Country: North Macedonia Adoption

Age Range: 1-18 years old
Sibling Groups: Yes
Medical Special Needs: Healthy to Significant
Marriage Length: 1 year
Single Women: Single women can adopt
Expat Accepted: Yes
In-Country Travel: 2 trips, 6 weeks

North Macedonia is still considered a pilot program for Lifeline as Lifeline has not yet seen a child come home from this country. Recent changes in 2022-2023 have led Lifeline to re-launch this program! We are hopeful these changes will lead to more openness from North Macedonia to match waiting children with American families.

Due to the recent changes that occurred in 2022-2023, we feel we have a better grasp on how the matching process works in North Macedonia. We have also been given explicit instructions on how to list things in the home study for a family to be matched. The matching comes from a computer system in North Macedonia and will match the family with the child based on the criteria from the home study. This includes: age, gender, special needs, and openness to nationalities in North Macedonia.

This is unknown currently as the program is still a pilot program. We are hopeful it will be a 2-4 year process depending on the families openness.

The family will travel to North Macedonia for an allotted bonding period where half of the bonding will be spent in North Macedonia and the remainder will be spent in the US. We expect this to be a total of 8 weeks (or 2-months) and 4 weeks will be spent in North Macedonia and 4 weeks will be spent in the US. After the bonding time is complete, the family will travel back to North Macedonia for approximately 2 weeks to finalize paperwork at the US Embassy and receive the child’s US Visa to travel home.

About North Macedonia

Lifeline has had an adoption program in Macedonia since January of 2015 and have recently relaunch the program in February of 2023! North Macedonia allows families the opportunity to pursue children available for adoption between ages of 1 year and 18 years. We anticipate children who are older with minor to moderate and significant special needs to be made available for adoption. Matches are made through a computer-generated system. The Macedonian Adoption Authority is the Ministry of Labor and Social Affairs.

The Need

There are numerous children in the orphan system divided between several different homes where the care they receive is very minimal.

How You Can Help

Lifeline has not seen a family complete an adoption from North Macedonia yet. We are interested in working with families open to serving as a pilot family in this program as recent changes to the program provide promising opportunity for foreign families to adopt from this program.

Other Ways to Get Involved
Other Ways to Get Involved



What's Happening in North Macedonia Adoption

5 Podcasts for Families Interested in International Adoption

One of the great aspects of our Defender podcast is the ability for you to hear directly from our staff about updates or changes going on in their areas of ministry. If you are a family who is interested in international adoption,...

National Adoption Month — Finding Your Country

By Neisha Roberts A little girl from China. A 12-year-old boy from Colombia. A baby girl from Louisiana. Three siblings from Bulgaria. God’s beautiful children across the world find their

Program Spotlight: Eurasia

  Lifeline’s Eurasia program is currently accepting applications for the countries of Ukraine, Hungary, Bulgaria, Romania, Poland, Kyrgyzstan, Macedonia, and a new country coming soon! What’s new in your program?

Adoption Program Quicklooks

Request Access to our “Quicklooks” Thank you for your interest in Lifeline Children’s Services. We invite you to view our “Quicklooks” where we offer a condensed comparison of all current