CAPTION: Juliet, who lives with a hearing impairment, cleans up her family home before preparing for school in the morning. Economic factors that force children like Juliet and their families to sleep on the floor and function without running water can exacerbate hearing impairment thanks to the poor personal hygiene that’s hard to avoid under these circumstances. SignHealth Uganda has helped Juliet by providing her with medical treatment to improve her hearing. LOCATION: Butenga Village, near Masaka City, Bukomansimbi District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Juliet Nassuna.