The Grinch that stole Christmas for South Africa’s most vulnerable orphaned and fostered children

The Grinch that stole Christmas for South Africa’s most vulnerable orphaned and fostered children

It’s Christmas time, a time of joy, celebration and family. But in a country with tens of thousands of forgotten children in institutional care, what do an 11-year-old, abandoned at his school in Grade one, a 7-year-old living in a child and youth care centre while the only parents he has ever known fight a desperate legal battle to adopt him, and an 18-year-old made homeless when she finished her final matric exam have to celebrate this Christmas?

James*, Sky* and Ezekiel*, three children from different provinces, of different ages, genders and races, whose stories show that even the best institutions can never replace family care.

The preamble of the Hague Convention to which South Africa has acceded prioritises permanent family solutions over any other form of care. 

It states that “for the full and harmonious development of [their] personality”, every child “should grow up in a family environment, in an atmosphere of happiness, love and understanding”. 

It further states that “national adoption or other permanent family care is generally preferable, but if there is a lack of suitable national adoptive families or carers, it is…not preferable to keep children waiting in institutions when the possibility exists of a suitable permanent family placement abroad. Institutionalisation as an option for permanent care, while appropriate in special circumstances, is not…in the best interests of the child.” 

But despite our signature on the document, South Africa seems very far from prioritising permanent family care. Department of Social Development (DSD) practice guidelines have recently been declared unconstitutional in court and the department was sanctioned for elevating them over the Children’s Act, the Hague Convention and the best interests of the child, which in the case of adoption should be “paramount”.

CASE 1

James — the authority also forgot about the boy forgotten at school

Starting Grade 1 was exciting for little James. He loved the kind teachers, the school meals and the excitement of learning to read, write and do maths. He was clever and quick to grasp new concepts. But while other children looked forward to the weekends, he dreaded them. His mother was never home, and his granny, who had been forced into caring for James and his little sister Sarah*, was increasingly frustrated and angry.  

Nothing prepared him for that rainy Friday in May during his second term at primary school though.  

When the bell rang for the end of the day, James watched as his friends were collected.  But there was no one there to fetch him. As the afternoon wore on and extra murals finished, still no one came. By the time the principal found him when he did his rounds of the school before heading home for the weekend, James was all alone in the rain, huddled in a corner clutching his school bag, eyes focused on the gate so he didn’t miss his lift when it came.  

Alarmed, the principal called his family. When he finally got through, he was told that no one would be fetching James, his family no longer wanted him. They’d left the 7-year-old at school to “figure out his life”.  

Shocked and heartbroken, the principal began trying to find a social worker, but no one was available on a late Friday afternoon. Eventually, he contacted Isiaiah 54 Children’s Sanctuary who offered to look after James until social workers could make a permanent plan for his care.  

At a loss about what else to do, James’ principal raided the lost property storeroom for a clean uniform for the little boy to wear to school on Monday, then went to collect James’ meagre belongings before driving him to the sanctuary in the pouring rain.  

Visibly moved, he delivered James, sodden and devastated, still clutching his school bag and an empty lunch box. Along with a black dustbin bag with old clothes and shoes, it was all this tiny boy had left of the first seven years of his life.  

After his principal left, Youandi Gilain from the sanctuary said James came to her and said, “thank you auntie for keeping me, I don’t belong anywhere”.

James spent the weekend at Isiaiah 54 and then on Monday, social workers began looking for a permanent solution for him. His family was adamant that they didn’t want him back, but rather than finding a foster care placement for him, he was inexplicably placed in a Child and Youth Care Centre (CYCC). Despite its caring assistants, with 80 children and dormitory accommodation, the CYCC they chose for him could not have been further from a family environment.

Then it seems that those in authority also forgot about the boy who was abandonned at school.

That was in 2019.

Youandi didn’t forget James though.  She says she thought about him often and wondered how he was doing. Then in 2022, while doing a series of talks to boys in institutional care about puberty and manhood, she recognised James. 10 at the time, James told her how lonely he was and that no one ever visited. Despite only having spent a week at the sanctuary, he told her that he missed them and his time there.  

Heartbreakingly, he begged her to let him “come home” and “promised to be a good boy if he could just go home with her”. Explaining that she couldn’t take him was one of the hardest things that Youandi has ever had to do.

She didn’t see him again that year. Then in October 2023, his social worker contacted her to say that despite excelling at school, James was not doing well emotionally. Confirming how lonely he was, she said that when the other children in the CYCC went home for holidays and weekends, he was left on his own. He was desperate for her and Glynnis, the head of Isiaiah 54, to visit. The following month when they went to see him, taking along some treat sweets and cooldrink, he was overjoyed.  They also invited him for Christmas. So have the family fostering his younger sister Sarah. They didn’t want James, but were happy for him to spend Christmas with Sarah. James’ social worker told him he has to choose.  

This Christmas, the lonely little boy has the prospect of being with one of the few people who love him. But, four and a half years since that fateful Friday, and there is still no permanent plan for his life. Barring a family coming forward to look after him, he will languish in care for the remaining seven years of his childhood.

CASE 2

Sky – being punished for her ‘unlucky behaviour’

That was Sky’s fate. Like James, she entered a CYCC when she was in foundation phase at school. She turned 18 this year and was given notice that as soon as her matric exams were finished, she had to move out, to a shelter if necessary. There would be no exit strategy for her. 

Now an adult, Sky’s story is her own to tell. But, CYCCs have a legislative and moral prerogative to develop an aftercare programme for all children exiting the home to avoid them becoming one of the horror statistics of previously institutionalised young adults left homeless, addicted, pregnant, living in poverty or making a living through prostitution after exiting a CYCC. So, the reason for the CYCC’s lack of aftercare is noteworthy.

It seems that Sky is being punished for her “unlucky behaviour”.

Veteran child protection activist Luke Lamprecht explains that children respond to trauma in different ways. Many children respond through sadness, tears, depression and by becoming more dependent on adult care and support. Lamprecht describes how adults tend to feel sympathetic and caring towards those children. But others respond to trauma with anger, substance abuse, self-harm, promiscuity and disrespect of authority. Not surprisingly, Lamprecht says that adults don’t feel quite as sympathetic towards children who spit in their faces, scream, throw rocks at their cars or flagrantly disobey rules.  

Extensive research shows that these children have been overwhelmed by their circumstances beyond their ability to cope, and their nervous system takes over with one of the well-known “f” responses: “fight, flight, fawn, freeze or flop.” Psychologist Dr Stephen Porges says that when a child’s nervous system has been compromised through trauma, it “replaces patterns of connection with patterns of protection.” 

Children with unlucky behaviours typically respond to perceived threats with a fight response. It’s no more conscious than freeze, fawn or flop, but adults, even those trained in childcare, often perceive it as deliberate defiance, rudeness, disrespect and self-destruction. 

Those in authority at the CYCC seemed to have little appreciation of the genesis of Sky’s behaviour, despite “unlucky behaviours” being common for institutionalised children (especially those who have spent their teen years in care, and who have been let down by their families and those in authority). If, unlike other children from the same CYCC, there is no exit strategy for Sky, it will be life-defining.    

Mercifully, caring adults from her local church have intervened so she won’t end up homeless or without options. But her road will be much harder than it could have been, and she may end up paying for her behaviour for years to come.

CASE 3

Ezekiel — a glimmer of hope that come Christmas 2024, he will finally have a family

Sky isn’t the only child paying for decisions made by adults on her behalf.  Not far away from her, little Ezekiel is about to spend his 7th Christmas in institutional care.

Unlike Sky and James, Ezekiel is very happy in the busy CYCC that has been his home since he was two months old. He has lots of friends and loves the care workers. But, given that he was orphaned in 2020, and that there is a family desperate to adopt him, it seems inexplicable that he will be spending another Christmas in care.

Ezekiel’s story isn’t unusual. He was two months old when he was deemed in need of care, and removed from his mom whose mental illness and substance abuse led to her neglecting him. He was placed in a CYCC in December 2016, four days before Christmas. At the time, the home was short-staffed because of the Christmas holidays, so they asked one of their volunteers if she and her family could look after Ezekiel over that period. 

The Thomas* family, foreign nationals from Europe who were resident in South Africa at the time, were happy to help. They fell in love with Ezekiel and since his biological father was unknown, none of his mother’s relatives stepped forward to assist while his mother was working on her health. The family hosted Ezekiel over weekends and holidays and helped with the costs of his schooling, clothes and medical needs. As foreign nationals without permanent residency, they were not permitted to foster him, but they were nonetheless screened and deemed a safe place for Ezekiel to spend extended periods of time.  

They also helped Ezekiel’s mom visit her son. She was hopeful that she would be reunited with her Ezekiel, but was happy for him to spend time with the Thomases because she knew that they loved him. 

Then in January 2020, the Thomas family’s work commitments ended, and they left South Africa. They visited again shortly thereafter and while in the country, they discussed if it would be best for Ezekiel to be adopted. His mother, still certain that she would be reunited with her son, denied the request.  

But a month later, she contacted the Thomas family asking them if, when they returned to South Africa, they could “take” Ezekiel. She wanted him to be in their care. 

Sadly, less than a month after the message, Ezekiel’s mother passed away.

Things weren’t so simple though. Despite Ezekiel’s mother’s wish for her three-year-old son to be raised by the couple and their desire to adopt him, they were blocked by authorities who told them that adopting him wasn’t possible.

In the interim, the Thomases proceeded with adoption screening in their home country, completing their requirements. Their local Central Authority then communicated with its South African counterpart which stated that Ezekiel was not adoptable and there was no working agreement with the country. They thus rejected all possible cooperation.  

On a local level, the DSD also excluded the option of the Thomases adopting Ezekiel. It argued that according to DSD practice guidelines, the “subsidiarity principle” applied, and that an impermanent foster care placement in Ezekiel’s extended family or even placement with a stranger in his home country would always be preferable to permanent placement in another country.  

In addition, frustratingly for the Thomases, their relationship with Ezekiel and the years of love and care with no intention of adopting Ezekiel precluded them from consideration. Authorities stated that their prior relationship with him amounted to “pre-identification” of a child, pre-selecting a child from a CYCC for the purpose of adoption, which is labelled “baby shopping”.  

The matter dragged on for two years and finally in 2022, after the Thomases’ attorneys wrote to the various authorities, including the Children’s Court, authorities finally acted. Intent on placing Ezekiel in foster care with his mother’s aunt, he was taken to visit her several times.

However, the potential placement was opposed by two uncles of Ezekiel’s mother who had supported her when she was alive. Their view was that the aunt had rejected Ezekiel’s mother when she gave birth to him, and had absolutely no interest in the child. They believed that she wanted to foster Ezekiel because of the foster care grant.  

Inexplicably, despite the extended family’s reservations, the DSD advised the social worker that she was to proceed with the placement, and that they would flag the matter with social workers in the aunt’s location in case things went wrong: “They suggested that we continue with the transfer and inform the new social worker about the allegations so that we can follow up on them.” 

Litigation and legal proceedings

Concerned for Ezekiel, the Thomases took the matter to court to overcome the bureaucratic hurdles preventing them from even applying to adopt him. 

In the judgement which was handed down on Ezekiel’s 7th birthday, the judge explained South Africa’s dilemma regarding intercountry adoptions.    

The UN Convention on the Rights of the Child (UNCRC) and African Charter (AC) to which South Africa is a signatory prioritise national forms of care including foster care and institutionalisation over intercountry adoptions.  These values are also reflected in the DSD practice guidelines for adoption.  

As she pointed out, however, according to the Hague Convention, subsidiarity doesn’t mean that intercountry adoption is a “last resort”.  Instead, while “due consideration” should be given to adoption in the state of origin, “national solutions for children such as remaining permanently in an institution, or having many temporary foster homes, cannot…be considered as preferred solutions ahead of intercountry adoption. Finding a home for a child in the country of origin is a positive step, but a temporary home in the country of origin in most cases is not preferable to a permanent home elsewhere.”  

It further states that “permanent care by an extended family member may be preferable, but not if the carers are wrongly motivated, unsuitable, or unable to meet the needs (including the medical needs) of the particular child.”  

Where there is variance between treaties, the Hague Convention takes precedence because, as the judge noted, the Children’s Act was enacted to give effect to the Hague Convention and section 256(2) of the Act states that “where there is conflict between the ordinary law of the Republic and the Convention, the Convention prevails”. 

She concluded that the Convention accepts that “ensuring that a child grows up in a loving, permanent home is the ultimate form of care a country can bestow upon a child, even if that result is achieved through an intercountry adoption. It follows that children’s need for a permanent home and family can in certain circumstances be greater than their need to remain in the country of their birth.”

Citing a constitutional court ruling, she explained that in insisting on its interpretation of the subsidiarity principle, the DSD had: “failed to heed the constitutional imperative of the best interests of the child”and “ignored the child-centred, case-by-case approach the Constitutional Court has prescribed should be adopted in considering international adoptions.”

For this reason, “the subsidiarity principle itself must be seen as subsidiary to the paramountcy principle. This means that each child must be looked at as an individual, not as an abstraction.”

The judge also stated that throughout the adoption provisions in the law, preference is given to those with a prior relationship with the child because it is clearly in the child’s best interests.  The exception is intercountry adoption where DSD’s Guidelines state that “prospective adoptive parents who have ‘pre-identified’ a child will be precluded from adopting that child. These Guidelines are applied in all circumstances, irrespective of whether the prior relationship between the foreign prospective adoptive parents and the child makes them eminently best suited to adopt the child as it would be in the best interests of the child to be placed in their care.”  

The judge said that “the DSD explained in its answering affidavit that these rules were designed to prevent child trafficking and ‘baby shopping’.” However, she stated, “they make absolutely no sense in the present context where there can be no question at all that the applicants will traffic [Ezekiel] and their prior relationship can never be regarded as their having pre-identified him as a suitable baby to adopt as it arose at a time when they had no intention at all of adopting [him]”. 

Explaining that the Children’s Act gives preference to family members who want to adopt a child, but doesn’t specify that a child must always be placed with biological family, the judge stated that foster care would have made sense when Ezekiel’s mother was alive and reunification possible. But, after she died, adoption, which “offers permanent care and creates lifelong bonds between the adopted child and his adoptive family, carrying with it the duty of support and the benefit of possible succession… must in virtually all circumstances be preferable to foster care.”

Critically, the judge affirmed that there is nothing in Chapter 16, the intercountry adoption chapter of the Act, “that stipulates that where a local placement is available for a child, that child may not be declared ‘adoptable’ for the purpose of an intercountry adoption or would prohibit prospective adoptive parents who have had prior contact with an adoptable child from adopting that child.” 

The DSD practice guidelines however specify that intercountry adoption is a last resort, and precluded if there is a prior non-biological relationship with the child.  They also specify that for a child’s best interests, “priority must be given to adoption by the family of origin” or where this is not an option, to adoption within the child’s community or own culture before another culture or race can be considered.  It further states that “adoption of a child outside his own family shall be considered only if no appropriate placement or adoption within the extended family is possible,” and that “as a priority, a child shall be adopted within his own community and State of origin”.

The National Guidelines further state that “language, culture, race and religion should always be respected and taken into consideration in the matching and placement of the child.” The judge expounded that the national adoption policy of the DSD, already ruled unconstitutional by Dippenaar J in the TT judgement, but still used in practice, reflects an aversion to cross-cultural adoptions, irrespective of the best interests of the child. 

The judge ordered that bureaucratic hurdles be removed, allowing the Thomases to apply to the Children’s Court for Ezekiel’s adoption. This included the DSD appointing an intercountry adoption agency to work with the Thomases in their home country to consider the adoption. She further ordered that the Thomases appoint a local social worker to decide if Ezekiel is adoptable, and that neither pre-association nor local placement options should prevent his adoption. The Children’s Court must consider what is in Ezekiel’s best interests on an expedited basis, and in the interim, the Thomases can maintain contact and Ezekiel may not be removed from the CYCC without a court order.

Ezekiel will spend another Christmas in the CYCC which has been his home for seven years. Unlike James and Sky though, he has the promise of a visit from the Thomases and a glimmer of hope that next Christmas he will finally have a family. 

But until the DSD sets its rigid, authoritarian stance on adoption aside, and regards the best interests of each child as paramount, those tasked with the well-being of SA’s most vulnerable children will continue to be the “grinch that stole Christmas”. 

First published in the Daily Maverick 21.12.23

names changed to protect their identities.

Deinstitutionalisation of children: Christmas miracle or ‘no room at the inn?

Deinstitutionalisation of children: Christmas miracle or ‘no room at the inn?

It’s Christmas — a time for parties, presents and pity for those children spending the holidays in institutional care. It makes government’s plan for the mass deinstitutionalisation of children seem miraculous. But, instead, in an uncanny recreation of the first Christmas, it may leave many children out in the cold.

Listen to this article on BeyondWords

It’s been three years since, on 18 December 2019, the UN General Assembly adopted a resolution on the “promotion and protection of the rights of children”.  

The resolution has a section dedicated to “children without parental care”. It states that children should grow up in a family environment, and that “every effort should be directed to enabling children to remain in or swiftly return to the care of their parents or, when appropriate, other close family members and that, where alternative care is necessary, family and community-based care should be promoted over placement in institutions”.

This was followed on 25 June 2022 by the Kigali Declaration on care and protection reform — signed by all Commonwealth countries, including South Africa — which “encourage development agencies by 2025 to prioritise quality care arrangements at the community level, over institutionalisation” and “support projects which take a holistic and inclusive approach to child protection systems development and family strengthening”.

While the move towards deinstitutionalisation seeks to uphold the rights of children, it’s also predicated on the belief that all institutions are inherently damaging, unnecessary and even self-serving. It’s a perspective obvious in global thinking about institutional care.

A study which focuses on “dispelling the orphan myth” illustrates that, while there are an estimated eight million children in institutions globally, 80% have a living parent.

Although the study did not include South Africa, it indicated that, across multiple countries, children were placed in institutional care due to poverty, disabilities, abuse or neglect, discrimination (for example, families that did not want to raise a girl) or because organisations were using nefarious means such as removal orders or recruitment to populate their institutions.

Equally, the Kigali Declaration argues that institutional care is being promoted by “well-meaning international aid, donations, orphanage volunteering, mission trips or tourist visits”.  These, it says, “can lead to unnecessary family-child separation and undermine care reform efforts”. 

For South Africa, the declarations represent an important commitment from government to move away from long-term institutional care for vulnerable children and have received widespread support.  

Lack of nuance

As with many child-rights-focused initiatives in the country, though, the lack of nuance in the global view on institutions may be unhelpful in a South African context, and the application and implementation of the approach is proving challenging.

South Africa has no published figures about the number of children in alternative care, but in March 2022, the department of social development (DSD) reported to the parliamentary portfolio committee on social development that the country had 15,552 children in registered child and youth care centres (CYCCs). There were 3,337 children in temporary safe care and 912 in secure facilities for children with behavioural, emotional and psychological difficulties.  

These statistics have not been disaggregated, so it’s difficult to tell how many of these children have been placed in CYCCs because of abuse and neglect; how many have living family members, and how many are abandoned or orphaned with no family options for care.

But, if the figures are accurate — which is doubtful because they do not include unregistered institutions — the number of children in institutional care is relatively low given the country’s ongoing challenges with orphaning and abandonment.

According to UCT’s Children Count, in 2020 there were 2.9 million orphans in South Africa. This includes children without a living biological mother, father or both parents, and is equivalent to 14% of all children in South Africa. A total of 531,000 were maternal orphans and 620,000 (3% of all children) were double orphans.

In addition, as of 5 November 2022, 147,000 South African children had lost a primary caregiver due to Covid-19. Of these children, 31% had lost their mother during the pandemic.  

In Gauteng, the General Household survey from 2020/2021 recorded 154,000 children between the ages of 0 and 17 being orphaned, a significant increase from the 2019 figure of 78,000, bringing the total number of single or double orphans in the province to 566,000.

While there are no formal statistics to confirm the number of abandoned children in the country, the March report sent to the social development portfolio committee estimated that about 10,500 children had been abandoned across eight of the country’s nine provinces in the past decade (North West did not provide statistics).

The Minister of Social Development admitted that over a thousand children entered the child protection system through abandonment in a two-year period.

Significant numbers need protection

Although not all orphaned or abandoned children need alternative care, the figures indicate that significant numbers of children require care and protection.  

This is reinforced by anecdotal evidence. Baby Savers SA reports receiving between 10 and 20 queries every working day from desperate, pregnant moms experiencing a crisis pregnancy, and inquiring about options for placing their children into the child protection system. 

Further, despite the DSD stating that CYCCs across the country are 3,000 children under-capacity, in Gauteng, CYCCs testify that they’re turning away between five and 10 children a week.

In this context, preventing babies entering care and shortening the stay of older children in institutional care seems like a Christmas miracle; a response to concerns raised by child protection activists and CYCCs themselves over the past two decades about the length of time children are spending in care.

Factors identified as leading to children’s protracted stays in institutions include high numbers of anonymous abandonments, violence against children, abuse and neglect, anti-adoption sentiment, lack of documentation, interminable bureaucratic processes to obtain birth certificates for children, prolonged attempts to trace first families, lengthy processes to place adoptable children into families, the ongoing collapse of the foster care system and the limited number of social workers able to vet, screen and monitor temporary safe care and foster care parents.

The upshot is that support for women experiencing a crisis pregnancy, violence prevention programmes, increased efficiencies, additional social worker resources and an openness to permanency planning through adoption are an essential part of any plan to end institutional care. 

Gauteng prototype

It’s too soon to tell if these components will be included in government’s eventual plan. But despite this, in Gauteng, the DSD has already fast-tracked the phasing out of institutional care for children in accordance with a memorandum of understanding (MOU) signed between the Gauteng DSD and  Hope and Homes, a global organisation focused on deinstitutionalisation.

Although this MOU was first agreed in 2016, the Kigali Declaration has led to a flurry of activity towards ending the institutional care of children by the Gauteng DSD because the province has been identified as the prototype for the country.

In July 2022, just a month after the declaration was signed, Hope and Homes met with the CYCCs in Gauteng to inform them that all CYCCs would be closed by 2030. CYCCs were told that they can be repurposed in accordance with the established needs of communities derived through community mapping exercises and based on priorities and gaps the provincial DSD has identified in its planning.

Some suggestions made during the meeting about how CYCCs can “pivot”, are for them to become facilities for children aged 3-11 with oppositional defiant behaviours, day care centres, community outlets or step-down facilities for independent living which will be run by the DSD for children aged 11-21.

Only organisations that meet the DSD’s strategic priorities will continue to be funded. 

When CYCCs raised concerns about changing the constitution of their NPO, about zoning permissions for their properties, donor requirements, and about managing the costs of running operations while also transforming their care environment for future requirements, they were told that they had the next five to eight years to review their operations model, repurpose existing buildings and change their funding streams, but that they would ultimately find the shift from “running an institution” more “rewarding in terms of children’s best interests”.

Supported by the DSD, Hope and Homes also declared an immediate moratorium on children aged 0-3 being placed in CYCCs, and reported that, as the bank of temporary safe care parents increases, children below the age of three currently in CYCCs could be moved too. 

Hope and Homes will provide CYCCs with a tool to determine adoptability of those children currently in care. However, the goal will be to reunify children with families wherever possible.  

Under the shadow of Life Esidimeni

No one disputes the dangers of long-term institutional care for children. But there are increasing concerns over the deinstitutionalisation strategy being employed in the province.

These focus on three key issues: Hope and Homes’ appreciation of the local South African child protection context and its complexities; the haphazard roll-out of the plan in the province, and the challenges and potential dangers of decentralised, potentially unsupervised care — especially in a province still living under the shadow of the Life Esidimeni tragedy.

Crucial to the disquiet is the question of why the DSD chose to work with a UK-based organisation to pioneer its plans for deinstitutionalisation, when it had local options available.  

Initially, it didn’t. When Hope and Homes signed the MOU in 2016, it was in conjunction with Give a Child a Family Africa (GCF), an organisation based in KwaZulu-Natal that has had success across Africa with deinstitutionalisation and replacing institutional care with effective family-based care for children. 

GCF believes that only a small percentage of children require long-term institutional care. However, it also recognises that deinstitutionalisation of children requires a serious commitment and a specific plan of action. 

Following the signing of the MOU, it seconded its social worker to Hope and Homes for two years to help them understand the South African child protection challenges and develop a contextually relevant foster care programme.

However, when the contract ended after two years, it became clear that they had a different vision to Hope and Homes, who deemed GCF’s foster care strategy with its intensive vetting, recruiting and training regime, social worker involvement and support groups, too expensive. 

Hope and Homes has run the programme without GCF since 2017.

While Hope and Homes has a wealth of experience running deinstitutionalisation strategies across the globe, there’s concern that it may not appreciate the complexity of the South African context.

During the CYCC briefing, Lourenza Foghill, national director of Hope and Homes for Children South Africa, appeared to diminish the challenge of abandoned babies without family care, claiming that Hope and Homes would be able to find the families of many “so-called abandoned babies” because it has experience using track and trace to do so.

She also intimated that the presence of CYCCs was encouraging desperate mothers to place their children into the child protection system rather than raising the child. She said there are currently “lots of people willing to help desperate mothers, which leads to mothers deciding that they can’t and won’t be able to care for their baby, which leads to the baby going to a CYCC and then being adopted”. This, she said, “is not optimal for Hope and Homes”. 

In addition, although she recognised the impact of Covid on the recruitment of temporary safety parents, she didn’t acknowledge the current problems with the foster care system which have still not been solved more than a decade after the first court order instructing government to fix the overburdened and under-resourced system.  

And despite referring to the availability of temporary safety parents to keep 0-3-year-olds out of institutions, as of July, Hope and Homes only had 18 parents in the “bank”.

Haphazard implementation

Equally concerning is the seemingly haphazard way that the programme is being implemented by the department. No written directives on the deinstitutionalisation process or requirements have been published, and government confessed that, despite instructing the CYCCs in July that they were not allowed to receive any more children aged 0-3, it failed to brief the child protection organisations (CPOs) that place children with them about the change in policy.  

CPOs have unwittingly continued to bring 0-3-year-olds to CYCCs, forcing them to either ignore the moratorium or turn children away. 

Moreover, it appears that whether intentionally or coincidentally, the DSD is making the re-registration of CYCCs very difficult. The upshot is that it is culling CYCCs even before it is ready to roll out its plan for deinstitutionalisation.

Factors precluding re-registration include DSD requests for health and safety certificates despite these not being required when there are no structural changes; for building plans despite some buildings being more than 100 years old, and for certification of competence for child and youth care workers from the South African Council for Social Service Professions (SACSSP), which are mandatory, but the SACSSP cannot issue certificates because of technical problems and the DSD won’t accept written confirmation of competence.  

The result of these bureaucratic challenges is that some CYCCs will lose their registration long before alternative arrangements can be made for the children in their care. They will be forced to turn children in need away and, if the problems persist, children in their care will be removed because magistrates will not renew orders if the CYCC is not registered.  

Others will have their children forcibly removed.

Care centre re-registration

In March 2022, a Gauteng CYCC was denied re-registration after the department introduced new requirements that had not been in place when it was originally registered in 2016. Unlike other CYCCs experiencing similar challenges who managed to get short-term re-registration while they raised money for architect fees and developing building plans, obtained health certificates in a pandemic or assisted the SACSSP to verify their staff training, this CYCC was given no grace period.

It was informed that its 10 children, aged three and under, would be removed and placed elsewhere.

In disbelief, caregivers packed everything for their children and watched while they were relocated to temporary safe care in Pretoria. For two months, they transported their care workers to Pretoria every day to maintain continuity of care for their children. Their nursery manager slept in a sleeping bag on the floor at the children’s new home to try to mitigate the trauma of the move.

By May, however, it became clear that they wouldn’t be re-registered and, for the sake of the children, they chose to withdraw.

They now face the dilemma of whether they should continue to employ their nine staff members whose salaries they still pay, despite not having any children in their care.

The story of Hannah

Notwithstanding their best efforts to minimise disruptions to the children, the nursery manager told the story of Hannah* who had been placed in the CYCC’s care at birth. At the age of three, she was moved from the only family she had known. As she arrived at her new “home”, she was greeted by her new house mother who asked her how she was.  

The little girl looked at the nursery manager, then tensed up and threw herself face down on the ground. Recognising a trauma-induced “freeze” response, the nursery manager picked Hannah up, comforted her and helped her to deal with her distress.

A month later, Hannah’s best friend and “sister” was adopted and left the home, and a month after that, the nursery manager and her beloved “aunties” had to leave. Hannah, who is not adoptable because she has family with whom she cannot yet be reunited, will spend this Christmas in temporary safe care without the adults or friend who love her, and to whom she attached at birth.

Hannah’s story epitomises the damage that can be done without a proper deinstitutionalisation roll-out plan or way of ensuring continuity of care for all children.

Equally concerning is what has become of the 0-3-year-old children whose stories cannot be told, but who are already being turned away from CYCCs despite there being no alternative plan for their care.  

Who’ll step in?

While an end to long-term institutional care is both a global priority that the South African government has endorsed — and an ethical imperative — important questions need to be asked about who will care for these children when institutions are gone. 

How will we devolve quality care away from organisations but still ensure that there is proper recruiting, vetting, training and monitoring of their replacement carers?

How will we ensure that a professional foster care and temporary safe care system is not equally destructive, as has been experienced in other parts of the globe?

Although the UN resolution emphasises permanency, how will we provide permanency for vulnerable children in a country with a statistically verifiable problem with anonymous abandonment; more than half a million double orphans; the ongoing challenge of violence, neglect and abuse; an anti-adoption stance; an overburdened foster care system and too few social workers?

As the deinstitutionalisation plan is executed, many CYCCs will be forced to close their doors and dismiss their caregivers. Others will pivot and reinvent themselves in a desperate attempt to continue receiving government subsidies.

It is the children and their best interests that should be of primary concern.

As the spectre of Life Esidimeni continues to loom over Gauteng, the haphazard implementation of decentralised care without proper supervision and support is a terrifying prospect.

With our most vulnerable children at stake, we cannot afford to get this wrong. DM

* Name changed to protect her identity.

Hope and Homes was asked for comment for this article, but had not responded at the time of publishing.

Article first published in the Daily Maverick 21.12.22

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