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The 55-page report, “We Must Provide a Family, Not Rebuild Orphanages,” documents risks to children from institutions in areas directly affected by the conflict as well as those evacuated to other areas of Ukraine or to European countries. According to government figures, Ukraine had more than 105,000 children in institutions before Russia’s full-scale invasion in February 2022, the largest number in Europe. Nearly half were children with disabilities, according to UNICEF. Russia bears responsibility for the crisis facing these children, but the war adds to the urgency for Ukraine, with support from foreign governments and humanitarian agencies, to stop institutionalizing children and expand family- and community-based care.

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