Wow... sound familiar - Very Insightful from Dr. Rotabi

"For example, there are cases when a child is abandoned with the district health nurse, midwife, or other trusted community leader. It is not uncommon for this individual who receives the baby to then seek a willing and able family to take in and care for the child. The receiving parent(s) may go to the local municipality to have a birth certificate issued with their family name indicating the adoptive parents as birth parents. A child may never be told that this transaction took place. This process of paperwork alteration would typically take place in a small municipality office, with nothing more than a clerk and a type writer. There would be no further documentation than an altered birth certificate. This is indicative of a society that has many non-formal practices and, as a result, these 'adoptions' are not tracked in national data (Rotabi, et. al, in press).