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J.K. Rowling describes how a newspaper photograph of a distressed boy confined in a caged bed prompted her to establish Lumos, a charity dedicated to ending the institutionalisation of children. She says an estimated 8 million children worldwide live apart from their families in institutions, although most have parents who could care for them with adequate support. Poverty, disability, discrimination and a lack of local health and education services often lead families to place children in care.

Rowling argues that institutions can cause lasting physical and psychological harm, including developmental delays, malnutrition and trauma, while increasing children’s vulnerability to abuse and trafficking. She maintains that even well-resourced institutions cannot replace the attention of a dedicated carer. Lumos advocates keeping families together through financial, medical, social and educational support, and providing foster care, adoption or other family-based alternatives when children cannot remain at home.

Lumos estimates that child institutionalisation could be eradicated globally by 2050. Rowling cites progress in countries where the charity works: the number of children in institutions fell by 70% in Moldova and 54% in Bulgaria, while admissions declined sharply in a Lumos demonstration area in the Czech Republic. Bulgaria also saw a substantial increase in foster carers. She calls on international donors and the public to support family-based care and raise awareness through the #LetsTalkLumos campaign.