Analysis of the needs of children at risk and persons with disabilities in institutions in the Republic of North Macedonia

July 8, 2026

The aim of this ‘Analysis of the Needs of Children at Risk and Persons with Disabilities in Institutions in the Republic of North Macedonia’ is to provide a comprehensive assessment of the conditions, needs and challenges faced by children at risk and persons with disabilities placed in the system of institutional and out-of-home care, by examining the practices and conditions in several establishments. The analysis covered an assessment of the conditions for accommodation and care, organisational practices, access to services and support, respect for human rights, as well as the psychosocial aspects related to the day-to-day functioning of the institutions. Particular attention was paid to the experiences and perspectives of the children and young people, as well as the challenges faced by the professional staff in providing appropriate support.

The analysis included several institutions, namely the Correctional and Educational Home – Tetovo, the Public Institution for Child Care with Educational and Social Problems and Disorderly Conduct – Skopje, the Public Institution Children’s Home “11 Oktomvri”, and the Special Institution in Demir Kapija, including the small group homes that operate within the institutions. The research aimed to identify opportunities for improving the quality of care and support for the children and individuals accommodated in these institutions, and to assess their compliance with standards for community living and the rights of the child.

The analysis was prepared as part of the project ‘Strengthening Human Rights and Services for Children and Vulnerable Persons at Risk in Closed Institutions’, which is implemented by the Helsinki Committee for Human Rights, with financial support from the European Union.