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An orphan by any other name…?

I know very little about adoption practices in Haiti, and all I know about events in that country since the earthquake last January I have learned from the news media. Still, I wonder whether the thing that American missionaries call an orphanage is really the same as what most Haitians think of as an orphelinat. It appears that Haitian orphanages are quite different from my own image of an orphanage.