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The purpose of this chapter is to examine how the paid care of children, and assisting with their development, is increasingly coming to resemble a professional activity in Australia. The commodification of child care has tended to create a profession of carers of children, not only by virtue of more formalized qualifications and role descriptions for carers, but also by establishing a potential framework within which a profession may be practiced. I examine how paid child caring in Australia increasingly conforms in many respects with various criteria commonly associated with a professional activity. This evolution within the child care field however is creating tension between the traditional nurturing role of child care and the more formal requirements of a “professional” carer. This process of professionalisation also has significant implications, not only for the care providers, but also for those who are receiving care – the children and their families. It also has important implications for society itself.

Identifying the qualities of primary care that have the potential to produce optimal health outcomes is only half the story. The Models of Child Health Appraised (MOCHA) project has not only explored how to transfer these to other national contexts, but also which successful components should be transferred. It is important to assess the population criteria of the identified sociodemographic, cultural and social characteristics and the population perspectives on a care system’s components. The project analysed public experiences and perceptions of the quality of primary care for children from a representative sample of the general public in five European Union member states. The public perception of children’s primary care services, in particular the perceived quality of care and expectations with regard to care for children, is important to understand before MOCHA lessons can be effectively adopted in a country. We found that the socio-cultural characteristics of a country inform the population perceptions and preferences with regard to the care system. In the five countries surveyed, there was agreement about aspects of quality of care – such as accessible opening hours, confidential consultations for children and timeliness of consultation for an illness, but there was a difference in opinion about giving priority to items such as making an appointment without a referral, or a child’s right to a confidential consultation. The cultural context of transferability and the means of addressing this such as defining the target audience and the different means of disseminating important messages to the wider community to address contextual factors can act as barriers or facilitators to the introduction of new components of primary care models.

This paper proposes a scheme to estimate the technical efficiency at child care centers for the less‐than‐three‐year‐old infants by Data Envelopment Analysis (DEA) and to manage the quality of care service through implementing flexible and efficient government subsidy system. The result of technical efficiency estimation shows that there exists the heterogeneity in technical efficiency a substantial opportunity for improvement in technical efficiency across child care centers. This result implies that government may bring up the competition by giving subsidy differentially based on efficiency and use the money which has been used inefficiently other purposes. Both can improve the quality of child care service.

This paper is to develop a quality measure to evaluate the quality level of child care service in the regional level. By utilizing the biannual intensive child care statistical reports, ten variables are integrated and summarized as a quality measure for child care service in regional level by employing Principal Component Analysis (PCA). Conclusively, it is possible to get a comprehensive measure and the measure obtained from data between 2003 and 2008 illustrates the difference in child care service quality among regions over years. With the measure developed by this research, each region can also get very good insight into what kinds of factors of child care service should be paid more attention to in order to improve the quality of its child care service. Moreover, the measure obtained in this paper is proven reliable and robust in that it reflects the quality of child care service in each region and gives us statistically uniform quality scores with a different data set.

For many people, the word “family brings to mind the traditional stereotype—Dad goes off to work while Mom stays home to run the house and mind the children. However, in today's society less than ten per cent of all families fall into this category. The majority of families in the United States are composed of a dual‐income couple or dual‐income parents. While many books and articles glorify the new “super‐family”—Dad and Mom both work and manage the house, while the children troop angelically and obediently to day‐care or school, and everyone enjoys “quality time”—these superhuman figures do not exist in reality. In fact, many working parents suffer guilt and anxiety because they believe that the “super‐family” is an achievable goal. The average working parent is pulled by work and by family responsibilities, while struggling to maintain both sanity and a sense of self in the process.

Parents are children's first line of protection. However, millions of children all over the world experience a lack of parental care. The reasons for this separation are varied, such as poverty, being abused and neglected, the death of parents, being abandoned, trafficking, migration, living on the street, being displaced or health issues. From the child's rights perspective, parental care is a priority for a child's best interest. In this respect, most countries have social protection policies to support families with their children. When parental care is not possible, states generally take responsibility by providing appropriate services, including residential care, kinship care, foster care, other forms of family-based care or adoption. Within this framework, this study aims to provide an overview of the world's children who lack parental care in the light of the theoretical background and the latest research.

Given current demographic changes in the nature of the population, employers are increasingly attempting to find ways of retaining or attracting women into the workforce. A number of companies have now taken steps to provide child‐care arrangements which will hopefully encourage women with children to remain in or re‐enter employment. Developments in a number of countries are reported, and four separate options available to employers for resolving the child‐care dilemma are outlined.

With a global recession impacting employers in most industrialised nations, the management of most large organisations has been forced to trim the number of workers, reduce benefits and in some cases, eliminate entire divisions of their company. A surprising survivor during this difficult period is employer‐provided day care, a relatively new employment benefit that emerged just within the past two decades.

Using a mixed methodology comprising interviews, case file analysis and descriptive statistics, this study aims to examine the experiences of all 43 young people in Wales subject to secure accommodation orders between 1st April 2016 and 31st March 2018.

Children in the UK aged 10–17 years who are deemed to be at a significant level of risk to themselves or others may be subject to a secure accommodation order, leading to time spent in a secure children’s home (SCH) on welfare grounds. Following a rise in the number of children in Wales referred to SCHs for welfare reasons, this paper describes these young people’s journeys into, through and out of SCHs, giving insight into their experiences and highlighting areas for policy and practice improvements.

Findings indicate that improvements in mental health support and placement availability are key in improving the experiences of this particularly vulnerable group of young people throughout their childhood.

Other practical implications of the study’s findings, such as improvements in secure transport arrangements, are also discussed.

While the findings are limited by the reliance on self-report methods and the size of the study, namely, the small number of young people with experience of SCHs who were able to participate, the findings build on the existing knowledge base around children’s residential accommodation and provide new insights into how best to support these children.

Purpose – This study examines parents’ financial stress associated with obtaining care for young children while employed in unstable low-wage jobs. The child care subsidy program aims to both improve child care quality and support employment, and we expect that a substantial infusion of resources into this program would reduce parents’ financial stress.

Methodology/approach – We use a mixed-methods research design to study parents’ financial costs of child care, how predictable the cost of child care is to a parent, and what strategies parents employ to manage child care costs.

Findings – We find that parents perceive the subsidy program essential to their ability to manage the needs of their children and working. Yet, receiving subsidies does not appear to alleviate parents’ financial stress because child care costs continue to consume a large share of the family's income and subsidy policies make it difficult for parents to predict their portion of the costs. Parents manage the large and unpredictable expense of child care by decreasing other expenditures and increasing debt.

Practical implications – Changing subsidy policies so they better fit the reality of these families’ lives could result in a more substantive stress reduction. States can reduce unpredictability by reducing and stabilizing participants’ child care cost burden and revising eligibility policy.

Originality/value of paper – This research project fills an important gap in our knowledge about financial stress of low-income working families, provides insights into the role subsidy program participation plays in these parents’ lives, and informs discussion of subsidy policy.