Most of these structures have staff with little training in social service work (social workers or educators), which sometimes impede the functioning of child reintegration mechanisms that need proper monitoring. At material level, the premises where these centres are located are old with low water storage capacity. Besides CIREV, which receives state funding, structures emanate from CSOs and some of them receive funding from international donors and others generate their own financing through their congregations. Another difficulty that is highlighted is the lack of coordination in the different actors’ areas of intervention. On one hand, these actors confer little, each working in their area of intervention with their tools and secondly, they do not understand the legislation on children's rights. Regarding abandoned children, the state has three sites: crèches - Nurseries - daycare (2 in Brazzaville and Pointe Noire 1), with a constant budget of 32,500,000 FCFA per year since 2003 for all of these structures. The private sector for its part, has thirty care and accommodation centres, of which the following can be mentioned: the care centre "La semence " the home "Marie Misericorde", the home "Soeur Clotilde ", the orphanage" Joseph Gaston Céleste ", the home" Lumiere pour enfants ", the home" Esperance Soeur Dorcas ", the orphanage" Notre Dame de Nazareth ", the orphanage" Les Cataractes ", the care centre Bethany, the orphanage "Sainte Face de Jesus". Several constraints are remaining in the implementation of these projects. For the OVC project constraints are: (i) low operational level of partnership to reduce costs of care, (ii) weak ownership of programmes by communities, (iii) issue of employment of children after training, (iv) fragility of revenue generated by IGA, (v) high cost / childrearing: US $ 229 / child per year due to the AESO management fees, (vi) quasi unavailable state financial contribution which limits the ability to fund some vital topics not included in the project document (PLVSS, PADEPP) (vii) weak supervision of DGASF and low involvement of CAS. Taking into account the lessons of the past period, the Government intends to develop with all the institutional players a strategy including: (i) prevention, management and rehabilitation of street children, (ii) increase social mobilisation against violence against women and children; (iii) strengthening national capacity for risk management and emergency response; (iv) documentation of evidence, (v) capacity building of social welfare services to coordinate the expansion of care quality services for OVC; (vi) support to community networks to reduce stigma and community care for children affected by HIV; (vii) mobilising resources for the care of street children and OVC; (viii) training / retraining of implementing agencies on the care of orphans and other vulnerable children by reframing the new procedures manual; (ix) strengthening the monitoring capacity of the DGASF and CAS. CHAPTER 5. BASIC HEALTH AND WELFARE The Experts Committee's concerns on the health and well being of children are divided in 5 areas: a) Survival and development of the child (Article 5); 53