What happens during this process is that fat starts to change into muscle and the children start to have less of an appetite because of their slower growth (Berger, pg. 226). Considering the fact that many orphanages may simply not have the money to feed the children a healthy and enriching diet, then the children may fall into the lines of being undernourished which can lead to apathy, depression, and even immunosuppression, a reduction of the activation or efficacy of the immune system. As recent as 2015, there was a study titled Positive Outcomes for Orphans (POFO) which was a long study examining the different settings in five low income countries which includes Cambodia, Ethiopia, India, Kenya, and Tanzania about their orphanage setups. In one part of their observations, “An asset checklist and other elements from the Demographic and Health Surveys (DHS) of each site were used to derive a wealth index score for each participating household [32-36]. Wealth index scores are continuous, standardized for comparability with wealth index scores in each country’s DHS, and indicate greater affluence as the score increases. Caregiver illiteracy was assessed based on a literacy test administered at the time of each survey. Caregivers unable to read four short sentences in the local language were classified as illiterate. The child’s relationship to the caregiver (parent versus nonparent) and orphan status (single or double orphan v. abandoned) were included in the analysis.” With the table provided, the results showed that on average, “children had experienced 1.7 types of potentially traumatic events, in addition to their orphaning or abandonment. Nagaland and Kenya had the lowest average levels of reported exposure to potentially traumatic events at baseline (Escueta, 2015).” What the evidence is suggesting is that basically the wealthier the country tends to be
What happens during this process is that fat starts to change into muscle and the children start to have less of an appetite because of their slower growth (Berger, pg. 226). Considering the fact that many orphanages may simply not have the money to feed the children a healthy and enriching diet, then the children may fall into the lines of being undernourished which can lead to apathy, depression, and even immunosuppression, a reduction of the activation or efficacy of the immune system. As recent as 2015, there was a study titled Positive Outcomes for Orphans (POFO) which was a long study examining the different settings in five low income countries which includes Cambodia, Ethiopia, India, Kenya, and Tanzania about their orphanage setups. In one part of their observations, “An asset checklist and other elements from the Demographic and Health Surveys (DHS) of each site were used to derive a wealth index score for each participating household [32-36]. Wealth index scores are continuous, standardized for comparability with wealth index scores in each country’s DHS, and indicate greater affluence as the score increases. Caregiver illiteracy was assessed based on a literacy test administered at the time of each survey. Caregivers unable to read four short sentences in the local language were classified as illiterate. The child’s relationship to the caregiver (parent versus nonparent) and orphan status (single or double orphan v. abandoned) were included in the analysis.” With the table provided, the results showed that on average, “children had experienced 1.7 types of potentially traumatic events, in addition to their orphaning or abandonment. Nagaland and Kenya had the lowest average levels of reported exposure to potentially traumatic events at baseline (Escueta, 2015).” What the evidence is suggesting is that basically the wealthier the country tends to be