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From Institutional Care to Family and Community - Based Care: What Had to Change Shifting from institutional care to family- and community-based care required more than a change in approach; it required a shift in skills. Staff were retrained in case management, family strengthening, reintegration, and family tracing. A pilot phase helped test and refine the model before scaling it with confidence. Just as important was rethinking how to work with communities, recognizing them as the true custodians of their children and deeply engaging them to understand why children belong in families. This is what operational change in care reform really looks like. #FamilyBasedCare #ChildCareReform #CareReform #CommunityLedCare #CommunityOwnership #StrongerFamilies #CapacityBuilding #CaseManagement #SocialWorkInAction #ChildWelfareAfrica #AfricanNGOs #CareReformAfrica