2010– 2012). Retrieved from
https://www.crin.org/en/docs/GHANA%20OVC%20NPA.pdf
29. References (2)
• Ghana Statistical Service. (2010). Population and Housing Census. Retrieved
from
http://www.statsghana.gov.gh/docfiles/2010phc/2010_POPULATION_AND_HO
USING_CENSUS_FINAL_RESULTS.pdf
• Government of Ghana (2016). Children’s (Amendment) Act, 2016 (Act 937).
Retrieved from http://bettercarenetwork.org/library/social-welfare-
systems/child-care-and-protection-policies/the-children-amendment-act-2016
• Government of Ghana. (2014). Child and Family Welfare Policy. Retrieved from
http://bettercarenetwork.org/sites/default/files/Child%20and%20Family%20Wel
fare%20Policy%20-%20Ghana.pdf
• Government of Ghana. (1998). The Children’s Act, 1998 (Act 560). Retrieved
from https://s3.amazonaws.com/ndpc-
static/CACHES/PUBLICATIONS/2016/04/16/CHHILDREN+ACT.pdf
• United Nations Children’s Fund. (1998). Care Reform Initiative. Retrieved from
http://www.ovcghana.org/what_is_cri.html
30. Acknowledgments
(Ghana Core Team Members)
1. Daniel Nonah Director of DSW
2. Mr. Fred Sakyi Boafo Deputy Director Child Rights and Promotion, DSW
3. Yvonne Norman CRI Head, DSW
4. Emily Akotia Central Adoption Authority, DSW
5. Alexis Dery Technical Coordinator, United States Agency for
International Development (USAID)-DSW G2G
6. Mary Addo-Mensah USAID
7.
8.
Antoine Deliege
Iddris Abdallah
UNICEF, Child Protection Adviser
9 Dr. Kwabena Frimpong Manso University Representative
10 Naa Adzorkor Mohenu NGOs (Bethany Proposed)
11 Afua Pomaa Gyan Baffour MoGCSP – Adviser on Adoption and Foster Care
12 Patience Agyare-Kwabi MEASURE Evaluation (Consultant)
13 Afua Pomaah Gyan-Baffour Adoption and Foster Care Advisor