SPECIAL REGIONAL CONSIDERATIONS - BULGARIA
SPECIAL CONSIDERATIONS FOR CHILDREN ADOPTED FROM BULGARIA
Before the Adoption
The children available for international adoption from Bulgaria reside in orphanages. There are over 2,600 children residing in government institutions: boys, girls and sibling groups. Children ages 0-3 years live in baby orphanages, children ages 3-7 years live in preschool orphanages and children 7-18 years live in orphanages for school age children. Most of the children come into care after being abandoned, relinquished or the death of their parents. The reasons for abandonment are numerous: poverty, unemployment, single parenthood, domestic violence, alcoholism, chronic illness, etc.
The orphanages as a general rule are very well maintained and by law the director must be a physician. Because the orphanages are run by doctors, the childrens' medical needs are taken care of to the best of the physician's abilities. Children usually receive regular check-ups and vaccinations as needed. Acute care is provided at area hospitals. Medical information is limited but available. Sometimes videos are provided to prospective parents if the child has special needs. All children are tested for HIV, TB, and Hepatitis C prior to referral.
Most of the orphanages are well maintained and the care ratios range on average from one caregiver to every seven to 10 children. Children remain under the guardianship of the orphanage until time of adoption.