Abstract
The family is still, despite major change and challenge, a fundamental social institution with a major role in informal health work. Most children are reared in families and most caring work is undertaken by families. The family is also a complex social institution; it is both a private world and a public target. Families are at the receiving end of a great deal of offical advice and legal control: from health workers, social workers, politicians, the courts and so on. Economic and social changes — unemployment, war, migration, welfare, poverty, and the health effects of these changes — are mediated through the lived experience of family members. For all these reasons the family is an important element of the ‘social context’ of health work.
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