Creating child-inclusive societies.

Helen Skouteris, Michael Marmot, Sharon Bessell
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Abstract

In a global landscape defined by polycrisis, children are being failed. To address this failure, we ask an ambitious yet fundamental question: how do we create child-inclusive societies where every child thrives and has the best start in life, where intergenerational disadvantage is redressed, and where child poverty is ended? Building on the power of the social determinants of health in advancing equity and human wellbeing, we argue that child inclusiveness requires three foundational actions linked to the political, commercial, and social determinants of health: (1) prioritising implementation of transformative collaboration between policy makers, public bodies, and communities to improve outcomes for children; (2) reclaiming the public good through child-centred regulatory frameworks that aim to deliver health care and improve wellbeing; and (3) valuing the time to care for children and to build meaningful and responsive relationships with them. With innovative thinking about our societies and their core values, we can design child-inclusive interventions and derive relevant metrics and indicators to track progress.

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创建包容儿童的社会。
在全球多重危机的背景下,儿童正在遭受失败。为了解决这一问题,我们提出了一个雄心勃勃而又根本性的问题:我们该如何创建一个包容儿童的社会,让每个儿童都能茁壮成长,拥有最美好的人生开端,纠正代际间的不利处境,消除儿童贫困现象?基于健康的社会决定因素在促进公平和人类福祉方面的力量,我们认为,儿童包容性需要采取与健康的政治、商业和社会决定因素相关联的三项基本行动:(1)优先实施政策制定者、公共机构和社区之间的变革性合作,以改善儿童的成果;(2)通过以儿童为中心的监管框架重新获得公共利益,旨在提供医疗保健和改善福祉;以及(3)珍惜关爱儿童的时间,与他们建立有意义的、顺应需求的关系。通过对我们的社会及其核心价值观的创新思考,我们可以设计出包容儿童的干预措施,并得出相关的衡量标准和指标来跟踪进展情况。
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Children are not future producers and customers: a plea for the moral imperative of acting now. Addressing multiple neurodivergent identities in clinical and research settings. Creating child-inclusive societies. End violence against children and adolescents: integrate climate policy into the 2030 SDGs. Monitoring change from residential housing care to family-based care for children.
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