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Babies in alot of developing countries do not wear diapers (they are a luxury). The mothers know their baby's bodily timing and/or train them. And it may be cleaner to use a pot then have baby in a dirty diaper. As for the health of babies, it depends on the orphanage and the individual baby. China is still a poor country compared to the US (annual wages are between $1,000 - $2,000).
My daughter at 11 months came to me in a diaper. I don't think she was trained.