Abandoned Babies: the Malaysian 'Baby Hatch'

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Abandoned Babies: the Malaysian 'Baby Hatch' REPORT © 2013 SNL All rights reserved Abandoned babies: the Malaysian ‘baby hatch’ Although not an immense problem in the UK, in many other countries babies are often abandoned by their parent/guardian to an unknown fate. ‘Baby hatches’ have existed in one form or another for many centuries and are a re-emerging facility in many countries. In Malaysia available data and media reports of known foundling babies imply that the number of abandoned babies is increasing annually. This article explores the implementation of a system in Malaysia, where mothers or guardians who choose to abandon their baby are enabled to do so anonymously within a safe environment. Joan Cochrane he United Nations Convention on the In Malaysia cultural, religious and social MSc, PG Dip, Adv Dip, RGN, RM, NDN TRights of the Child describes how every stigma exists around unmarried mothers Senior Lecturer, Faculty of Health and Life child has the right to an adequate standard or rape victims. This possible stigma and Sciences, Northumbria University, of living to enable them to develop not the feeling of hopelessness in providing for Newcastle upon Tyne only physically and mentally, but also a child without financial or family stability [email protected] spiritually, morally and socially1. Despite may be the main reason for mothers Goh Lee Ming this, the phenomenon of the abandoned abandoning their babies. child, seen historically in many cultures, BSc (Hons), SRN Baby hatches Nurse Manager, Integrated Healthcare still exists today. Management (IHM) Nursing Care, Selangor, The baby hatch concept is based upon 12th Malaysia Abandonment century ‘foundling wheels’ – many Abandonment can be viewed in many European churches and convents installed contexts but this article considers a wooden cylinder in the wall in which a ‘foundlings’ ie babies who are left baby could be placed. The parent/guardian somewhere by their parent or guardian and rotated the wheel, relocating the child to subsequently, either discovered by another the inside of the building, and alerted the person and given care and attention, or nuns by ringing a bell. Keywords remain undiscovered and die. In the 1950s, Germany initiated a baby abandoned babies; baby hatch; Malaysia How could anyone abandon a child? hatch programme and many other There is a plethora of literature about child countries have adopted this programme or Key points abandonment. One Brazilian study found provide an adaptation of it, to enable Cochrane J., Ming G L. Abandoned babies: that in an impoverished society where mothers or guardians to leave their babies, the Malaysian ‘baby hatch’. Infant 2013; there is high fertility, high infant mortality anonymously, in a safe place. 9(4): 142-44. tends to occur2. Within a shanty town, One hospital in Vancouver has revived 1. Abandoned babies are a worldwide mothers with several children allocated the concept of a foundling wheel, which phenomenon but abandonment can be their scarce resources to their stronger they term an ‘angel’s cradle’. This is a crib, enabled so that the baby is cared for in children and selectively neglected or located within the emergency department, safety and the mother/guardian has abandoned their weaker children. The sign-posted by an angel sign above it. It protected anonymity. study highlighted how these mothers had can also be accessed from outside the 2. The baby hatch concept has been very strong religious beliefs and took emergency department. Anonymity is adopted in Malaysia to care for comfort in their belief that God would care assured and no surveillance cameras are abandoned babies and nurture them to for their child. trained on this particular area4. live full and healthy lives within families Similarly, it is suggested that poverty and In the USA, 47 States have ‘safe-haven and communities. domestic violence are precursors to child laws’ where mothers or guardians can leave 3. Despite controversy more baby hatches abandonment3 and that following their babies in certain facilities (eg are needed within Malaysia to ensure infant safety at the point of abandonment, mothers may become hospitals, manned fire stations) while 5 abandonment. depressed and anxious through living with maintaining their anonymity . Safe-haven the guilt of deserting their child. laws also provide the mother or guardian 142 VOLUME 9 ISSUE 4 2013 infant REPORT with immunity from prosecution. rightful guardian. In the event of this not In contrast, within the UK baby happening, the baby is placed for adoption. abandonment (dependent upon the In the UK, it has been proposed that context of the abandonment) may be abandoned children are ineligible for considered to be a criminal offence and adoption due to a lack of required birth therefore prosecution may ensue6. details and medical history13. However, adoption law in England indicates that The Malaysian programme foundlings are not ineligible for adoption Official reporting mechanisms probably and that an adoption order would be made underestimate the number of cases of child by the court if it was satisfied that all abandonment in Malaysia. Due to the FIGURE 1 The Malaysian baby hatch. attempts had been made to find the highly forested areas of some provinces, it parent(s). For abandoned babies, it should is impossible to ascertain how many babies child’s development12. be recognised that it is difficult to give a may be abandoned within the remote Under the OrphanCARE programme a full picture of the baby’s background countryside – it is possible that many baby hatch was opened in 2010. The two- within an adoption report because of the abandoned babies go undetected or year planning process involved collab- lack of social and medical history. Any unreported7. Police statistics often embed oration and networking with nurses and adoptive parents would need to accept that abandonment cases within overall statistics professionals from other countries that had little was known about the child’s for maltreatment of children. already established such programmes. The background and medical history. Abandonment statistics from the Social baby hatch facility aims to provide hope The Malaysian media reports that the Welfare Department of Malaysia8 are for the lives of abandoned babies through baby hatch has reduced the mortality of shown in TABLE 1. provision of a safe haven in which to be abandoned babies within one region of Media statistics indicate that there were abandoned. It is the first facility of its kind Malaysia and, as a consequence, there are 472 reported abandonments between 2005 within Malaysia and it operates 24 hours a plans to establish more facilities across and 20109. Of these, a total of 258 infants day, every day of the year. The facility also other regions of the country14. It could be were found dead. There were 65 reported affords opportunities for mothers or argued, though, that there is no way of abandonments in the first eight months of guardians considering abandonment to knowing what the outcomes would have 2010. By comparison, the UK recorded five have informal discussions, if they wish, been for those infants if the baby hatch had abandonments in 2010. The Malaysian with nurses or social care staff. The staff not been available15. media frequently report abandonment of need to be well educated and non- There is a need for an efficient national newborn infants not only in maternity judgemental when talking to the mothers database in Malaysia for recording data, as units but also on doorsteps or in garbage or guardians. They need to have great many cases of abandonment are not bins10,11. Babies have been reported in insight into the needs and issues that documented and many are unreported. drains, hedgerows and toilets with many surround abandoned babies. Media headlines of abandoned babies are babies perishing before their discovery10,11. A public awareness campaign using mass often negative but are considered to be of The Malaysian government has explored media and public road shows and forums social interest. Using the media in a many avenues for those impoverished promoted the baby hatch. Within three positive way to promote the baby hatch mothers or guardians who, for whatever months of opening, seven babies were informs the public that the facility provides reason, want to give up their babies. received at the hatch. A baby can be left a safe place for mothers or guardians who OrphanCARE was established in 2008. It is anonymously in a cot in a dedicated room opt, probably out of desperation, to a non-governmental and non-profit (FIGURE 1). Following closure of the door, a abandon their babies. making organisation. Their main aim is to bell or alarm alerts staff to the baby’s Currently special dedicated teams of assist in changing society’s point of view presence. police officers are being established in about leaving children permanently in OrphanCARE is keen to provide every Malaysian police district orphanages. They view an orphanage as a mothers or guardians with information headquarters. This is to ensure that each ‘transit point’ before placing a child within regarding their options. There are case of child abandonment outside of a family. Their mission statement – ‘Every numerous multi-lingual pamphlets and OrphanCARE is investigated swiftly and child needs a family’ – is supported by leaflets in prominent areas of the facility. effectively. research findings revealing that spending These provide relevant information for the very little time in an institution, or some person leaving the baby, including reassur- Controversy and future measures time in foster care prior to adoption, ance that if there is a change of heart or There is much controversy surrounding appears to have minimal impact upon a mind, the baby will be returned to its the concept of baby hatches. There are many anecdotal criticisms of the American safe-haven laws suggesting that there is no Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 evidence of a reduction in the number of Number abandonments nor any change to the 71 70 121 98 26 68 53 63 58 62 115 of cases reasons for possible abandonment.
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