About 60,000 children across the five Central Asian countries remain in alternative, care despite the known and devastating effects of family separation and child institutionalization, according to a new policy report released by UNICEF. Regina De Dominicis, UNICEF Regional Director for Europe and Central Asia, highlighted the dire and lifelong consequences of institutionalization for children and stressed the need for more investment in family support services. “We have seen progress in recent years in reducing the number of children in alternative care – including the closure of institutions. We must continue this work so that no child is ever placed in alternative care because of poverty, disability or challenging behavior, or because their family lacks access to services they need to care for their child at home,” she said. The report states that 203 children per 100,000 in the region live in care institutions, nearly double the world average of 105 per 100,000. While progress has been made in reducing the overall number of children in institutions, the report notes that children with disabilities are disproportionately represented in these homes. Between 2015 and 2021, the proportion of children with disabilities in residential institutions increased in all Central Asian countries except Kazakhstan, indicating persistent social norms and a lack of social services for these children. UNICEF emphasizes the need to close institutions and support families to prevent unnecessary placement of children in residential care. The organization offers a comprehensive approach to ensure that all children, regardless of their circumstances, grow up in a family environment: 1. Implement effective childcare reforms to keep children with their families where possible, including planning to close large-scale institutions and develop a comprehensive continuum of child and family support and protection services. 2. Investment in a range of child and family support services, including statutory family support services and a strong social service workforce, for the early identification of and intervention in situations when children are at risk of separation. 3. Securing family-based alternative care, including stronger support for extended family members who care for children and strategies to keep siblings together where possible. 4. Protecting children who are already in alternative care against violence, neglect, and abuse through robust safeguarding policies and practices. 5. Investing in more and better data on children who are at risk of family separation, in alternative care, or who have left care. 6. Raising public awareness of the benefits of keeping families together and the urgent need to prioritize family-based care. 7. Ensuring that children have a voice in the decisions that affect them and are consulted when new policies and practices are developed to meet their needs and rights. UNICEF works with governments and partners in Central Asia to keep and support families and community-based care. This also includes implementing deinstitutionalization policies, expanding family support services to prevent separation, а family reunification, and facilitating safe transitions to independent living.
