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Abstract: In 2011, Indonesia commenced an orphanage deinstitutionalization strategy known as the paradigm change in child protection. The strategy responded to human rights protocols emphasizing institutional care of children as a last resort. Orphanage based social workers were trained by the Ministry of Social Affairs (MOSA) to implement the paradigm change, increase parenting capacity and strengthen local supports to enable children’s reunification with their families. The paradigm change intended to reduce children coming into institutional care; however, we found a persistent growth of…