CAPTION: John has a hearing impairment, but benefited from Signhealth Uganda’s projects in Lukaya and has since regained most of his hearing function. From school, he has to walk about four kilometres through the town of Lukaya and the bush in order to reach his home village of Lusango. Without shoes, the journey is arduous; his skin’s constant contact with the ground also impacts on his personal hygiene, a factor in causing hearing impairment through ear infections. LOCATION: Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: John Makumbi.