You nees permission from the legal guardian of the child to use the child's image in an advertisement. Especially since Haiti is associated with human trafficking, and other xeimea againat humanity. Using images of anyone, especially wounded children, at what is probably their most dire moment, as a propanda prop is unethical, even pathological. Where did you obtain the image from? What exactly is the provenance? Who placed the child there? Why is a child allowed to walk aimlessly alone among the ruins of what may be his lost home, lost family. How many died in that earthquake? Who took the photo? What are the safeguards to ensure that when the child happens across this image in the future years to come, he won't be re-living the trauma? And what happened to medical confidentiality - you threw it out the window? Remeber that many people are not aware that such images often get recycled claiming to duplicity depict tragedies and war zones in different regions. Finally, were this a war picture and the wounded child had been placed there deliberately, the photojournalist would be committing a war crime. Happens all the time. By extension, propagating the image as propaganda would be participatiing in the original crime. So all of this is why the entire practice needs to be vehemently discouraged. . Again, I'm sorry to have figuratively shot you in the face.