A Forgotten Population: Estimating the Number of Children Outside of Households in Cambodia
Two national household surveys, the Demographic and Health Surveys and the Multiple Indicator Cluster Surveys, drive assessment of the Millennium Development Goals, Poverty Reduction Strategies, and other major international platforms in most low- and middle-income countries. However, little attention has been given to the fact that household surveys are limited to people living in households, therefore excluding some of the world’s most vulnerable populations and including the homeless, people living in institutions, and migrant laborers. The situation of children living outside of households is particularly precarious because many of these children are also outside of families or in families that cannot adequately care for them. Deprivation and stress related to these early life experiences can negatively affect health and productivity across the life course. This manuscript reviews the issues facing children outside of households and argues for the importance of gathering robust data about this population to formulate responsive policies and services, mobilize resources, and foster accountability. Cambodia is highlighted to illustrate the recent work that the government has undertaken to quantify two key subgroups of children outside of households: children living in residential care institutions and homeless children living on the street or in other public places. The methods, ethical considerations, and implications of Cambodia’s enumeration are discussed.
KeywordsEstimation Street children Residential care institutions Children outside of households Cambodia
The authors thank Dr. Richard Rinehart, Global Alliance for Children, for his guidance and support as well as his helpful comments on an earlier version of this manuscript. The authors also acknowledge the financial support of the US Agency for International Development and John Snow International. Statements made in this paper are the views of the authors alone and do not constitute the policy of the above-listed funding bodies.
- Bick, J., Zhu, T., Stamoulis, C., Fox, N. A., Zeanah, C., & Nelson, C. A. (2015). Effect of early institutionalization and foster care on long-term white matter development: a randomized clinical trial. JAMA pediatrics.Google Scholar
- Hatloy, A., & Huser, A. (2005). Identification of Street Children: Characteristics of Street Children in Bamako and Accra. FAFO: Research Program on Trafficking and Child Labour. Retrieved 10 Feb., 2015, from http://www.fafo.no/pub/rapp/474/474
- Irwin, L. G., Siddiqi, A., & Hertzman, C. (2007). Early child development: a powerful equalizer. Final report to the WHO Commission on Social Determinants of Health. Geneva.Google Scholar
- Ministry of Women’s Affairs, UNICEF Cambodia, & US Centers for Disease Control and Prevention. (2014). Findings from Cambodia’s Violence Against Children Survey 2013. Retrieved May 31, 2015, from http://www.unicef.org/cambodia/UNICEF_VAC_Full_Report_English.pdf
- Red Cross, & Red Crescent. (2011). The sphere handbook: humanitarian charter and minimum standards in humanitarian response. Third edition. Retrieved November 20, 2015, from http://www.spherehandbook.org/
- Retrak (2015). Making the invisible visible: an enumeration of children on the streets in Malawi. Retrieved November 20, 2015, from https://www.retrak.org/content/uploads/2015/10/Retrak-Making-the-invisible-visible-Malawi-Enumeration-2015.pdf
- Stark, L., Rubenstein, B. L., Muldoon, K., & Roberts, L. (2014). Guidelines for implementing a national strategy to determine the magnitude and distribution of children outside of family care. Retrieved Nov. 20, 2014, from http://www.cpcnetwork.org/wp-content/uploads/2014/05/surveyguidelines_childrenoutsidefamilycare_final.pdf
- Street Kids International (2013). Annual Report 2012–2013: Street Kids International. Retrieved May 31, 2015, from http://streetkids.org/images/PDFs/AnnualReport-Web.pdf
- US Department of State and USAID (2012). United States Government Action Plan on Children in Adversity. A framework for international assistance: 2012–2017. Washington, DC.Google Scholar
- USAID (2015). Family Care First Initiative. Retrieved May 31, 2015, from http://familycarefirst.com/
- World Health Organization (2008). Steps in applying probability proportional to size (PPS) and calculating basic probability weights.> Retrieved Nov. 20, 2014, from http://www.who.int/tb/advisory_bodies/impact_measurement_taskforce/meetings/prevalence_survey/psws_probability_prop_size_bierrenbach.pdf