Sattar and his adopted daughter

Although there are differences in levels of privation between institutions and even within institutions, there are multiple factors that potentially put children at risk. For one, there are often problems with providing physical care and healthcare for children in institutions. Due to the nature of institutional care as a public facility serving many children at the same time, these basic needs may go unmet if funding is poor and number of staff members is low. Delays in physical growth result from inadequate nutrition and medical care, but many adopted children do catch up to the normal range after leaving institutions.