A qualitative insight into children’s and care-givers’ experience following re-integration from Uganda’s residential care facilities into family-based care

Abstract

This article aims to elevate children’s and caretakers’ voices in shaping reunification and reintegration planning and implementation. It takes into consideration, the priority for children to experience fulfilling and happy childhoods following reunification from residential care facilities (RCFs) to homebased care (HBC). The article is based on 23 children who were followed up, 12 months post reunification from RCFs into HBC in six districts within central Uganda, a region with the highest concentration of RCFs. We conducted 11 in-depth interviews with older children aged 8–13 years and 23 in-depth interviews from the caregivers, who also provided information on 12 children who on account of age (less than 8 years) could not be interviewed. The qualitative study was nested under a longitudinal study (Randomised Controlled Trial NCT03498469). This study has revealed positive experiences following re-unification of children with homebased caregivers such as; continuous and positive child-caregiver interactions which translated into trusting and loving relationships and bonding between children and caregivers; improved parenting practices characterised by warmth and responsiveness to children’s physical, emotional and material needs and less reliance on harsh disciplinary practices; and social reintegration exemplified by children forging positive relationships with family and community members and their active participation in ongoing social activities. Yet the voices that perceived reunification negatively point to the overarching need to prioritise household welfare through economic strengthening efforts and other forms of provisioning and more crucially, ensuring children’s continued access to quality education as key ingredients in planning and implementing successful child reintegration efforts, including assuring children of happy and fulfilling childhoods.