BBPeer Review N. Macedonia Deinstitutionalisation

BB Peer Review snapshots on deinstitutionalisation

Get a glimpse of the peer review Deinstitutionalisation of children and persons with disabilities  in our snapshots below. The Ministry of Labour and Social Protection of the Republic of North Macedonia and the European Centre hosted the online peer review on 08-09 February 2023. Over 50 representatives from ministries and stakeholders discussed experiences and challenges of transitioning children and persons with disabilities from institutional to community-based settings (deinstitutionalisation). Read more about the challenges and the recommendations in the full report at the bottom of the page.

Snapshots of the BB Peer Review Deinstitutionalisation

Initial situation

Though persons with disabilities and children without parental care are still often accommodated in large, congregated institutions which are unable to provide person-centred support in line with human rights, North Macedonia has made important steps in transforming its care system over the past decade.


One key aspect of the deinstitutionalisation process has been the development and strengthening of alternative care options. This includes the establishment of family-based care, where children live with qualified and trained foster families who provide them with a nurturing and supportive environment.

Mutual learning among peer countries

The host and participating countries mentioned major challenges and important aspects as key drivers or barriers in the implementation of deinstitutionalisation reforms during the peer review. Additionally, other more general topics were discussed in detail among participants as they were considered crucial in planning and implementing the process of transitioning from institutional to community-based care.

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