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J.K. Rowling describes how a newspaper photograph of a distressed boy confined to a caged bed inspired her to establish Lumos, a charity dedicated to ending the institutionalisation of children. She says an estimated 8 million children worldwide live in institutions, often separated from their families because of poverty, disability, discrimination, or a lack of local health and education services. Most, she says, are not orphans.

Rowling argues that institutional care can cause lasting physical and psychological harm, even in well-resourced facilities. Children may experience developmental delays, malnutrition, abuse, trafficking and social exclusion, while a lack of consistent care and affection can have especially severe effects on infants. She calls for investment in family support, inclusive education and health services, and foster care or adoption for children who cannot remain with their parents. Supporting children in families, she adds, is more cost-effective than institutional care.

Lumos estimates that child institutionalisation could be eradicated globally by 2050. Rowling cites progress in countries where the charity works: a 70% reduction in the number of children in institutions in Moldova since 2007; a 75% fall in admissions in its Czech demonstration area; and a 54% reduction in the number of institutionalised children in Bulgaria, alongside a large increase in foster carers. She credits commitments from international donors as an important precedent and urges greater public awareness through the #Letstalklumos campaign. Having committed to serve as Lumos president for life, Rowling says she hopes institutionalising children will one day be viewed as a practice of the past.