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.
Community social work: what it is and why it mattersIriss
Workshop delivered by Colin Turbett at the Shaping our Future: Relationships Matter Conference on 31 May 2019 at the University of Strathclyde. It provides a short history of CSW, brief case examples, and what it offers to todays practice: moving work upstream; potential for achieving greater job satisfaction; greater visibility and championing of social work's contribution; as well as better outcomes and cost effectiveness.
The Alternative Care Framework by Ministry of Gender, Labour and Social Deve...ChildsiFoundation
The Government of Uganda through Ministry of Gender, Labour and Social Development is implementing the Alternative Care Framework that seeks family based solutions for Ugandan children in care. This was another presentation by Stella Ogwang Principal Probation Officer at Ministry of Gender, Labour and Social Development at the Christian Childcare Conference held on 19 February a2015 at Gaba Community Church.
A broad range of activities are carried out by NGOs, comprising political advocacy on an array of disciplines ranging from foreign policy, elections, the environment, health care, women's rights, economic growth, among many others.
Community social work: what it is and why it mattersIriss
Workshop delivered by Colin Turbett at the Shaping our Future: Relationships Matter Conference on 31 May 2019 at the University of Strathclyde. It provides a short history of CSW, brief case examples, and what it offers to todays practice: moving work upstream; potential for achieving greater job satisfaction; greater visibility and championing of social work's contribution; as well as better outcomes and cost effectiveness.
The Alternative Care Framework by Ministry of Gender, Labour and Social Deve...ChildsiFoundation
The Government of Uganda through Ministry of Gender, Labour and Social Development is implementing the Alternative Care Framework that seeks family based solutions for Ugandan children in care. This was another presentation by Stella Ogwang Principal Probation Officer at Ministry of Gender, Labour and Social Development at the Christian Childcare Conference held on 19 February a2015 at Gaba Community Church.
A broad range of activities are carried out by NGOs, comprising political advocacy on an array of disciplines ranging from foreign policy, elections, the environment, health care, women's rights, economic growth, among many others.
Community mobilization - It is an attempt to bring both human and non-human resources together to undertake developmental activities in order to achieve sustainable development. Community mobilization is a process through which action is stimulated by a community itself, or by others, that is planned, carried out, and evaluated by a community's individuals, groups, and organizations on a participatory and sustained basis to improve the health, hygiene and education levels so as to enhance the overall standard of living in the community. A group of people have transcended their differences to meet on equal terms in order to facilitate a participatory decision-making process.
Resource mobilization - It is the process of getting resources from the resource provider, using different mechanisms, to implement an organization's predetermined goals. It deals in acquiring the needed resources in a timely, cost-effective manner. Resource mobilization advocates having the right type of resource at the right time at the right price by making the right use of acquired resources thus ensuring optimum usage of the same. Thus, resource mobilization could be seen as a combination between:
• Resources – elements necessary for the running of an organization.
• Mechanisms – means which make it possible to obtain resources directly.
• Partners – persons and/or institutions providing resources.
Thus resource mobilization may be defined as: a management process that involves identifying people who share the same values as your organization, and taking steps to manage that relationship.
A series of modules on project cycle, planning and the logical framework, aimed at team leaders of international NGOs in developing countries.
Part 7 of 11.
There are two handouts to go with this module, Population Indicators, and a Logframe with blanks. http://www.slideshare.net/Makewa/population-indicators-handout and http://www.slideshare.net/Makewa/exercise-watsan-logframe-with-blanks
A short outline of the pros and cons of networking for civil society organisations and a link to advocacy with lessons drawn from social networking sites.
Maureen Samms-Vaughan, Professor, Department of Obstetrics, Gynecology and Child Health, Faculty of Medical Sciences, The University of the West Indies - The Development and Implementation of a National Parent Support Policy in Jamaica, Expert Consultation on Family and Parenting Support, UNICEF Office of Research – Innocenti Florence 26-27 May 2014
Lena Karlsson, Director, Child Protection Initiative, Save the Children Stockholm, Family and Parenting Support, Expert Consultation on Family and Parenting Support, UNICEF Office of Research – Innocenti Florence 26-27 May 2014
Community mobilization - It is an attempt to bring both human and non-human resources together to undertake developmental activities in order to achieve sustainable development. Community mobilization is a process through which action is stimulated by a community itself, or by others, that is planned, carried out, and evaluated by a community's individuals, groups, and organizations on a participatory and sustained basis to improve the health, hygiene and education levels so as to enhance the overall standard of living in the community. A group of people have transcended their differences to meet on equal terms in order to facilitate a participatory decision-making process.
Resource mobilization - It is the process of getting resources from the resource provider, using different mechanisms, to implement an organization's predetermined goals. It deals in acquiring the needed resources in a timely, cost-effective manner. Resource mobilization advocates having the right type of resource at the right time at the right price by making the right use of acquired resources thus ensuring optimum usage of the same. Thus, resource mobilization could be seen as a combination between:
• Resources – elements necessary for the running of an organization.
• Mechanisms – means which make it possible to obtain resources directly.
• Partners – persons and/or institutions providing resources.
Thus resource mobilization may be defined as: a management process that involves identifying people who share the same values as your organization, and taking steps to manage that relationship.
A series of modules on project cycle, planning and the logical framework, aimed at team leaders of international NGOs in developing countries.
Part 7 of 11.
There are two handouts to go with this module, Population Indicators, and a Logframe with blanks. http://www.slideshare.net/Makewa/population-indicators-handout and http://www.slideshare.net/Makewa/exercise-watsan-logframe-with-blanks
A short outline of the pros and cons of networking for civil society organisations and a link to advocacy with lessons drawn from social networking sites.
Maureen Samms-Vaughan, Professor, Department of Obstetrics, Gynecology and Child Health, Faculty of Medical Sciences, The University of the West Indies - The Development and Implementation of a National Parent Support Policy in Jamaica, Expert Consultation on Family and Parenting Support, UNICEF Office of Research – Innocenti Florence 26-27 May 2014
Lena Karlsson, Director, Child Protection Initiative, Save the Children Stockholm, Family and Parenting Support, Expert Consultation on Family and Parenting Support, UNICEF Office of Research – Innocenti Florence 26-27 May 2014
Childcare Reform in Moldova Achievements and ChallengesMEASURE Evaluation
Presented at a London meeting in September 2017. Access the Romanian version of the presentation at https://www.slideshare.net/measureevaluation/reforma-sistemului-de-ngrijire-a-copilului-n-moldova-realizri-i-provocri.
Presentation by Maureen Samms-Vaughan, Department of Obstetrics, Gynecology and Child Health, Faculty of Medical Sciences, The University of West Indies, during the "Expert Consultation on Family and Parenting Support," Florence, Italy 26-27 May 2014.
This invited presentation for the Institute of Health Visiting Leadership Conference gives a DPH view on the future of Child Public Health and the need for a systems approach
Realizing article 19 and 23 of the CRPD - What types of- and considerations for social services at local level for children with disabilities?
From 4th Child Protection Forum in Tajikistan, 2013.
Jasmina Byrne and Alice Margaria OoR - Overview analysis of UNICEF supported policy and provision in middle and lower income countries at the Expert Consultation on Family and Parenting Support, UNICEF Office of Research – Innocenti Florence 26-27 May 2014
Learning Disabilities: Share and Learn Webinar – 30 March 2017NHS England
Topic: How can we meet the needs of children with complex behavioural challenge?
Guest speakers: Dame Christine Lenehan, Director,
Council for Disabled Children and Sue North, Acting Lead for Children and Young People Workstream, Transforming Care, Learning Disabilities Programme, NHS England
This webinar focuses on the work of the Lenehan Review which looked at children and young people with a diagnosis of learning disability, autism, mental health, challenging behaviour. Why does the system struggle currently and what could be done to change it so that children and young people have better outcomes.
iHV regional conf: Emeritus Professor Dame Sarah Cowley - Health Visiting as ...Julie Cooper
Presentation by Emeritus Professor Dame Sarah Cowley at the Institute of Health Visiting Regional Professional Conferences 2015 - London
Emeritus Professor Dame Sarah Cowley is a Trustee of the Institute of Health Visiting.
iHV regional conf: Emeritus Professor Dame Sarah Cowley - Health Visiting as ...Julie Cooper
Presentation by Emeritus Professor Dame Sarah Cowley at the Institute of Health Visiting Regional Professional Conferences 2015.
Emeritus Professor Dame Sarah Cowley is a Trustee of the Institute of Health Visiting.
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/
Data for Impact hosted a one-hour webinar sharing guidance for using routine data in evaluations. More: https://www.data4impactproject.org/resources/webinars/routine-data-use-in-evaluation-practical-guidance/
Lessons learned in using process tracing for evaluationMEASURE Evaluation
Access the recording for this Data for Impact (D4I) webinar at https://www.data4impactproject.org/lessons-learned-in-using-process-tracing-for-evaluation/
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Care Reform in Uganda: Achievements and Challenges
1. Care Reform in Uganda:
Achievements and Challenges
Jane Stella Ogwang
Principal Probation and Welfare Officer
London
September 11, 2017
2. Map of Uganda
Official name Republic of Uganda
Population 38.3 million
Population growth rate 3.3
Gross domestic product $25.61 billion (2016 estimate)
Capital city Kampala
Neighboring countries Kenya, South Sudan,
Democratic Republic of
Rwanda, Tanzania
3. Main Demographic, Economic, and Social
Indicators
21.1%
24.5%
54.4%
INDUSTRY
AGRICULTURE
SERVICES
GDP – Composition by Sector Annual GDP Growth (%)
0.0
2.0
4.0
6.0
2012 2013 2014 2015 2016
Population 38.3 million people; 57% are children (<18
years); about half (48%) <15 years
Population in multidimensional poverty (%) 70.3
Employment to population ratio (%, ages 15 and older) 81.9
Inflation rate (%) 6.40 in June of 2017
Human Development Index (HDI) Index: 0.493; Rank: 163 out of 188 countries
Mean years of schooling 5.7
Life expectancy at birth 59.2 years
Maternal mortality ratio (deaths per 100,000 live births) 343
Under-five mortality (Per 1,000 live births) 64
Infant mortality rates (per 1,000 live births) 43
Neonatal Mortality (per 1, 000 live births) 27
4. Presentation Outline
1. Cultural and historical influences on care
2. Key actors in care reform
3. Main features of care reform
4. Key achievements of care reform
5. Major outcomes for children resulting from the care reform
6. Factors that have facilitated or made care reform possible
7. Key challenges and opportunities
5. Cultural and Historical Influences
on Care
5
• Traditionally, orphaned and separated children were supported by their
extended families through informal foster care.
• Weakening of traditional kinship care bonds
o Urbanization and migration
o Poverty and socioeconomic pressure
o HIV and AIDS
o Insecurity, conflict, and disasters
o The Structural Adjustment Programs
• Faith communities and childcare service provision
o “Christian duty towards orphans”; Madrassas
• The growth of “orphanages” and the “social orphan”
• Deinstitutionalisation and promoting quality family & community-based care
6. Key Actors in Care Reform
• Government ministries, departments, and
agencies
• United Nations (UN) agencies
• Development partners
• Civil society organisations, including faith-
based organisations
• Academic/research institutions and
professional bodies
• Residential care facilities (RCF)
• Families, communities, and individuals
7. Main Features of Care Reform
Laws, policies, guidelines, and regulation
Laws • The Constitution of the Republic of Uganda, 1995
• Children Act Cap 59
• Children (Amendment) Act, 2016
• Local Government Act, 1997
Regulations,
guidelines, &
practice
standards
• National Alternative Care Framework, 2012 and Action Plan (2016/17–
2020/21)
• National Parenting Guidelines, 2016
• Standard Operating Procedure for Family Reintegration, 2015
• The Children (Approved Homes) Rule, 2013
Policies • National Social Protection Policy, 2015
• Uganda Integrated Early Childhood Development Policy (2013)
• Special Needs and Inclusive Education Policy (2011)
• The National Orphans and Vulnerable Children (OVC) Policy, 2004
• Universal Primary Education Policy (1997)
• Universal Secondary Education Policy (2007)
8. Main Features of Care Reform
8
• Coordination and collaboration
o Alternative Care Implementation Unit within the Ministry of Gender,
Labour and Social Development (MGLSD)
o National Child Protection Working Group (CPWG)
o Alternative Care Task Force
o The District OVC Coordination Committee and Sub-Country OVC
Committees
• Inspection and monitoring
o Inspection and monitoring of children homes to ensure compliance with
the Children (Approved Homes) Rule, 2013
• Gatekeeping mechanisms
o National Alternative Care Panel
o Courts of law and placement decision making
9. Main Features of Care Reform
9
• Social service workforce strengthening
o Alternative Care Training Curriculum developed by Makerere University
o Pre- and in-service training for social workers in child protection and
care
o Use of para-social workers to augment case management
• Service Provision
o “OVC programming” in accordance with the National Strategic
Programme Plan of Interventions for OVC (2010/11–2015/16)
o Social protection programs, e.g., Social Assistance Grants for
Empowerment (SAGE)
o Deinstitutionalisation projects and alternative care programs
o National child helpline services
10. Main Features of Care Reform
10
• Information systems
o OVC Management Information System
o Data from the Children’s Home Assessment Toolkit reported to Alternative
Care Implementation Unit (AICU)
o Proposal to develop Children Homes Management Information System
• Research/assessments
o Research on childcare and protection, and alternative care
o Operational research projects aimed at building an evidence base around
what works to keep children in healthy and protective families. Example:
Keeping Children in Healthy and Protective Families (KCHPF) Project
11. Key Achievements of Care Reform:
Prevention of Unnecessary Family Separation
• Existence of legal and policy frameworks that promote
children's right to adequate care in their families. For
example:
o The Constitution and the Children Act, 2004, underscore
children’s right to stay with their parents or guardians unless
this is not in their best interests.
o The National Alternative Care Framework (ACF) emphasizes
the need for family support and preventing the separation of
children from their parents or relatives.
o The Children (Amendment) Act, 2016, places a duty on the
MGLSD to develop a “national strategy” for the provision of
prevention and early intervention programmes to families,
parents, caregivers, and children (S. 42B).
12. Prevention of Unnecessary Family Separation
12
• Service provision
o Provision of services to support families as part of OVC programming
o Family violence prevention programs
o Linking social protection schemes with alternative care strategies—such as
integrating the cash transfer programme with the current reintegration efforts
• Public awareness and advocacy
o The Strengthen African Families campaign
o Development of Information Education and Communication/Behavior Change
Communication materials to promote family preservation and community-
based care
• Workforce development
• Pre- and in-service training for social workers in child protection and care
o Building capacity of community-based structures (e.g., para-social workers) to
prevent family separation and promote family reintegration
13. Prevention of Unnecessary Family Separation
13
What’s under way?
1. Development of a family policy that will provide a national framework for
supporting families in their caregiving role
2. Supporting families at risk of separation, through different programs
a. Parenting skills training
b. Household economic strengthening, etc.
3. Building the capacity of social workers or other relevant workforces to
support family strengthening and family-based care and protection
4. Working with community-based structures prevent child-family
separation. For example, Training additional para-social workers (PSWs) to ensure ongoing
community sensitization around issues related to the care of children
5. Advocacy and social behaviour change communication (SBCC) campaigns
to promote quality family & community-based care
14. Key Achievements of Care Reform:
Residential Care
• Existence of laws, policies, and regulations on residential care service
provision, for example:
1. Children (Approved Homes) Rule, 2013
a. Outlines the basic minimum standards and procedures for approval of children’s homes in
Uganda
b. Guidance on admission of children into approved homes, frequency of inspection, and
reporting requirements
2. The Children Act (Cap 59) and Children (Amendment) Act, 2016
a. Outlines procedures for approval of homes and placement and removal of children in approved
homes
b. Requires children’s homes and probation and social welfare officers to maintain contact with
the parents or relatives of a child in the home and maintain contact between the child and the
parents or relatives of the child
c. Regular inspection of the home
3. National Alternative Care Framework (ACF):
a. “Institutional care should only be used as a last resort.”
15. Residential Care
15
• An estimated 1,610 children have been reunited with their
families since 2014 under the two separate projects: Strong
Beginnings and Deinstitutionalization of Orphans and
Vulnerable Children (DOVCU).
• Inspection and monitoring
o Up to 564 RCFs have been assessed using the Children’s Homes
Assessment Toolkit since 2013.
o Closure of RCFs that do not meet the minimum standards; for example,
under the DOVCU project up to 21 homes were closed.
• Workforce Development
o Building capacity of residential care facility staff to ensure compliance
with Approved Homes Rules (2013) in selected district
16. Residential Care
What’s under way?
1. Conducting regular Inspection of all Children’s Homes in the country and
making appropriate recommendations for approval, improvement, or
closure
2. Development and piloting of RCF closure guidelines
3. Closure of institutions that do not meet the minimum standards
4. Planning to map all children’s homes in Uganda and the situation of
children in care (UNICEF)
5. Improving/strengthening the capacity of the districts to supervise and
regulate operation of children’s homes
17. Residential Care
Under way:
6. Identifying opportunities for transforming children homes into centers that
provide family- and community-based services
7. Proposal to develop a management information system for children’s
homes
18. Key Achievements of Care Reform:
Foster Care
18
• Regulation
o Placement of a child with foster parents by a probation and social welfare officer
(PSWO) is regulated by the Foster Care Placement Rules contained in the Children
Act, 2014 (Schedule 2, s. 43).
o The Children (Amendment) Act, 2016, recognizes fostering as an essential precursor
to adoption—both national and intercountry adoption.
• Gatekeeping mechanisms
o Alternative Care Panels established 2012
o Up to 104 foster care replacements have been approved by the Alternative Care Panel
since 2013
• Service provision
o Small-scale emergency and long-term fostering programs developed and
implemented by nongovernmental organizations (NGOs)
o Piloting of an emergency foster family care approach
19. Foster Care
What’s under way?
1. Development of Guidelines on Establishment of Alternative
Care Panels in Uganda
2. Developing standard operating procedures (SOPs) for foster
care & adoption placement
20. Key Achievements of Care Reform:
Supervised Independent Living
• Legal and policy framework
a. Independent living is not mentioned in the Uganda Alternative
Care Framework.
b. The Children’s Act is more helpful, stating that “where a child is
unable to return to his or her parents or to go to foster parents or
has no parent, nor a foster parent, he or she shall be encouraged
and assisted by the approved home and the probation and social
welfare officer to become independent and self-reliant.” The Act,
however, does not elaborate further on this option of alternative
care.
• No structured supervised independent living programs
21. Key Achievements of Care Reform:
Kinship Care
• Kinship care is recognized and supported by the national legal
and policy framework. For example, the ACF recognizes and
encourages support for informal kinship care.
• Extended family remains a great resource for providing care for
children deprived of parental care.
• The number of children in kinship care far surpasses those in any
other alternative care option.
22. Kinship Care
Distribution of living arrangements among children 0–17 In Uganda, 2011
Source: UDHS 2011
56%
5%
20%
19%
Living with both parents
Living with father only
Living with mother only
Not living with either parent
23. Kinship Care
What’s under way?
1. Strengthening child protection systems, including informal
mechanisms to increase oversight of informal kinship care
24. Key Achievements of Care Reform:
Adoption
24
• Children (Amendment) Act, 2016
o Improved regulation of intercountry adoption
o Restricted legal guardianship to citizens of Uganda
o Encouraged domestic adoption
o Called for the establishment of an adoption agency to handle adoption
applications
• Alternative care panel and approval of adoption placements
• Ugandans Adopt campaign
• Output: Since 2014, 60 children have been placed in adoptive families, 14 families are
on the waiting list, and there are 20 ongoing assessments.
25. Adoption
What’s under way?
1. Development of Guidelines on Establishment of Alternative
Care Panels in Uganda
2. Developing SOPs for foster care & adoption placement
3. Ratification of the Hague Convention on Protection of Children
and Co-operation in Respect of Intercountry Adoption (or
Hague Adoption Convention)
26. Key Achievements of Care Reform:
Family Reunification & Reintegration
• Legislation, policy, and guidelines/practice standards:
o Children Act, Cap 59
o Alternative Care Framework
o Development of SOP for family reintegration
• Service provision
o Existence of NGOs/programs supporting family reunification and
reintegration
o Using para-social workers to prevent family separation and promote
family reintegration
o Establishment of community-based services to ensure sustainable
reintegration
• Workforce
o Training of key (probation and judicial officers, police, etc.) on family
reintegration and alternative care
27. Key Achievements of Care Reform:
Family Reunification & Reintegration
• Information systems
o OVC management information system (MIS) has an indicator on
number of children reintegrated
What’s under way?
1. Development of a national child policy, which prioritizes strengthening
families to prevent child-family separation
2. Establishing systematic linkages to existing social protection schemes
28. Key Achievements of Care Reform:
Factors That Have Made Care Reform Possible
• Government ownership of and commitment to the reform
process
• Partnerships and coordination mechanism between
government, the UN, and civil society agencies
• Gradual transformation of attitudes and behaviors towards
family-based care
• Advocacy and behavior change communication campaigns
focusing on changing social norms and practices
29. Major Outcomes for Children
Resulting from Care Reform
• An estimated 1,610 children have been reunited with their
families since 2014, under the two separate projects: Strong
Beginnings and Deinstitutionalization of Orphans and Vulnerable Children
(DOVCU) project
• Increasing number of children placed in alternative family-based
care
• Programmatic efforts to transition children from the streets into
families
30. Key Challenges
30
• Lack of SOPs and practice standards for foster care and
adoption
• Low investment in childcare and protection services by
government
• Lack of an interagency case management system
• Weak enforcement of the Children (Approved Homes) Rules,
2013
• Lack of data on children in the different alternative care
options
• Dispersed information management systems
• No harmonised case management forms; no standard tools
across the continuum of alternative care services
31. Key Challenges
• Resistance from RCFs to change model of care
• Some donors, NGOs, and community leaders are not
necessarily aware of the government position
relating to alternative care provision.
• Limited follow-up support for youth leaving care
32. Opportunities
• Engaged and dedicated government
• National Action Plan for Alternative Care (2016/2017–
2020/2021)
• National Child Protection Working Group
• Development of guidelines on establishment of
alternative care panels in Uganda
• Ongoing development of National Child Policy
33. Opportunities
• Commitment and support from development
partners
• Child helpline to augment case management
• Ongoing research to build an evidence base (KCHPF,
ASPIRES)
• Use of para-social workers to prevent family
separation and promote family reintegration