Out of the Shadows

Together for Girls

This Out of the Shadows Index tracks how 60 countries across 6 regions – home to 83% of the world’s children – are preventing and responding to sexual violence against children and adolescents.

Exploring challenges and prospects of alternative childcare services in Bangladesh: a qualitative case study

Md. Golam Azam, Muhammad Mamunur Rashid, and Md. Abdul Mazid

This qualitative case study examines the challenges and opportunities of alternative childcare services in Bangladesh, finding a growing demand for care options but significant gaps in quality and coordination. Key issues include inadequate emotional and psychosocial support, shortages of trained caregivers, weak monitoring systems, and social stigma, highlighting the need for stronger investment, capacity building, and a more child-centred approach.

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Community engagement and involvement: Identifying research priorities needed to safely reduce the number of children living in out-of-home care in Kalaallit Nunaat

Daniel Allen and Bonnie Jensen

This study highlights that children in Kalaallit Nunaat are placed in out-of-home care at disproportionately high rates, creating significant strain on families and the child welfare system. Drawing on community perspectives, it identifies key research priorities focused on how colonization and structural inequalities shape family life, providing a framework to inform efforts to safely reduce reliance on out-of-home care.

Life course health and mental health of care-experienced adults after age 30: A scoping review

Amanda Keller, Yunung Lee, Nikki Tummon, and Michael Mackenzie

This scoping review of 29 studies finds that individuals with care experience face significantly higher rates of mental and physical health challenges across the life course, though research has largely focused on younger populations. It highlights key gaps, particularly in understanding the long-term physical health outcomes of care leavers and the need for clearer distinctions and broader definitions of wellbeing in future research.

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Understanding Child Trafficking in Ghana: Causes, Achievements, Challenges and Future Directions

Sylvester Kyei-Gyamfi, Afisah Zakariah, Frank Kyei-Arthur,et al.

This qualitative study examines the drivers, progress, and ongoing challenges in addressing child trafficking in Ghana, drawing on interviews with 80 stakeholders across government, civil society, and affected communities. It finds that while policy and institutional advances have been made, persistent issues such as weak enforcement, limited coordination, and underlying drivers like poverty and migration require stronger, better-resourced, and more survivor-centred responses.

Physical health status of Institutionalised orphans in Lucknow district: A cross-sectional study

Vedika Singh, Reema Kumari, Saurabh Kashyap, et al.

This study assessed the physical health status of children residing in orphanage homes in Lucknow district, India. It found while most had normal nutritional status, many faced challenges, including high school dropout rates, signs of micronutrient deficiencies, and poor oral hygiene.

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Minority Children in Residential Care: What Do Palestinian-Arab Children Think About Their Well-Being?

Miraz Hashoul and Hanita Kosher

This study explores the subjective well-being (SWB) of Palestinian-Arab children aged 9–13 in residential care in Israel. It focuses on how these children perceive their well-being in terms of their satisfaction with residential care and life in general. It was found that the participants’ satisfaction with their residential care facility was lower than their overall life satisfaction.

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Responding to missing children in residential care: Care home staff perspectives regarding challenges and solutions

Sara Waring, Amelia Shaw, and Emily Ashworth

This study examines how care home staff and managers in the UK perceive and respond to children going missing from care, identifying key factors such as communication, relationships, and organizational support that influence prevention and response. Findings highlight the importance of trauma-informed, child-centred, and collaborative approaches, while noting barriers like resource constraints and inconsistent practices, and offer recommendations to improve safeguarding and outcomes.

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