This project will demonstrate that replacing institutional care in Tajikistan with an innovative set of interventions (family support, early child development services through community-based outreach, and alternative family care, including foster care) can have a positive effect on child brain development in the first 1,000 days. The project will enhance practical skills of health workers and parents to stimulate child development and support existing institutions to build a multidisciplinary ‘Team Around the Child’. It will develop child protection legislation to create the legal infrastructure necessary to scale.