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

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)