Some fear changes will result in more children stuck in orphanages as regulations tighten up

Anne-Marie Saintou walks with a megaphone along the dusty lanes of a Haitian fishing village, imploring people not to make the same mistake she did. "Ladies, say 'NO!'" she shouts. "We will not give away our children anymore."

Saintou is part of a campaign to warn poor Haitians about promoters and recruiters for orphanages who roam the countryside offering money, or false promises, to desperate parents struggling to raise children in the Western Hemisphere's poorest country.