The Ugandan government has commissioned an Alternative Care Task Force to review the current state of its childcare systems. This is the first time since childcare was decentralised to the districts in 1996 that we are starting to get a countrywide view of the situation. It will be the benchmark on which future development will be built.
The initial results reveal many disturbing issues. While the Ugandan government has taken this first step in developing an effective childcare system for its orphaned and vulnerable children, it will take a concerted effort by the government, civil society, faith-based organisations, the people of Uganda and the international community to continue and complete the transformation.
Number of children in residential care unclear
The figures are startling. According to the study, an estimated 37,000 children are currently living in childcare institutions across Uganda. While these are commonly referred to as orphanages, most children living in them have at least one living parent. There are 12,000 registered children in residential care, yet welfare officers and those working on the Alternative Care Task force estimate that there are an additional 25,000 unregistered children in care. Getting an accurate picture is very difficult given the general lack of accountability and transparency of many of the organisations that manage childcare institutions.
This consistent lack of data on children in care and the widespread disregard for the registration and reporting requirements is of gravest concern, given that more than 98% of childcare institutions in Uganda are funded by private organisations - mainly international charities and churches. Of all the children assessed in the pilot study, more than half did not have a required Care Order, the most basic requirement for caring for another person’s child.
Recent surge in childcare institutions
There has been a massive rise in the number of childcare institutions in Uganda since 1996, when the last figures were published. Then there were 35 childcare institutions, today there are more than 500, of which only 6 are run by the state. This means that charities and churches, mostly funded from abroad, are effectively running Uganda’s non-parental childcare system, independently of the Ugandan government.
That 78% of these organisations are not properly registered shows a remarkable rejection of modern principles of international development best practice which emphasises community empowerment and supporting countries through partnerships, collaboration, the transfer of skills, rights awareness and the creation of long-term sustainable initiatives. Transplanting an outdated childcare solution (orphanages) into another country, especially when that solution has been rejected at home, is at best astonishing and at worst, severely detrimental. This fact alone raises serious questions over the professionalism of the charities and churches involved.
Some observations to come from the pilot study:
“Children are recruited in line with a ‘vision’ rather than the needs of the community"
“There is very little will to resettle children when child sponsorship is involved"
“Most children in the institutions assessed HAVE families”
“International adoption reduces efforts to find Ugandan solutions”
“Some institutions admitted donors not willing to fund [domestic] resettlement activities”
International adoption as a last resort
According to best-practice in childcare, international adoption (or inter-country adoption) should only to be considered as an acceptable childcare solution when all other alternative childcare solutions have been tried and all have failed. These solutions are, in order:
- reunification with birth families
- placement in kinship care
- placement in domestic foster families
- permanent placements with domestic adoptive parents
For children with severe disabilities, this would include provision of long-term respite care. Only when all these solutions have been exhausted, should international adoption be regarded as a solution that is in the best interest of the child.
It is therefore startling indeed that 40% of Ugandan childcare institutions assessed in the study are active in international adoption and more than 22% of them use this as their only means of finding a family for children in their care, with no attempts made to find the children’s birth-parents or explore domestic adoption as a solution.
Of huge concern is that the steep rise in the number of childcare institutions in Uganda coincides with a sharp rise in international adoptions. For example, from 2000 to 2003, less than 20 children a year were adopted into the US from Uganda. From 2004 to 2008, the number increased steadily and by 2010, the figure rose to 200. It is estimated that this year, the figure will be close to 1,000.
Accountability and transparency in inter-country adoption
Uganda is not as yet a signatory to the Hague Convention on InterCountry Adoption, an international convention aimed at preventing the abduction, sale of, or traffic in children, and which works to ensure that inter-country adoptions are always in the best interests of the child. This means that the process of adopting a child from Uganda is significantly easier and under less national and international scrutiny than adoptions from countries that are signed up to and bound by the Convention.
Four of the five top countries providing children for adoption to the US are not Hague Convention signatories; the one that is has only just signed up. As more countries apply transparency and accountability to their inter-country adoption process, the number of children they put up for inter-country adoption will drop and greater efforts will be made to first seek domestic solutions.
Entrenched positions and protecting reputations
Besides the issue of international adoption, there is the further issue that many charities have invested a lot of capital and reputation into their position on childcare. While some have made the transition (and have moved from building and running institutions to instead supporting reunification, family support and fostering services, as well as domestic adoption schemes) others have dug deeper into their positions.
Barnardo's is an example of a charity that has moved with the times. Fifty years ago, the UK childcare system was largely based on orphanages, with a high percentage managed by Barnardo's. After significant national childcare reform in the 70s, the orphanage system was shut down and replaced with family-based alternatives, in which Barnardo's continues to play an active and important role.
Yet many organisations today refuse to change, trapped by their past and fearful this would entail an admittance of guilt in terms of not acting in the best interest of the child.
Charity tug-of-war with children in the middle
The trend to deinstitutionalise childcare is starting to take root in many countries around the world. For instance, Uganda's neighbour Rwanda has already committed to reforming its childcare system and aims to shut its 30+ orphanages within the next few years, or as soon as it can find adequate family-based childcare solutions for all children currently in its institutions and build a social structure to support all future abandoned children without needing to rely on an orphanage system. This complex process is being supported by childcare specialists working in the field of deinstitutionalisation.
Yet, even with clear and growing evidence of the harm caused to children by institutional care, many international charities, NGOs and churches continue to open orphanages in Africa, rather than supporting the reunification and domestic fostering model that often exists in their own countries.
In this tug-of-war, vulnerable children are being caught in the middle. On one end of the rope, charities and churches are opening up childcare institutions (orphanages) at a startling rate. In some districts of Uganda, they are opening as many as two to three a month. On the other end are governments and childcare specialists working at placing children into family life and deinstitutionalising the childcare system by closing down orphanages and setting up structures and services to prevent children entering them in the first place.
Public trust in charities and churches is high and there is often a blanket of perceived infallibility over their actions and policies. The general public still believes that building an orphanage in Africa or Asia is a good thing to do, based on the perception that children in orphanages are parentless or ‘orphans’ and we must care for them; but the fact is that the vast majority are not orphans and orphanages are not a good way to care for them.
When a charity appeals for funds to help poor, starving, homeless orphans, it appears to be heartless to even stop and question their motives. Similarly when a church issues an appeal to support an orphanage in Africa or Asia, it is almost irreligious to question their aims and methodology. The media is also naturally wary of criticising the charities and churches’ child welfare practices, unless there is clear evidence of trafficking or other abuse.
In the past, donors often decided what was best for the ‘needy’ and how their funds should be spent, which led to a wide range of childcare systems. In 1989, a generation of children ago, the countries in the world, through the United Nations, produced the Convention on the Rights of the Child which lays out in no uncertain terms, our agreed standards and duties on children and childcare. Only three countries have not signed this convention; 193 countries have. The world has never before been in greater agreement about childcare standards and best-practice.
The Convention states quite clearly that a child’s place is in a family, and that every child has the right to family life. While the debate on childcare rages behind closed doors, families and children in particular, are caught in the middle of this tug-of-war.
Families being torn apart
The undeniable poverty of a large number of families in Africa and Asia, coupled with the developed world’s general public’s belief that orphanages are a solution, is breaking families apart.
Supporting a system that separates a child from its family by providing food, clothing, education and a roof to vulnerable children in the form of orphanage care, is misguided and causes great harm. Even without delving into the technical aspect of the debate, all developed and developing world donors and supporters of orphanages should first look at their own society. Most will see an absence of orphanages. Why build and support a system for others that has been closed down decades ago at home?
It is also common sense that a child should not be separated from its parents. If the family is desperately poor, we should support the whole family rather than remove the child, feed it, clothe it and let the family fragment and suffer, not only materially, but with the additional loss of its child.
The Ugandan government and people have some friends
On a positive note, a number of international organisations are supporting the Ugandan government and its citizens to build an effective childcare system that adheres to best-practice and respects the rights of their children. Ground-breaking work is happening to create a domestic fostering and adoption system. One such organisation has resettled over 100 new-born babies in the last two years. Instead of feeding the babies into the cash-rich international adoption system, the families of the abandoned infants have been traced, the children and families have been reunited and all have been supported economically and with counselling.
Where the birth-parents are assessed as incapable of giving the baby a decent and secure childhood, other Ugandans have come forward to support them through fostering and adoption.
The Ugandan government and people need more friends
The challenge of providing an effective childcare system in Uganda is massive and daunting, even when all organisations are pulling in the same direction. But with the continued active support for orphanages by some charities and churches, the job is made even harder.
However, there are some things that everyone can do to help. For instance, instead of volunteers wanting to help in an orphanage, which further traumatises the vulnerable children through repetitive dissolution of bonds and trust, they can help dismantle the system and build a long-lasting positive solution such as supporting reunification or education programmes, or campaigning for change.
Instead of donating money to orphanages through a charity or a church, they could seek out those organisations that are supporting the Ugandan government and its citizens and help fix the root the cause of just about all child separation and abandonment – poverty and prejudice.