We also assume that changes in approach will result in lower costs for health care and community support. For health care for older children and identification of children in the community we reduced costs at full scale to one-tenth of current costs. Our assumption is that organizations would make greater efforts to utilize free health care services and volunteer labour if their programmes were much larger. For community workers we assumed that the unit costs could be reduced somewhat through greater use of volunteers, but that funds would still be needed for training, recruitment and transportation.
An alternative to funding each type of support required is to provide conditional cash grants to families or communities. Several countries are investigating such mechanisms. While small monthly grants can improve conditions significantly, they will not provide the same quality of support as a more comprehensive programme. It may be that providing larger conditional grants to families or communities would be a more efficient way of providing support, but many issues remain to be resolved, such as identification of those who need support and ensuring that funds are not wasted.
We also recognize that orphans are receiving some of these services now. For example, many are in school and all are receiving some food, as caregivers are doing what they can to provide the best care possible with their limited resources. We really need to know the additional resources required to provide adequate care to all children. For these reasons we have limited our estimates to children living below the poverty line, as they are the least likely to have adequate support.
How do orphans feel?
It feels VERY ALONE (but you do not have to choose to be lonely) to be an orphan. … It feels VERY ALONE (but you do not have to choose to be lonely) to be an orphan. Orphans are COMPLETELY different than the rest of society who have been raised epigenetically with family nurture.