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J.K. Rowling describes how a newspaper photograph of a distressed boy confined in 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 have been separated from their families and placed in institutions, often because of poverty, disability, discrimination, or a lack of local health and education services. Most, she says, have parents who could care for them with adequate support.

Rowling argues that institutional care can cause lasting physical, developmental and psychological harm, even in well-resourced facilities. Children in institutions face heightened risks of malnutrition, abuse and trafficking, while separation from a dedicated caregiver can hinder their development and prospects in adulthood.

Lumos advocates investment in family support, inclusive education and healthcare, and family-based alternatives such as fostering and adoption. The charity estimates that child institutionalisation could be eradicated globally by 2050 and argues that supporting children in families is also more cost-effective.

Rowling cites progress in countries where Lumos works: the number of children in institutions fell by 70% nationally in Moldova and by 54% in Bulgaria. In a Lumos demonstration area in the Czech Republic, admissions fell by 75%. She also points to commitments from international donors and urges wider public awareness through the #LetsTalkLumos campaign.