After Romania's Communist leader Nicolae Ceausescu was overthrown in 1989, the world was exposed to the harrowing conditions in which many children lived in the country's orphanages. Under a 25-year regime of brutal repression, more than 100,000 children had been abandoned to squalid and overcrowded institutions. The world watched in horror as footage emerged of naked children with shaved heads chained to cribs, or splashing in urine on cold, concrete floors.

Romania's large number of orphans were the consequence of several factors. After the Second World War, the country's birth-rate had declined. And so taking inspiration from Stalinist theory that a large population would fuel economic growth, Ceausescu implemented several "pro-natalist" policies. Abortions were outlawed, childless couples were taxed and women and girls were checked for signs of pregnancy and miscarriage by the Securitate, the secret police.

These policies, coupled with widespread poverty, meant parents had more children than they could afford. Tens of thousands of children were left in orphanages, including many with disabilities. One of the most notorious institutions was the Camin Spital orphanage, in the remote Transylvanian town of Sighetu Marmatiei, on the Ukrainian border. Before it closed in 2003, it was home to more than 100 children with disabilities.

Its decaying dormitories and hallways are now eerily empty, a reminder of the children who suffered under Ceausescu's regime. Although the situation has improved, there are still nearly 9,000 children living in large orphanages in Romania, more than half of whom have disabilities.

Romania orphanage
Camin Spital was closed in 2003 Lydia Smith/IBT
Romania orphanage
Many of the windows of the institution are smashed, but the bars remain in place Lydia Smith/IBT
Romania orphanage
A framed picture displays the word "Hope", next to medicines and medical records Lydia Smith/IBT
Romania orphanage
Paper hearts and flowers are stuck to the ceiling of one of the rooms Lydia Smith/IBT
Romania orphanage
Many of the rooms in the institution are identical Lydia Smith/IBT
Romania orphanage
The outside of Camin Spital, located on the outskirts of the remote town of Sighetu Marmatiei Lydia Smith/IBT
Romania orphanage
Camin Spital was home to more than 100 children before its closure Lydia Smith/IBT
Romania orphanage
A broken metal bedframe rests in the hallway of the orphanage Lydia Smith/IBT
Romania orphanage
A crib is pictured in one of the rooms of the orphanage Lydia Smith/IBT
Romania orphanage
Paintings peel off the walls of the orphanage Lydia Smith/IBT
Romania orphanage
Paintings cover the walls of the orphanage Lydia Smith/IBT
Romania orphanage
Several old plastic toys are thrown in a wooden box Lydia Smith/IBT
Romania orphanage
Nearly all of the windows are covered with metal bars Lydia Smith/IBT
Romania orphanage
A calendar from 2000 is pictured amongst the debris Lydia Smith/IBT
Romania orphanage
Children in the orphanage spent most of their lives inside Lydia Smith/IBT
Romania orphanage
The institution was one of the most notorious orphanages in Romania Lydia Smith/IBT
Romania orphanage
At its peak, children lived in cramped conditions in the institution Lydia Smith/IBT
Romania orphanage
Bundles of children's clothes are tied together with strips of material on the floor Lydia Smith/IBT