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There is growing agreement that separated children are best cared for in community settings, rather than in institutions. However, even in a community setting, there is a need for standards of care that allow for monitoring of children’s well-being. This is particularly important in countries such as Sierra Leone which is recovering from a brutal civil war and suffering from poverty, malnutrition, and limited access to adequate medical care. Since the civil war ended in Sierra Leone, child fostering—whether informal or facilitated by humanitarian agencies and the government—has become the…