Thursday, January 31, 2008

UNICEF's Role in International Adoption

When There’s No Place Like Home

Children's advocates can't agree on how much to emphasize intercountry adoption as a solution.

By Pat Wingert | NEWSWEEK
Feb 4, 2008 Issue


Some advocates blame the decline in intercountry adoptions over the past three years on a single surprising source: UNICEF. The United Nations Children's Fund may be known worldwide for helping underprivileged children obtain better health care and education, but when it comes to finding homes for orphans, they argue, the organization places misguided emphasis on maintaining cultural and geographic ties rather than on the child's overall well-being. That's true even when there is little chance of domestic adoption and virtually no public programs to provide care for abandoned children or struggling families. "National boundaries should not prevent abandoned children from having families," says Thomas Atwood, president of America's National Council for Adoption. "UNICEF's exclusive focus on domestic programs amounts to an obstacle to international adoption and prevents untold numbers of children from improving their lives through international adoption."

There is no argument over the need for adoptive homes—UNICEF estimates that there are 143 million orphans in the world—or the unprecedented interest among Westerners eager to adopt. And children's advocates of all stripes agree that when possible, children should be raised by their own families and in their own cultures. But there seems to be a discrepancy over what qualifies as "when possible." Rather than promote research that demonstrates the beneficial effects for all types of adoption, critics say UNICEF plays up rare cases of abuse and corruption and actively discourages developing countries from making more abandoned children available. "UNICEF and some foreign critics have encouraged countries to look at international adoption as a form of colonialism," says Dana Johnson, director of the International Adoption Clinic at the University of Minnesota and an expert on global adoption trends. Critics compare such policies to those promoted in the 1970s by black American social workers, who argued that only African-American families could ethically adopt black babies. As a result, many minority children spent most of their childhoods in state care.

UNICEF argues that intercountry adoption is not the only—and certainly not always the best—option for the world's orphans. Alexandra Yuster, a senior adviser in the child-protection section, claims the organization advocates the inclusion of international adoption in the mix of potential solutions for countries seeking homes for orphaned children. But it is much more focused on helping birth families get adequate support from their governments so they can take care of their own kids. "That's our priority because that will help a much larger number of kids—as will promoting domestic adoption," she says. "It's not that we're against intercountry adoption; it's just not a main focus for us."

In part, that's because UNICEF fears financial profit is the driving force behind many intercountry transactions. Because few healthy infants are available for adoption in Western countries, she says, the amount of money prospective parents are willing to pay to complete adoptions of healthy babies has increased. And corruption inevitably follows the money. UNICEF is especially concerned about poor countries like Guatemala, where private attorneys largely control the process and charge upwards of $35,000 per child—almost twice the going rate in countries like China and Vietnam, where government agencies oversee programs.

That kind of profit margin creates a market where one didn't exist before. "We're concerned with the commercialization of vulnerable children," says Yuster. "It gives an incentive to intermediaries to look for the kind of children these families most want to adopt." Some poor mothers are tricked into relinquishing healthy babies, while disabled and older children living in state institutions are left out of the foreign adoption loop because there's no profit incentive to match them with families. "Adoption is supposed to be about finding homes for children, not finding children for families," she says.

UNICEF is equally wary of the less expensive and more transparent programs in such countries as Ethiopia, China and Vietnam, where a portion of the adoption fees charged by the government is used to provide protective services and better living conditions for the orphans who remain behind. "We think this is a slippery slope," Yuster says. "If the child-welfare system becomes dependent on children leaving, countries may do less to seek domestic placements or work to keep children with their own families."


Critics charge that UNICEF's obsession with preventing corruption at all costs often results in countries adopting such restrictive regulations that foreign adoptions are reduced to a trickle. "Forces at the very top are making international adoption more and more difficult," says Harvard Law professor Elizabeth Bartholet, who has written extensively on the subject. "What this means is that fewer kids are getting adopted, more children are required to spend time in orphanages, those who get out are of older ages, and are more likely to have developed serious disabilities that make them hard to parent."

Yuster insists that UNICEF never pressures countries to tighten their adoption regulations, and in fact gets involved only when asked. That was the case in 2006 in Liberia, when the government requested an investigation after intercountry adoptions began to rise. Of the several hundred adoptions done in a year, she says, they identified 50 that qualified as "relinquishments under false pretenses." In some cases, unsophisticated parents were led to believe that they would lose custody only temporarily, or would one day join their child in the West. Without good data, she acknowledges, it's hard to know how common such abuses are globally. But "unfortunately, they are not rare, and there seems to be evidence that they are on the rise," she says. "When the surface is scratched, violations can often be found."

With Washington set to begin implementing the Hague Convention on Intercountry Adoption this spring, some experts think that such violations will decrease, allowing UNICEF and its critics to find more middle ground and common goals. "All of these groups want more ethical practices in adoption," Adam Pertman, executive director of the Evan B. Donaldson Adoption Institute, an independent research and policy organization. "But we all need to keep our eye on the prize: finding homes for children who really need them." Wherever they are.

Wednesday, January 30, 2008

Where is the Photographer??

News from Kechene! I just tried to call Maeza at Kechene so I could speak to Beamluk and some of the other children there. Sadly, Bamlie was out, but she was on an important mission!

This week there is an African Union meeting, with most if not all of the African Presidents in attendance. The meeting is being held as it is every year in Addis Ababa. Beamluk, Maeza told me, is on Bole Road. I was a bit curious, thinking who is taking her across town during the night? Well, she's stationed at the airport awaiting the arrival of Presidents! It is her responsibility to present flowers to the Presidents as they arrive at the airport tonight.

This is a great honor and is something that is usually reserved for the older girls and boys at Kechene. Tonight was her lucky night! I wish I was there to take photos and of course give her a hug or two, or three, or four, or....

But Maeza assured me she will send Bamlie my love.

Tuesday, January 29, 2008

Oh the trip! :)

So I didn't take as many pictures as I had intended but the few I did take are pretty cute! I just can't thank Renee and Geert for taking me under their wing and allowing me to visit and spend so much time with their family. It's amazing the changes in Maryn Tsegerida and Keller Tariku! They're as adorable as ever and I couldn't be more happy that they have FINALLY found their home forever.

Maryn Tsegerida, as expected is learning English at an astounding rate! It's just amazing. I didn't know what to expect upon seeing her, would she speak to me in Amharic or English? Well, it was certainly English. As the extended weekend rolled on I spoke to her in Amharic and she began replying in it as well. I just love her personality when she's expressing herself in Amharic (and English for that matter!) She's so animated and witty! Mommy crazy? Daddy crazy? Bettina crazy?

Little Keller Tariku is absolutely beautiful and his personality is just pouring out in ways that were never allowed at Kechene. And he LOVES doing everything his big sister does. He also loved digging into injera and wat!

I just can't express enough my gratitude. It was a blast of a weekend! And I hope the next time I see their family I'll have one of my own in tow :) Patience is a virtue.

Side Note: See Kari, you just have to be a little patient :) Here are the photos you were dying to see!


Little Keller taking a look at the ducks in the pond

Maryn just being Maryn

Just a walk in the park

Posing in the shadows

There's that little angelic, mischievous smile

And one more...

Tuesday, January 22, 2008

Simply....

watch...

A Little Contradition, Confusion, and Joy...

Oh the contradiction and the confusion. I just received two new photos of Beamluk and I was beyond ecstatic, however, at the same time it’s just so painful to see them. Though it would make perfect sense to stare at the new photos and to recapture the old photos by dazing into them for hours on end, I just can’t. It’s too painful. I absolutely cherish them, that is not the question. In fact, I check my email continuously throughout the day searching for information. But it is as though looking at them and seeing them in my office everyday brings so much pain – not more pain than joy, joy in the time I spent there, joy in the happy times, and the final reunion and future, but some days I must admit – it’s just plain hard. Though I don’t expect that to change anytime soon, I really wish I could join in the enthusiasm that surrounds me as people – friends, family and colleagues learn about my adoption, but there’s always that pain in my heart that I cannot be with her, that she is grieving, not fully understanding why she was left in the orphanage while I went to the U.S, the guilt that she thinks I’ve left her, and not being able to move this process along more quickly. Seriously! This process has been in the making for nearly a year and yet I am still in the beginning of the legal battle. It took me 7 months to find the one person who could allow me to move along in the process. It was frustrating, but there was nothing I could do until she showed up. Now, of course, my young age has me awaiting approval even though I have experienced many things most will never in their entire lifetime.

Oh the journey. I must say that it would be a bit easier if there was someone to relate to… someone who has gone through a similar situation, but, I’m highly doubtful that there are many single, young prospective moms who have worked in an orphanage, fought through the orphan legal status of a child for 7 months to find out that the adoption may be possible (though not certain), had to leave their child there for months on end, go through the culture shock of returning home while trying to at the same time create a stable life and then finally return to her when they reached the legal age to adopt? Yes, that would be completing an identified open international adoption. Know of anyone? Oh just re-reading the scenario makes me laugh. But hey, if you know of anyone in a similar situation, please let me know!... (okay, so I laugh a little more, what else is there to do?)

But to leave on a high note! I’ll be speaking with Beamluk over the telephone this Saturday!!! The first conversation in 2 months. I must say that I am quite excited just to hear her little voice in Amharic speaking to me, telling me how school is going and what she would like me to send over to her (the last time I asked her this she just said that she wanted me to return home. After a little prodding, she finally admitted that she would like new shoes and clothes. And who could say no to the most basic of requests?)

I’ll also be speaking to some of the other children!! I’m definitely looking forward to this week! Also because I’ll be flying down to visit little Maryn Tsgerida, Keller Tariku, Renee and Geert! Can’t quite contain the excitement. Perhaps the visit will give me just what I need – a little rejuvenation and a sense that dreams really do come true. Perhaps not in the way you once thought, but once they happen, you couldn’t imagine anything different.

Thanks for reading… and I’ll keep you posted J Good night.

Five Tips from the Trenches


When you adopt an older child, you may find that conventional parenting methods aren’t effective. Here, parents and experts weigh in with real-life advice that will see you through the transition to family.

1. Keep your expectations flexible. When Carrie Krueger brought home three-year-old Christopher, she found that he didn’t understand logical consequences. “He was so used to being uncomfortable—cold, hot, hungry, even sick or hurt—that I had to help him identify what his body was experiencing. I had to name the cold he felt when the wind blew, then demonstrate how we block it by putting on a jacket.”

2. Look at the world through your child’s eyes. “Imagine being abducted by strange people who speak a different language,” says Ellen Margolese. “When you think of all the scenarios a child might visualize, their behavior may make more sense.”

3. Don’t sweat the small stuff. Choose your battles wisely. If a child is grieving over the loss of familiar people and surroundings, this may not be the best time to make an issue out of toothbrushing or mismatched clothes.

4. Give your child the childhood he never had. Krueger learned that “immediately meeting any need will not ‘spoil’ a child who never knew the joy of a nurtured infancy. It may seem strange to see a child so large and seemingly competent asking to be carried, or becoming distraught when a request for food is not quickly met. But I don’t have to parent Christopher today in the way I hope to parent him as a teenager.”

5. Be patient. Mary Ann Curran, director of World Association for Children and Parents, says, “Do expect a lot of time to pass before your child feels like part of your family, and accepts the change that his adoption entails. This does not mean years of disruptive behavior, but it may be a long time before he feels he truly belongs.”


~From Adoptive Families Magazine

Africa 'lagging on child deaths'


Health worker weighs a child at a clinic in Freetown, Sierra Leone
Sub-Saharan Africa is at the bottom of the child survival table
Poverty and war are harming advances in infant mortality, particularly in sub-Saharan Africa, a new Unicef report on global child health has said.

Globally, 62 countries were making no or insufficient progress towards a key 2015 child mortality target, it said.

Sierra Leone was the worst performer, with 270 deaths before the age of five per 1,000 live births, in 2006 figures.

This compares to three deaths per 1,000 in the world's six best performers, which included Sweden and Singapore.

The attainment of the 2015 goal - called the fourth Millennium Development Goal (MDG), which requires a two-thirds reduction in the 1990 under-five mortality rate - "is still possible, but the challenge is formidable", the report says.

Divergence

In its report, the State of the World's Children 2008, Unicef notes that over the long term there has been a significant improvement in child survival, with a 60% fall in child mortality rates since 1960.

For the first time since records began, it says, in 2006 the estimate of the absolute number of under-five deaths fell below 10m to 9.7m.

BOTTOM FIVE COUNTRIES/ DEATHS PER 1,000 LIVE BIRTHS
Sierra Leone: 270
Angola: 260
Afghanistan: 257
Niger: 253
Liberia: 235

But the picture painted in the report is one of divergence, with the industrialised world and parts of the developing world making good progress.

The world's best performers were Sweden, Singapore, San Marino, Liechtenstein, Iceland and Andorra, with three infant deaths before the age of five per 1,000 live births.

But other parts of the developing world are left behind. This includes in particular sub-Saharan Africa, home to 28 of the 30 countries with the highest mortality rates.

Here, the annual average rate of reduction in the child mortality rate between 1990 and 2006 was only 1% per year - meaning the rate will have to increase to 10.5% per year between 2007 and 2015 if the region is to meet the fourth MDG.

Today we are calling for the global community to put child survival at the heart of the development agenda
David Bull,
executive director, Unicef UK

In addition to sub-Saharan Africa, insufficient progress was recorded in the Middle East and North Africa (Mena) and South Asia.

But other developing countries have made good progress towards the target.

In East Asia and Pacific, and Latin America and the Caribbean, mortality rates almost halved to 27 deaths per 1,000 live births - leaving those regions on track to meet the goal.

In industrialised countries in general, there are six deaths per 1,000 births.

'Simple' solutions

Nonetheless, the report laments, an average of more than 26,000 infants under five die every day around the world.

A maternal health clinic in Brasilia, Brazil
In Brazil, targeted action has produced results

They mostly die from preventable causes such as diarrhoea, malaria, malnutrition, mother-to-child transmission of HIV, unsafe water, poor hygiene and neonatal problems.

The solutions to child deaths are well-known, says the report - "simple, reliable and affordable interventions with the potential to save two-thirds of the children currently at risk are readily available".

"The key," said David Bull, executive director of Unicef UK, "is to expand the reach of proven health strategies to help save the lives of children in the poorest and most difficult-to-reach communities."

Such interventions that have already been shown to be effective include promoting breast-feeding, immunisation, vitamin A supplementation and the use of mosquito nets.

War and poverty

But obstacles include limited, disease-specific rather than integrated approaches to health care; the low profile of maternal and child health; intermittent financing and lack of political will.

In many cases, lack of progress may be attributed to poverty and war - as in the three worst performers, Sierra Leone, Angola and Afghanistan.

"Today we are calling for the global community to put child survival at the heart of the development agenda and make it a priority at this year's G8," said Mr Bull.

"Child survival must be a global imperative."

Available at: http://news.bbc.co.uk/2/hi/health/7202112.stm