In this editorial, The Lancet calls for prioritization of family strengthening efforts and greater societal and political action to invest in early identification of family stressors and remove barriers to family stability well before children are put at risk of harm.
It highlights that whilst child protection system have a critical role to protect children from harm and provide alternative care for those that need it, institutionalisation is harmful and even family based alternative care, whilst preferable, are in most cases no substitute for keeping families together.
Although governments and global organisations must safeguard children from harm, the value in keeping families stable, secure, and together cannot be underestimated. Bias, discrimination, and stigma experienced by marginalised families must be recognised and overcome for parents to be empowered and adequately supported to care for their families. Inclusion of young people’s voices is essential, and wishes around their care and welfare must be taken seriously. Culturally appropriate approaches to raising children and facilitators of family healing must be prioritised and led by the communities affected.
