Scaling Up Family Care Through Care Reform: A Conceptual Framework

Changing the Way We Care (CTWWC)

Changing the Way We Care prioritizes scaling family care as part of care reform. To support global efforts, CTWWC developed a conceptual framework to scaling within the countries where it works. The country-level conceptual framework presents scaling as a seven-step process. Scaling approaches vary across contexts and countries with there being no one-sized fits all approach. As such, CTWWC’s conceptual framework can and should be adapted to the context and available resources. 

A national family-centered care system prioritizes family care for all children through preventing unnecessary separation of children from their families, reintegrating children who are currently separated from family care into families, and providing alternative family care as an option for children who cannot remain with their primary caregiver. Building a strong national care system is the focus of the scaling approach.

This is a large goal that can only be achieved by working in a coalition with other actors that share a common vision. As such, CTWWC defines scaling as an iterative process whereby a diverse coalition of actors realize a strong family-centered care system across geographic space and overtime. It is not easily predictable how the system will gradually evolve. This calls for an iterative scaling process which means that we continuously leverage successes and opportunities as they arise. Working with other actors is critical in the effort to develop, scale and sustain this system. The result is that a system is in place that will, over time, serve all children within a specific country.

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