As a follow-up to an initiative taken by the International Adoption Service (IAS) of the Ministry of Foreign and European Affairs in France, and in collaboration with the latter, the ISS /IRC undertook a study on the place of child health in the adoption process. In order to have as comprehensive overview as possible, information based on practice has been compiled through a questionnaire as well as by examining several systems that have been implemented worldwide. As the topic is vast, the study has focused on the measures implemented by receiving countries, given that their responsibility is particularly at stake in relation to this issue. The perspective of the countries of origin is also included thanks to contributions received from several of them. The study is organised according to the typical outline of an adoption procedure. Each part provides a synthesis of the results as well as the main conclusions, and offers suggestions designed to strengthen or improve the situation. At the end of the document, a factsheet summarises the suggestions formulated through the use of a good practice.