1. Ministry of Social Development Ministry of Education and Science Moya Semya Public Foundation With the support of UNICEF

2.  To conduct comprehensive quantitative and qualitative analysis of residential institutions in the Kyrgyz Republic and those in their care

3.  Clarification of the number of state and non-state children’s institutions in the country and determination of their type of ownership.  Qualitative and quantitative analysis of the make-up of the residents of children’s residential institutions, disaggregated by type of ownership and type of social service provided  Assessment of the condition and quality of care in children’s residential institutions in the following areas: social provision; hygiene and sanitation; and facilities and equipment.  Creation of lists of institutions that are ready for short-term, medium-term or long-term transformation, and development of concrete recommendations for each institution.  Analysis of the set of documents held on each child, and the procedure for placing children in the institution.  Analysis of the services provided in children’s residential institutions.  Track the patterns of movement of residents of residential institutions by region and by type of institution.  Revealing the barriers to the de-institutionalisation process.

4.  Residential children’s institutions and the services they provide  Regular and other staff of children’s residential institutions  Children in the care of children’s residential institutions

5.  Desk review: open source materials, and reports by state bodies, international organisations and NGOs.  Participant observation  Survey of children in institutional care  Surveys of staff members of social institutions providing residential care

6. Questionnaires for staff of residential institutions  Ministry of Education, Ministry of Social Development and Ministry of Health: 100 people.  District and local budgets – 95 people.  Private children’s residential institutions – 62 people. Total: 257 people.

7. The research was conducted in 86 residential institutions: -71 children’s orphanages -15 orphanages for children with disabilities An additional 25 state institutions funded from local budget and 6 private institutions were not included in the research.

8. Type of ownership and source of financing Institutions Number of children Number% % National budget Ministry of Education and Science2420.5%373134.2% Ministry of Health32.6%200 1.8% Ministry of Social Development32.6%5395% Ministry of Internal Affairs21.7%240.2% Local government budgets Boarding schools3227.4%440040.3% Temporary shelters2017%536 5% Private Children’s homes, shelters, boarding houses, religious boarding houses and so on3328.2%147813.5% Total:117100.0%10908100.0%

12. OblastBishkekChuyNarynTalasIssyk Kul BatkenOshJalal- abad Total Number of institutions 14272110368 71 Number of children in institutional care 113217991593373514758635625678

13. Boys Girls 3 267 2 411

14. Children in institutional care by gender, in percentages

22. Infrastructure in best condition Infrastructure in worst condition  Yavna Reception (Alternative) Family Children’s Charitable Foundation, Chuy Oblast;  Kara Balta Children’s Home, former Yraiym, Chuy Oblast (private institution);  Umut Children’s Fostering- Adaptation Centre, Chuy Oblast;  Meerim-mentor Family- type Children’s Home, Chuy Oblast  Bala Umutu Centre to Support Families and Children, the Single and the Elderly, Kara Suu;  Bazarkorgon Sanatorium- Type Children’s Rehabilitation Centre, Jalalabad Province (healthcare system, funded through the local budget);  Jalalabad Children’s Psychoneurological Boarding School

23. Case management services (ensuring a family environment, restoring documents, work with parents and so on) are provided in 17 state institutions and 10 private ones.

31. Institutions Children Number% % For children with learning difficulties853%95739% For children with delayed psychological development17%1606% For children with speech defects17%27511% For children with visual impairments213%31013% For children with hearing impairments320%77531% Total15100%2477100%

37.  All 15 studied specialised children’s residential institutions support development of the working and creative skills and abilities of their children ;  The institutions organise clubs for handicrafts, sewing, music, dancing, drawing, footwear making and sports ;  In 12 institutions, children study computer literacy

38. Best institution for infrastructure Worst institution for infrastructure  Osh Specialised Boarding School for Blind and Visually Impaired Children  Orto Suu Boarding School

40.  The main reasons for children being admitted to residential care are difficult financial conditions and the death of a parent;  Almost all institutions are geared towards upkeep rather than rehabilitation or social adaptation;  At the local level institutions have a trend to accumulate up to 400 children. The research showed that in local-level institutions children are admitted usually based on applications, without the participation of FCSDs and CCAs, and by referral from various structures;  3,286 children who go home at weekends and in the holidays could potentially be reintegrated into their family environments;  Case management services are only provided in 29 institutions, and even here they are narrow and do not fully meet the children’s needs for a family environment;  Growth has been noted in the number of private residential institutions: they admit children under their own criteria, often groundlessly and artificially depriving children of their family environments; they have no links with the state, and there is no supervision of the children’s fate from the state; and they do not have standardised norms and standards (on nutrition, welfare; education, health and development).

41.  Introduce a moratorium on the opening of both new residential state institutions with large capacity, and private orphanage-type children’s institutions;  For the existing private institutions, create a monitoring and supervision system for the activities in the best interests of the child  Create new and/or restructure existing state services so that they are better oriented towards providing a family environment for children without parental supervision. For example, introduce a system of foster families, and create daycare departments at institutions, family and child support centres, as well as other forms of alternative adaptation services for children  Recommend that FCSDs and territorial social protection departments ensure access to services to families and children living in difficult circumstances in their own areas, with the aim of ensuring the child remains in familiar surroundings, preventing further psychological trauma and preserving child-parent relationships;  Expand child protection services in every district for the psychosocial rehabilitation of children in residential care, including additional educational services to meet their interests;  Introduce multiple sustainable models to prevent children being deprived of parental care;  Develop the professional skills essential for care and rehabilitation of children in institutional care;  Resolve the issue of taking educational services out of the institutions, in the best interests of the integration and adaptation of children in institutional care into society  Resolve the issue of receiving a quality education at the child’s place of residence, as one of the reasons for children ending up in institutions is lack of access to education.

42. Moya Semya Public Foundation 2012 Thank you for your attention