Investigating the Effectiveness of Case Management among Orphans and Vulnerable Children at Household Level in Enugu State, Nigeria
Abstract:
In sub-Saharan
Africa, a large proportion of children lack basic necessity and support for optimum
development.
In Nigeria, the estimated number of children who are orphans
and vulnerable and in need of essential care is 17.5 million as of 2008. Major causes
of orphaning and vulnerability include poverty, conflicts, HIV/AIDS, road accidents,
communicable and non-communicable diseases, and harmful cultural practices. Hence,
the Case management approach has been adopted as a community service delivery strategy
for addressing the needs of orphans and vulnerable children at the household level.
This study investigated vulnerable households in Enugu State who have been ever
enrolled into Orphans and Vulnerable Children (OVC) donor-funded programs and received
services that are geared toward enhancing their socio-economic stability. The standard
OVC custom indicators were used in measuring the results and outcomes of services
provided to OVC and their caregivers. The results show significant effect and impact
of the case management approach in OVC program service delivery as over 50,000 beneficiaries
from
over 14,000 households were served from four domains of Healthy, Safe, Schooled
and Stable. Households received these services after enrolment and were moved from
a state of vulnerability to self-resiliency. Also, results show strong collaboration
between OVC implementing NGOs and government stakeholders in terms of capacity building
and systems strengthening in addressing the need of OVC and their caregivers. Conversely,
results indicated a week synergy between local and state government OVC officials
– hampering on their oversight capabilities of OVC programs. This can be improved
with increased funding and coordination.
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