The child's background and reason for being in the orphanage (e.g. born prematurely, poor pre-natal care, exposure to alcohol whilst inside and outside the womb).
The part of the world the child is from and current environment.
The economic situation (generally the lower the standard of living of a country the higher the likelihood of insufficient funds allocated to children's medical and nutritional needs. There may also be a lack of immunisations).
The level of or lack of stimulation whilst in the orphanage.
The lack of consistent caregivers.
Living conditions that are conducive to the spread of infectious diseases.
The widely held view that adoptions automatically lead to a set of difficulties that in turn lead to negative outcomes is not supported by his research.
International adoption does have some risks, but the fact that some adoptions have difficulties and fail is no indictment on the whole process of adoption.
There is a large body of research that shows that psychological outcomes for adoptees are no different from non-adoptive outcomes.
His interviews with more than 60 families showed that Filipino adoptees were overwhelmingly well adjusted, happy, confident, and understood their place in the adoptive families and in Australian society.
Don't expect the child to emerge from an orphanage unscathed.
Prepare in advance to rehabilitate the child.
Institutionalised children are a high risk group. Applicants need to make sure that they are prepared to take on the parenting challenges.
Optimism is appropriate. Most families feel positively about their adoption.
Foetal Alcohol Syndrome
Heart Problems e.g. Murmurs
Chronic Ear Infection
Hepatitis A and B
Chronic Sinus Infection
Dwarfism or stunted growth
Active Pulmonary Tuberculosis (TB)
Renal Failure (likely to need renal dialysis)
A Physical Incapacity (that requires full-time care)
Name and credentials of the individual who performed the examination.
The date of the examination.
Identification of any references, descriptions or observations made by any individual other than the examining physician that are included, clearly identified by source and training of the observer, and with an explanation of whether these are objective or subjective observations.
Information about entry into the most recent and all other forms of care, and review of hospitalisations, significant illnesses and other significant events, and the reasons for them, in the course of care.
Accurate information about the full range of any tests performed on the child, including tests addressing known risk factors in the child's country of origin.
Current health information.
Worms and Giardia
The physician should also ensure that the child has properly received all immunisations.