financing deinstitutionalisation by julia down hope and homes for children bih
TRANSCRIPT
financing deinstitutionalisation
By
Julia Down
Hope and Homes for Children BiH
HOPE AND HOMES FOR CHILDREN BIH
Background› HHC in BiH since 1994› Initially worked to improve conditions in
institutions - but limited success› Moved focus to developing family-based
services - but this did not automatically reduce number of children in institutions
› Now concentrating on directly transforming institutions
Sarajevo
SITUATION IN BIH
Population 3.8 mill
Divided into FBiH and RS
3000 children without parental care
Around 1100 children in 17 institutions
NATIONAL STRATEGY
POLICY ON PROTECTION OF CHILDREN WITHOUT PARENTAL CARE AND FAMILIES AT RISK IN BOSNIA AND HERZEGOVINA2006-2016
Developed by government with active support of UNICEF, SCUK, HHC and others
Officially adopted in FBiH in January 2008
NATIONAL STRATEGY
Outlines detailed and practical plan for reforming legislation, building capacity of CSWs, developing family-based alternatives to institutional care and transformation of institutions
› Every institution to be transformed within 10 years› Model of transformation outlined in detail in the
strategy - conforms to the model developed by HHC› Strategy calls for pilot project to test the model in
the BiH context
ZENICA PROJECT
BACKGROUND› HHC as lead organisation in implementing
pilot project › Negotiations with local authorities led to
agreement to transform institution in city of Zenica
› DC Most institution with capacity for 60 children aged 0-18+
TRANSFORMATION OF DC MOST
Main partner Zenica city municipality as founder of institution› HHC assessed every child and their
families› Recommended a family-based placement
for each child based on individual needs› Analysed average number of new children
entering the institution every year in order to predict demand for new services
SERVICES TO REPLACE THE INSTITUTION
Prevention Reintegration Fostering Local adoption Young adult support Small family home
HHC providing capital investment, some transitional costs, training, management and monitoring of project
Staff of institution have priority in applying for jobs in new services
18-month project to transform the institution Jan 2007 – June 2008
TRANSFORMATION OF DC MOST
Total Number of Children 67
Reintegration with biological families 19
Adoption within BiH 12
Placement in foster families 11
Independent living for young people aged 18 and over 13
Placement in Small Family Home 12
FINANCIAL ANALYSIS ZENICA
BiH has very decentralised political system
Institutions for children are managed and financed at local level
This works differently in different locations
4
Federation of BiHRepublika Srpska
DC Most – financed on “per head” basis
› Children placed by CSW in municipality from where they come
› CSW pays institution monthly rate per child
› The institution has no other formal source of income
KAKANJVAREŠ
ZAVIDOVIĆI
ŽEPČE
MAGLAJ
DOBOJ-JUGUSORA
TEŠANJ
VISOKO BREZA
OLOVO
RUNNING COSTS OF DC MOST
CAPACITY (aged 0-18) 60
TOTAL BENEFICIARIES PER YEAR 75
FUNDING SYSTEM Monthly
Centres for Social Work
€ per
Zenica-Doboj Canton 265
Outside Zenica-Doboj Canton
292
HOW MUCH DOES DC MOST COST THE STATE?
CSW %# of
Children
Monthly Per
Child
TOTAL Monthly
TOTAL Annual
Zenica-Doboj
Canton75% 45 265 € 11 925 €
143 100 €
Outside Zenica-Doboj
Canton
25% 15 292 € 4 380 € 52 560 €
16 305 €
195 660 €
The new system comprises the following services 1. Prevention2. Reintegration3. Young Adult
Support 4. Fostering5. Small Family Home
RUNNING COSTS OF NEW SYSTEM
ALL NEW SERVICES ARE SUPPORTED BY
MOBILE TEAM• 2 Social workers• 1 Psychologist
MOBILE TEAM
SERVICES
CAPACITY
(per year)
# OF BENEF.
(per year)
COSTS
(travel & direct help)
1. PREVENTION 25 families 100 6 500 €
2. REINTEGRATION10 children + their families
40 3 000 €
3.YOUNG ADULT
SUPPORT5 12 000 €
4. FOSTERING 25
allowances
23 000 € training,
campaigns
5 000 €
5.SMALL FAMILY
HOME20 80 000 €
MOBILE TEAM SALARIES (taxes, allowances, office costs) (ANNUALLY)
35 000 €
TOTAL ANNUAL COSTS 164500 €
SUMMARYCOMPARISION
OF TWO SYSTEMS
TOTAL # OF BENEFICIARIES
EACH YEAR
TOTAL ANNUAL COSTS
COSTS per
beneficiary
DC MOST 75 195 660 € 2 609 €
NEW SYSTEM 190 164 500 € 866 €
The new system of services provides better outcomes for children
The new system of services is cheaper and more cost effectice.
The new system serves more than twice as many beneficiaries annually.
ADDITIONAL COSTS
Capital investment provided by HHC› Purchase, renovation, furnishing and
equipping of small family home – 120 000 euros
› Purchase of vehicle for mobile team – 5000 euros
Transitional costs provided by Zenica municipality › Covering income lost to DC Most due to
decrease in number of children – 16 500 euros
CHALLENGE
New system cheaper overall and cost effective BUT› Cost bearers changed without formal
budget reallocation› Running costs used to be spread between
as many as 20 municipal CSWs at any one time – Zenica municipality incurred no direct costs
CHALLENGE
Running costs of new system are covered by: 1. Municipal CSWs
› Allowances for foster carers› Cost of food and clothing for children placed in
small family home
2. Zenica municipality› Staff salaries and amenities for small family home
3. Zenica municipality/Zenica-Doboj Canton› Salaries and other costs of mobile team› Direct material support to beneficiaries
GORAZDE PROJECT
Gorazde canton has no institutions but places children in institutions elsewhere in BiH
HHC together with local authorities planning to develop family-based services within the canton for current and future children without parental care and children at risk of separation
Services will include prevention, reintegration, fostering, young adult support, small emergency reception centre
Services will be supported by a mobile team of 2 professionals
GORAZDE PROJECT FINANCIAL ANALYSISRunning costs of current system
Institution # of Children Monthly Per
ChildTOTAL Annual
Selo Mira 12 250 KM 36 000 KM
Dom Bjelave 1 326 KM 3 912 KM
SOS Village Sarajevo
7 476 KM 39 984 KM
SOS Village Gracanica
9 476 KM 51 408 KM
Dom Porodica 4 550 KM 26 400 KM
TOTAL 33 157 704 KM
80 650 €
GORAZDE PROJECT FINANCIAL ANALYSISRunning costs of new services
Service # of Beneficiaries-annuallyTOTAL Annual
Prevention 60 10 000 KM
Reintegration 5 2 000 KM
Fostering 15 54 000 KM
Young Adult Support
6 7 200 KM
Emergency Reception Centre
4 14 400 KM
TOTAL 90 125 122 KM
63 990 €
GORAZDE PROJECT FINANCIAL ANALYSISComparison of running costs of current system and running costs of proposed new system
COST PER BENEFICIARY
TOTAL Annual
CURRENT SYSTEM 2 444 € 80 650 €
NEW SYSTEM 711 € 63 990 €
HHC INVESTMENT IN SETTING UP SERVICES 450 000 KM = 230 000 €
….........................................................................
CONCLUSION
Two very different DI projects within BiH context – demonstrates that there is no blueprint that can be applied in every situation but each location requires its own unique DI process
DI projects in Zenica and Gorazde demonstrate that DI not only provides greatly improved outcomes for children but also that it is financially viable in the BiH context