This is variable depending upon what government institution the child is in. However, institutionalized children generally get minimal medical care. Most of the children referred have charts showing what immunizations they have received. Children referred to Holt's Foster Care Program receive regular health care and appropriate immunizations. All children receive HIV and Hepatitis B testing prior to referral.
Families receive updated quarterly progress reports and child photos.
Most children are left at hospitals or institutions either shortly after birth or sometime during their first year of life. Some children are found abandoned at other places or they are relinquished directly by the birth mother for adoption. Most children live in government run institutions. Quality of care varies quite a bit from one institution to another. In contrast to this is the excellent care children receive when placed with one of Holt's trained foster families.