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Imagine the strong bond between a child and a mother--- but why do parents relinquish their children for inter- country adoption? The book reveals the major reasons, and how Ethiopian birth parents who relinquished their children for inter-country adoption suffer from severe and moderate depression problem. It also indicates coping strategies applied by birth parents to overcome their problems. The author has recommended different alternatives to overcome the depression and related problems birth parents have faced, and strategies for adoption interventions.