Tuesday 22 December 2009

Crash course on orphan politics

Last week I tweeted my way through an all-day workshop hosted by Liberia's social welfare department and UNICEF. The goal was to validate a framework for a three-year program to de-institutionalize 50% of the more than 5,000 children living in Liberia's orphanages.

I got some questions from my tweeting, so this is my attempt to provide a brief overview. [Disclaimer: If you're not interested in the drier, more politico-technical aspects of orphan care, I'd consider skipping this one.]

First, some context in point form:
  • Liberia endured 14 years of civil conflict from 1989 to 2003.
  • Before the war, there were ten orphanages. Now there are at least 142.
  • Before the war, orphans were cared for by extended family (kinship care) or the community at large (foster care), making orphanages almost obsolete. This intrinsic cultural safety net was degraded by the conflict. While it is still present, it has been overshadowed by a mean entrepreneurial spirit that's noticed the international aid and attention that an orphanage can attract.
  • Among groups like ours, the generally accepted number of actual orphans in orphanages is 33-50%, the rest having either been recruited away from their families up-country, or residing at the orphanage under a boarding school arrangement (but under the false pretense or being an orphan).
  • This huge proportion of non-orphans diverts aid and attention away from the real orphans, and relieves parents' responsibility to care for their own children. This program is predicated on the finding that children thrive under individualized attention that they simply don't receive in an orphanage setting.
  • The goal of the program is to reduce the total number of non-orphans, then reduce the number of orphanages by closing those homes with abusive, neglectful, trafficking, and profiteering directors. This will allow the government and its helping hands to focus resources on the remaining orphan(age)s with excellent directors committed to raising healthy, successful children.
So that's the situation, more or less. Now, the solution is complex, multi-faceted, and gradual. Much as we'd all love to scoop ALL the children out of those poor, broken orphanages and get them into safe, loving, dry, clean homes... Well, we have to prioritize: the worst orphanages closed first.

Top to bottom: Introduction to the framework by Ina, the consultant and spearheader; Breakaway groups to identify and address gaps; Group presentations to the plenary.

The first step is to reunify as many children as have families -- immediate or extended -- able to provide care. This is incredibly difficult and time-consuming, and never really ends. Assessment and follow-up monitoring are needed to ensure children are welcomed, safe, and don't become domestic servants to their own families. Likewise, there will need to be a fine balance struck between providing a "welcome home" package and creating expectations of continued external assistance.

The second best option would seem to be foster care, though this requires intense pre-evaluation and monitoring. In this scheme, government would be expected to share in much of the financial cost of raising these children--particularly school fees. Still, growing up in a home with one-on-one attention, discipline, and love is almost always better than growing up in an institution.

Where children are found to have no living relatives and foster care isn't possible, it's left to place them in the best institution available -- either another, better orphanage, or a boarding school.

The other consideration is to move the children as little as possible, to reduce the trauma of multiple relocations. So while we need to act urgently, we also need to be sure-footed, as confident as possible in the safety and durability of the end situation--whether it's a family or foster home, boarding school, or another orphanage.

Finally, I'll just say this: I've been sitting in government meetings for almost three years, repeating many of the same planning meetings without ever getting around to the implementation. This one, I hope and pray, is actually going to fly--thanks mostly to financial backing from UNICEF. My role within this process is not at all central, but to be an active participant in the process, to provide expertise and momentum, resources and accountability throughout -- essentially, to do whatever I can to ensure it actually happens.

There you have it--my crash course on de-institutionalization. Questions? Comments? Recommendations? I'd love to hear them.

1 comment:

Lady said...

Go with God. Don't give up (the adults will bring you down, but you are there to raise the children higher). Keep speaking your truth when you hear others saying that the impossible is, well, impossible.

Keep truckin my friend. Since I can't be there in person to help out, I'm sending prayers and good vibes.