Ways to promote healthy child development are addressed in this essay. The following conditions conducive to identified: (1) an intact, cohesive, nuclear family; (2) a relationship with at least one parent or surrogate who is consistently loving and nurturing; (3) easy access to supportive family members; (4) a supportive community (neighborhood, religious, ethnic, political group, or other large group beyond the family that is helpful); and (5) some measure of predictability about the adult environment that permits gradual preparation to cope with it and take advantage of its real opportunities. The predicament of today's children is discussed, along with ways of meeting essential requirements for healthy growth, including prenatal care, primary health care, child care, parental competence, and multiple services through home visiting. Challenges for implementation are noted. Contains 44 references. (LB)