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ADVANCE FOR MONDAY MAY 1 AND THEREAFTER - In this March 2017 photo provided by Bethany Christian Services Lena and Velie Mdushe (left and center) complete their adoption of a boy named Vuyani at the offices of Setshabelo Family and Child Services in Botshabelo, South Africa. The adoption program serving black South Africans _ a rarity in South Africa _ is operated in partnership with Bethany Christian Services, one of the largest adoption agencies in the United States. Amid a sharp decline in adoptions of foreign children by Americans, Bethany has been expanding efforts to promote domestic adoptions in countries such as South Africa and Ethiopia. (Kristi Gleason/Bethany Christian Services via AP)