Additionally, adoption may be possible through other countries, but the programs may be informal ones or very few children are adopted. China has a well-defined and predictable process based on the Korean model of adoptions. Vietnam is the wild, wild west of the East. In contrast, Vietnam s process is decentralized at the provincial level and although all provinces follow the same procedures, their execution varies from province to province. About three or four documents are actually sent to Russia prior to submission of the dossier.
Forms are straightforward, and in many cases, just templates.
Health Concerns Health is a major concern for international adopters. While the health of adopted children varies from country to country, all internationally adopted children are at risk for nutritional deficiencies, parasitic infections and other conditions. For example, tuberculosis and hepatitis B are fairly common in some areas. Developmental delays are to be expected of children who have been living in an institution. Attachment disorders, which can make it difficult or even impossible for children to bond with adopted parents, are another concern, especially among older children who have spent much of their lives in institutional care.