Prioritizing the Prevention of Child-Family Separation: The Value of a Public Health Approach to Measurement and Action

Disaster-affected children are among the most vulnerable populations and face a wide range of threats to their

health and wellbeing. One of the most significant risks to children is separation from their family, a problem that occurs in

most humanitarian contexts. Because separation can have lasting adverse consequences for children’s health and

wellbeing, child protection actors frequently develop programs to respond to the needs of separated children. However,

methods to measure prevalence, characteristics, and root causes of separation are scarce and rarely deployed in

humanitarian settings. Existing measurement and programmatic approaches focus primarily on responding to already

separated children and give little attention to the prevention of separation at a population level, the context and

prevalence of separation, and the root causes of separation. Analyzing how a public health approach helps to fill these

gaps, this paper presents a systematic, conceptual and practical case for incorporating a public health approach in the

measurement of and programming for separation of children in humanitarian settings. It argues that a population-level,

preventive approach to measurement and programming will complement the more common case-based, responsive

approach to separation of children and enables children’s well-being amidst adversity.