violence against children WORLD REPORT ON - CRIN
violence against children WORLD REPORT ON - CRIN violence against children WORLD REPORT ON - CRIN
5reluctant to access formal complaints mechanisms.Children and their families should alsohave an appeals process if they are not satisfiedwith the response to their complaint.Redress and responsemechanismsWhen violence against children takes place,whether in care or detention institutions,perpetrators must be held accountable andthe children affected must receive appropriatecare, support and compensation. Childrenwho have been subjected to violence (eitherprevious to or subsequent to their placement)should receive appropriate medical and mentalhealth care. Appropriate interventions caninclude educational and psycho-social individualor group work with the child, or psychotherapy.Special attention should be given torestoring their confidence in human relationshipsas an important part of the healing process.In the case of ethnic and other minoritiesthat have systematically been institutionalisedat higher rates than the rest of the population,particularly when this has been the result ofGovernment policy, collective forms of redressmay need to be considered.Violence against children will never be fullyeliminated as long as perpetrators believe thatthey can get away with it. To ensure there is noimpunity for perpetrators of violence againstchildren, States should therefore ensure a continuumof appropriate sanctions against individualswho are responsible for violence againstchildren in institutions, and against the way inwhich institutions (public or private) are managedwhere such violence takes place. Thiscontinuum should include:• criminal prosecution• civil actions, including those fordamages or injunctive relief (such asordering changes in the institution)• administrative proceedings (such asrevoking licenses, imposing fines, orclosing facilities)• professional sanctions related toemployment (e.g. a note in an employee’spersonnel file, dismissal, being barredfrom working with children).Finally, policy is improved if it is based onreliable data, and if this data is open to thepublic. All placements should be registeredand centrally reported, and disaggregated statisticsshould be made publicly available forall children in all forms of care and detention.States should analyse and publish data on allinstances of violence, the response to complaints,and enforcement practices, includingactions taken against perpetrators of violencetowards children, or against institutions inwhich such acts of violence take place.De-institutionalising childrenalready in careAs alternatives are developed and implemented,concerted efforts should be made to shut downlarge institutions (see box). Where de-institutionalisationis introduced, this needs to bedone with great care and in a monitored andappropriate manner.213Violence against Children in care and justice institutions
Case study: de-institutionalisation in SudanIn 2003, approximately 110 infants were abandoned on the streets of Khartoum everymonth, with 50% dying within hours. Those who survived were admitted to Maygoma,Khartoum’s only institution for infants, where mortality rates reached 75%.Between 1998 and 2003, of 2,500 infants admitted, only 400 survived. Those thatlived suffered severe developmental delays and some suffered from chronic illnesses dueto poor nutrition and to lack of stimulation and individual care.214Violence against Children in care and justice institutionsTo address the problems at Maygoma, the Sudanese Government, UN organisations,community groups and key NGOs including Médecins Sans Frontières and Hope andHomes for Children formed a task force. This task force identified three main needsin the community: services to prevent the separation of children from their families,and services to reunite families; alternative family care for children who could not livewith their families; and specialist services for children with disabilities. Its goal was theeventual closure of Maygoma.The programme developed by the task force included communications strategies toaddress the stigma attached to children born outside marriage; the training and activationof social workers; the development of alternative family care programmes (forboth emergency and permanent placements), and prevention programmes to identifymothers at risk and to reunify infants with their birth mothers.The programme has been enormously successful. The mortality rate at Maygomadropped to 33% by 2004, and to 10% by 2005. Admissions from the streets havedecreased from 75% to 30%, and 51 infants have been reunited with their mothers.More than 500 infants have been placed in alternative family care in less than twoyears. All of these infants recovered their developmental delays. The programme is alsocost-effective. The expense for each child in alternative family care is only one-tenththe cost for care in Maygoma.Maygoma is scheduled to close in 2006. 184In order to ensure that children are not unnecessarilyretained in residential or other care,placements should be reviewed regularly toassess whether the child’s continued institutionalisationis necessary, or whether alternativeplacements or a return to the child’s familyis possible (CRC article 25). This assessmentshould be carried out with the full involvementof the child and, where appropriate, with thechild’s family, together with a multi-disciplin-
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5reluctant to access formal complaints mechanisms.Children and their families should alsohave an appeals process if they are not satisfiedwith the response to their complaint.Redress and responsemechanismsWhen <strong>violence</strong> <strong>against</strong> <strong>children</strong> takes place,whether in care or detention institutions,perpetrators must be held accountable andthe <strong>children</strong> affected must receive appropriatecare, support and compensation. Childrenwho have been subjected to <strong>violence</strong> (eitherprevious to or subsequent to their placement)should receive appropriate medical and mentalhealth care. Appropriate interventions caninclude educational and psycho-social individualor group work with the child, or psychotherapy.Special attention should be given torestoring their confidence in human relationshipsas an important part of the healing process.In the case of ethnic and other minoritiesthat have systematically been institutionalisedat higher rates than the rest of the population,particularly when this has been the result ofGovernment policy, collective forms of redressmay need to be considered.Violence <strong>against</strong> <strong>children</strong> will never be fullyeliminated as long as perpetrators believe thatthey can get away with it. To ensure there is noimpunity for perpetrators of <strong>violence</strong> <strong>against</strong><strong>children</strong>, States should therefore ensure a continuumof appropriate sanctions <strong>against</strong> individualswho are responsible for <strong>violence</strong> <strong>against</strong><strong>children</strong> in institutions, and <strong>against</strong> the way inwhich institutions (public or private) are managedwhere such <strong>violence</strong> takes place. Thiscontinuum should include:• criminal prosecution• civil actions, including those fordamages or injunctive relief (such asordering changes in the institution)• administrative proceedings (such asrevoking licenses, imposing fines, orclosing facilities)• professional sanctions related toemployment (e.g. a note in an employee’spersonnel file, dismissal, being barredfrom working with <strong>children</strong>).Finally, policy is improved if it is based onreliable data, and if this data is open to thepublic. All placements should be registeredand centrally reported, and disaggregated statisticsshould be made publicly available forall <strong>children</strong> in all forms of care and detention.States should analyse and publish data on allinstances of <strong>violence</strong>, the response to complaints,and enforcement practices, includingactions taken <strong>against</strong> perpetrators of <strong>violence</strong>towards <strong>children</strong>, or <strong>against</strong> institutions inwhich such acts of <strong>violence</strong> take place.De-institutionalising <strong>children</strong>already in careAs alternatives are developed and implemented,concerted efforts should be made to shut downlarge institutions (see box). Where de-institutionalisationis introduced, this needs to bedone with great care and in a monitored andappropriate manner.213Violence <strong>against</strong> Children in care and justice institutions