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Table 2 Models of care for orphaned and separated children in Uasin Gishu County, Kenya

From: Models of care for orphaned and separated children and upholding children’s rights: cross-sectional evidence from western Kenya

Model of Care Description Image of Care Environment Characteristics
Pure CCI CCI’s that solely provide long-term residential care to orphaned and separated children. Village Style – Pure CCI # of Children in residence (n) 630
Single Orphans (%) 43.3%
Double Orphans (%) 53.2%
Child to caregiver ratio 8:1
Maximum Capactiy of home  
• 91% limit admission to children < 10 years of age   Day, median (IQR) 45 (20-145)
n=11 • 45% limit admission to double orphans   Night, median (IQR) 43 (20-96)
Living Arrangements, n (%)  
  Village Style 2 (18%)
• Typically faith-based care environments (82%)   Dormitory 2 (18%)
  Single Family 6 (55%)
  Mixed 1 (9%)
CCI Plus CCI’s that provide home support and facilitate community-based programs to enable orphans to remain living in family-based care, in addition to providing long-term residential care Single Family Home - CCI Plus # of Children in residence (n) 446
Single Orphans (%) 39.8%
Double Orphans (%) 55.5%
Child to caregiver ratio 12:1
Maximum Capactiy of home  
  Day, median (IQR) 62 (50-80)
  Night, median (IQR) 62 (20-80)
n=6 • Programs provide school fees to children in the community and psychosocial support for families Living Arrangements, n (%)  
  Village Style 1 (17%)
  Dormitory 2 (33%)
  Single Family 2 (33%)
  Mixed 1 (17%)
CCI Shelter Temporary residential care facilities that are typically a place of last resort for children and youth. Meant to provide temporary care, yet children end up residing long-term as there is a lack of alternatives. Dormitory Style - CCI Shelter # of Children in residence (n) 314
Single Orphan (%) 48.1%
Double Orphan (%) 49.7%
Child to caregiver ratio 14:1
n=2 Maximum Capactiy of home  
  Day, median (IQR) 158 (65-250)
  Night, median (IQR) 158 (65-250)
Living Arrangements, n (%)  
• Government facilities   Village Style 0 (0)
• Shelters for street children   Dormitory 2 (100%)
• Probation centres   Single Family 0 (0)
• Court mandated care   Mixed 0 (0)
Family-based care Occurs in the community where a child remains within a family setting Typical UG County Rural Household # of Children in residence (n) 1481
• Immediate family (surviving parent)
Single orphans (%) 63.1%
Double Orphans (%) 22.0%
• Extended Family
n=300 •Foster care (formal and informal) Child to caregiver ratio 3:1
Maximum Capactiy of home  
  Day, median (IQR) 5 (3-6)
  Night, median (IQR) 5 (3-6)
Community-based care Community-based care often occurs through community-based organizations (CBO’s). Community-based care providers enable children to remain in family-based care environments by providing material goods and support service to build a households capacity and ensure they can meet the needs of the children. Community-based Organization # of children supported in 50 (41-74)
  Day Programs 50 (38-65)
  Feeding Program 0 (0-25)
  After school program 4 (1-15)
  Residence 50 (32-60)
n=7   Other
# of households assisting 30 (12-50)