This article explores Ethiopia’s growing challenge of supporting children without parental care in the context of rapid population growth, poverty, and ongoing crises. Drawing on decades of practitioner experience, it emphasizes that family-based care is more effective and beneficial than institutionalization, which should be used only as a last resort. The piece highlights recent policy advances, including Ethiopia’s Alternative Childcare Directive and draft Children’s Rights Protection Proclamation, while underscoring persistent gaps in implementation, data systems, and coordination. It concludes with a call for greater investment in family strengthening, community-based care, and child protection systems to ensure that every child grows up in a safe, supportive family environment.