I’ve found there are some things on which everyone can agree.
- Children need strong beginnings – health, nutrition and nurturing care – to live their most productive lives;
- Children grow up best in the care of loving families;
- Children have the right to live free of violence, exploitation, abuse and neglect.
These truths offer a simple moral imperative, but they are also backed by science. Neuroscientists, pediatricians and economists alike have demonstrated that a promising future belongs to those nations, communities and families that invest wisely in their children. I’ve studied the irrefutable links between the wellbeing of children and the economic and social progress of nations – they provide a compelling agenda for strengthening policies and investments to ensure that all children grow up within protective family care, and free from deprivation, exploitation and danger.
Following the genocide in Rwanda, over a million reed-thin and weary refugees poured into the Goma refugee camp in what was then Zaire. In the midst of cholera, relief workers brought infants and children to make-shift orphanages in an effort to save lives. Little babies were lined up like loaves of bread on cots, given vaccines to stave off preventable illnesses and fed routinely through IVs. Yet they still died by the hundreds. It’s called “failure to thrive”—the lack of human contact and nurturance required to live.
I looked into the eyes of many of these Rwandan babies who “failed to thrive”. It was an experience that continues to haunt me to this day. In a brief moment, I witnessed the flicker of God-given potential dim – a desperate fight at first, then resignation and a ghost-like stare until death. It’s the opposite of when I looked into my own son’s eyes and, for the first time, he recognized me and responded with delight!
Last year 6.9 million children died from preventable causes. We have the science to explain what happens within the bodies and brains of children who face deprivation, exploitation and danger. We have the evidence that demonstrates how early intervention break cycles of poverty, inequality and violence. We have empirical data that shows investments made early in the lives of children yield greater returns than at any other point in the life cycle. We have other champions and partner organizations on the ground prepared to roll up their sleeves and scale up what is proven to work. We work with governments all over the world that are prepared to partner to do more and better on behalf of their children in need.
In June, the Governments of Ethiopia, India and the United States, in collaboration with UNICEF, hosted the Child Survival Call to Action. As an important follow on to this global effort, this week the first-ever U.S. Government Action Plan on Children in Adversity (PDF) will be released. It is a testament to the fact that the U.S. government takes the science – and the investment – seriously. With significant investments in international development, the technical expertise and research capabilities embedded within key agencies, and diplomatic outreach, the U.S. government is well positioned to lead and mobilize around this sensible and strategic global agenda for children in adversity – children who face poverty, live on the streets or in institutions, are exploited for their labor or sex, recruited into armed groups, affected by HIV/AIDS, or separated from their families as a result of conflict or disaster.
The Action Plan I have helped to develop outlines objectives that will deliver ambitious and positive results for children. It also identifies programs that work and that can be taken to scale. It demonstrates that we can measure impact and affect change.
Yet, this work is about more than science, or sound economic investments. It is about the miracle and potential of each child, and our profound duty to care for our children, and in so doing, protect our future.
I have spent 40 years working to create a world in which all children grow up within protective family care and free from deprivation, exploitation and danger. The U.S. Government Action Plan moves us closer towards this vision. I invite you to join this global conspiracy of goodness.
Dr. Boothby has taken a leave of absence from Columbia University, where he is the Allan Rosenfield Professor of Clinical Forced Migration and Health at Columbia University’s Mailman School of Public Health. As Director of the Program on Forced Migration and Health, he has lead several research initiatives, including the Child Protection in Crisis (CPC) Learning Network—a constellation of over 150 agencies working in 32 countries on the development of an evidence base for efficacious child health and protection programming. Through the CPC Network, Dr. Boothby established university based research centers and graduate training programs in Africa, Asian and the Middle East.