Instead, teenage girls (a cousin, a sister, an aunt) from the village and/or the extended family live in the orphanage with the babies and small children, taking care of them in a loving and personal way, learning caretaking skills themselves and often learning other things, like literacy skills, they might not have gotten otherwise, and then when the babies are old enough (3 or 5 or something) they go back to the village, along with their very connected teenage girl, and the outcome for everybody is so much better.
http://www.nytimes.com/2009/06/25/world/africa/25orphan.html?_r=1&hp
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