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  • CAPTION: Relying on one of the instructors for local language support, World Renew volunteer Antony Sytsma delivers a speech during the TLT graduation in Kaberamaido. Andrew was trained by the Christian Reformed World Missions (CRWM) for this work. LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Unknown (left) and Antony Sytsma (right).
    Worldrenew_kaberamaido-9873.jpg
  • CAPTION: Edward Okiror of World Renew Uganda is seen here having his feet washed by a fellow graduand. The graduands’ act of washing each other’s feet is similar to what Christ did for the Disciples on Passover night, in order to demonstrate how a true leader will humble himself for those who follow him or her. In the same way, the graduands were encouraged to be both servants and leaders. LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Edward Okiror (right) and TLT graduands.
    Worldrenew_kaberamaido-9884.jpg
  • CAPTION: Christopher Onyimo has a large family. He and his wife (not pictured here because she has gone away to study) have seven children. In this picture, Christopher poses with his daughter-in-law, some of his children and grandchildren. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Unknown, Anthony Oryokot, Christopher Onyimo, Kenneth Onyimo, Rebecca Aniko, unknown, unknown, unknown and Vicky Atimo.
    Worldrenew_kaberamaido-2828.jpg
  • CAPTION: Peter makes his way home after fishing in Lake Kyoga. Aside from fishing, he is also a farmer. Through these two types of work, he supports two households, one from his late wife and one from his second wife. LOCATION: Abrepoli, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Peter Ongem.
    Worldrenew_kaberamaido-9465.jpg
  • CAPTION: Catherine washes the dishes, following a meal. She used to have multiple sexual partners, something that made her vulnerable to HIV/AIDS. That was until the intervention of a program run by World Renew’s partner, the Kaberamaido Mission Development Program. She now makes sure that her only partner is her husband David, who is himself a health champion in the area. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Catherine Anaso.
    Worldrenew_kaberamaido-2690.jpg
  • CAPTION: Catherine used to have multiple sexual partners, something that made her vulnerable to HIV/AIDS. That was until the intervention of a program run by World Renew’s partner, the Kaberamaido Mission Development Program. She now makes sure that her only partner is her husband David, who is himself a health champion in the area. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Catherine Anaso.
    Worldrenew_kaberamaido-2683.jpg
  • CAPTION: Catherine is all smiles as she serves food to her first-born child Innocent and her husband David. In Uganda, it is traditional for women to kneel down when serving their menfolk. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Catherine Anaso, Innocent Jacob Okot and David Alele.
    Worldrenew_kaberamaido-2652.jpg
  • CAPTION: Catherine Anaso prepares a meal of sweet potatoes and beans for her husband and children. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Catherine Anaso.
    Worldrenew_kaberamaido-2609.jpg
  • CAPTION: Catherine Anaso together with her husband and their children: a family portrait. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: David Alele, Catherine Anaso, Silas Oper, Daniel Owange, Innocent Jacob Okot, Cecilia Acwichi and Nancy Acen.
    Worldrenew_kaberamaido-2555.jpg
  • CAPTION: Catherine Anaso is seen here playing with her last-born child, after his morning bath. Catherine's husband is David Alele, a Pentecostal Assemblies of God (PAG) health champion. The family live together in Kaberamaido, where they are subsistence farmers. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Catherine Anaso (left) and Silas Oper (right).
    Worldrenew_kaberamaido-2550.jpg
  • CAPTION: 70% of rural Uganda’s women are illiterate, which frequently renders them powerless. 39-year-old Florence enrolled onto an adult literacy program run by World Renew’s partner organization, the Kaberamaido Development Mission. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Florence Agabo.
    Worldrenew_kaberamaido-2890.jpg
  • CAPTION: Florence Agabo with her husband Dominic Ekaju and their children. Dominic is a primary school teacher, but the family also farm in order to supplement their income. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Damali Ilimu, John Ekaju, Abraham Ekeju, Dominic Ekaju, Francis Eyunu, Innocent Emalu, Florence Agabo, Pekula Adiao, Sarah Amwodo and Pascal Akora.
    Worldrenew_kaberamaido-2859.jpg
  • CAPTION: Christpoher Onyimo farms a variety of different fruits and cereals, including oranges, mangoes, pineapples, green grams and groundnuts. Here, we see him using a machine to remove groundnuts from their shells. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Christopher Onyimo.
    Worldrenew_kaberamaido-2785.jpg
  • CAPTION: Catherine washes an enamel cup by hand. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Catherine Anaso.
    Worldrenew_kaberamaido-2694.jpg
  • CAPTION: Catherine used to have multiple sexual partners, something that made her vulnerable to HIV/AIDS. That was until the intervention of a program run by World Renew’s partner, the Kaberamaido Mission Development Program. She now makes sure that her only partner is her husband David, who is himself a health champion in the area. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Catherine Anaso.
    Worldrenew_kaberamaido-2682.jpg
  • CAPTION: World Renew Uganda’s Edward Okiror and his wife show just how excited they feel, after Edward receives his TLT Master Trainer Certification certificate. LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Edward Okiror (left) and unknown (right).
    Worldrenew_kaberamaido-9914.jpg
  • CAPTION: Timothy Leadership Training (TLT) graduands walk proudly down the main street of the town of Kaberamaido, on their way to their graduation ceremony. The training TLT provides helps many rural pastors, who have not had formal theological training, develop the skills they need to provide leadership to their congregations and families. LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: TLT graduands.
    Worldrenew_kaberamaido-9828.jpg
  • CAPTION: Timothy Leadership Training (TLT) graduands walk proudly down the main street of the town of Kaberamaido, on their way to their graduation ceremony. The training TLT provides helps many rural pastors, who have not had formal theological training, develop the skills they need to provide leadership to their congregations and families. LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: TLT graduands.
    Worldrenew_kaberamaido-9802.jpg
  • CAPTION: Timothy Leadership Training (TLT) graduands walk proudly down the main street of the town of Kaberamaido, on their way to their graduation ceremony. The training TLT provides helps many rural pastors, who have not had formal theological training, develop the skills they need to provide leadership to their congregations and families. LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: TLT graduands.
    Worldrenew_kaberamaido-9775.jpg
  • CAPTION: Bespectacled Edward Okiror of World Renew Uganda marches through the town of Kaberamaido, shoulder to shoulder with other graduands trained by Timothy Leadership Training (TLT). LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Edward Okiror (in glasses) and TLT graduands.
    Worldrenew_kaberamaido-9771.jpg
  • CAPTION: Peter (right) and his wife Josephine (left) came together to attend the boat race, and Josephine delighted in cheering for her husband as he took part. Here, we see them standing together after the race, in which Peter came third. LOCATION: Lake Kyoga, Abrepoli, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Josephine Isapa (left) and Peter Ongem (right).
    Worldrenew_kaberamaido-9689.jpg
  • CAPTION: Onlookers on the shore of Lake Kyoga, at different levels of excitement and anxiety, as they support their favorites in the Kaberamaido Boat Race. LOCATION: Lake Kyoga, Abrepoli, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Multiple people.
    Worldrenew_kaberamaido-9637.jpg
  • CAPTION: A spectator beams with delight as a crowd watched the spectacle that is the Kaberamaido Boat Race. LOCATION: Lake Kyoga, Abrepoli, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Unknown; multiple people in the background.
    Worldrenew_kaberamaido-9632.jpg
  • CAPTION: A crowd forms on the shore of Lake Kyoga, and develops a state of high anticipation as boatmen prepare to race each other. With the support of World Renew, the PAG church in Kaberamaido began organizing races like this one as a means of drawing villagers to one place, where they could then get them tested and sensitized on HIV/AIDS. LOCATION: Lake Kyoga, Abrepoli, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: N/A.
    Worldrenew_kaberamaido-9557.jpg
  • CAPTION: Bringing in the catch. Peter (left) and his assistant pull their boat onto the shore of Lake Kyoga, after a morning’s fishing. LOCATION: Lake Kyoga, Abrepoli, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Peter Ongem (left) and unknown (right).
    Worldrenew_kaberamaido-9447.jpg
  • CAPTION: The lessons Florence has learnt have helped her at the women’s group that she’s a member of. During meetings, she is now able to count the money that the the women have collected. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Unknown, Florence Agabo, unknown and unknown.
    Worldrenew_kaberamaido-2926.jpg
  • CAPTION: Since starting adult education, Florence has enjoyed studying alongside her children at home. Sometimes she is even able to assist them with their homework. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Florence Agabo, Francis Eyunu and Sarah Amwodo.
    Worldrenew_kaberamaido-2896.jpg
  • CAPTION: Florence Agabo with her husband Dominic Ekaju and their children. Dominic is a primary school teacher, but the family also farm in order to supplement their income. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Damali Ilimu, John Ekaju, Abraham Ekeju, Dominic Ekaju, Francis Eyunu, Innocent Emalu, Florence Agabo, Pekula Adiao, Sarah Amwodo and Pascal Akora.
    Worldrenew_kaberamaido-2857.jpg
  • CAPTION: Christopher Onyimo has a large family. He and his wife (not pictured here because she has gone away to study) have seven children. In this picture, Christopher poses with his daughter-in-law, some of his children and grandchildren. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Unknown, Anthony Oryokot, Christopher Onyimo, Kenneth Onyimo, Rebecca Aniko, unknown, unknown, unknown and Vicky Atimo.
    Worldrenew_kaberamaido-2832.jpg
  • CAPTION: Christopher Onyimo lives in the parish of Apapai in Uganda’s district of Kaberamaido, where he owns a three-acre farm. Through World Renew's partner the Kaberamaido Mission Development Program, he learnt conservation agriculture and swiftly put this into practice on his farm. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Christopher Onyimo.
    Worldrenew_kaberamaido-2818.jpg
  • CAPTION: Christopher Onyimo lives in the parish of Apapai in Uganda’s district of Kaberamaido, where he owns a three-acre farm. Through World Renew's partner the Kaberamaido Mission Development Program, he learnt conservation agriculture and swiftly put this into practice on his farm. Here, we see him spraying his orange trees with pesticide. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Christopher Onyimo.
    Worldrenew_kaberamaido-2773.jpg
  • CAPTION: Catherine eats a meal of boiled sweet potatoes and bean stew with four of her five children. Sweet potatoes are a staple food for the people of Kaberamaido; their other staples are cassava and corn. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Catherine Anaso, Silas Oper, Cecilia Acwichi, Nancy Acen and Daniel Owange.
    Worldrenew_kaberamaido-2664.jpg
  • CAPTION: Catherine Anaso and her family having lunch together. In this culture, the father sits together with his first-born son, while the rest of the children eat to one side with their mother. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Catherine Anaso, Cecilia Acwichi, Nancy Acen, Daniel Owange, Innocent Jacob Okot and David Alele.
    Worldrenew_kaberamaido-2663.jpg
  • CAPTION: Innocent, pictured left, is one of five children born to David (right) and his wife Catherine. What they farm is enough for home use; a little is also taken to the market for sale. David is a health champion through the Kaberamaido Mission Program of the PAG church, a partner of World Renew. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Innocent Jacob Okot (left) and David Alele (right).
    Worldrenew_kaberamaido-2653.jpg
  • CAPTION: Catherine’s children, immersed in their studies at home in Kaberamaido. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Nancy Acen, Innocent Jacob Okot and Cecilia Acwichi.
    Worldrenew_kaberamaido-2626.jpg
  • CAPTION: Most homes in Kaberamaido keep cattle on a small scale. They are used for milk, and particularly for pulling ploughs on the farm. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: N/A.
    Worldrenew_kaberamaido-2536.jpg
  • CAPTION: Part of the crowd of friends and family that came to witness the TLT graduation ceremony. LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Multiple people.
    Worldrenew_kaberamaido-9918.jpg
  • CAPTION: Timothy Leadership Training (TLT) graduands walk proudly down the main street of the town of Kaberamaido, on their way to their graduation ceremony. The training TLT provides helps many rural pastors, who have not had formal theological training, develop the skills they need to provide leadership to their congregations and families. LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: TLT graduands.
    Worldrenew_kaberamaido-9805.jpg
  • CAPTION: Timothy Leadership Training (TLT) graduands walk proudly down the main street of the town of Kaberamaido, on their way to their graduation ceremony. The training TLT provides helps many rural pastors, who have not had formal theological training, develop the skills they need to provide leadership to their congregations and families. LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: TLT graduands.
    Worldrenew_kaberamaido-9801.jpg
  • CAPTION: World Renew Uganda staff member Edward Okiror presents an award to a participant in the boat race. Races like this one bring many people to one place, making them a captive audience for receiving HIV/AIDS testing as well as counselling and lessons on health. LOCATION: Lake Kyoga, Abrepoli, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Unknown, Edward Okiror, unknown, unknown and unknown.
    Worldrenew_kaberamaido-9708.jpg
  • CAPTION: A racer sits patiently at the end of his boat, as he awaits the ‘go’ whistle, signaling that he can embark on the PAG Kaberamaido-organized boat race. LOCATION: Lake Kyoga, Abrepoli, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Unknown.
    Worldrenew_kaberamaido-9675.jpg
  • CAPTION: Peter used to lead a reckless sexual life, putting his wife at risk of contracting HIV/AIDS. Thanks to the Pentecostal Assemblies of God (PAG), he was able to join a men’s group and attend its ‘accountability meetings’. The members of the group are now in the process of setting up a revolving fund so that they can help one another. LOCATION: Abrepoli, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Peter Ongem.
    Worldrenew_kaberamaido-9508.jpg
  • CAPTION: Cattle grazing on the weed-infested edge of Lake Kyoga, as fishermen return with their catch. LOCATION: Lake Kyoga, Abrepoli, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: N/A.
    Worldrenew_kaberamaido-9432.jpg
  • CAPTION: The lessons Florence has learnt have helped her at the women’s group that she’s a member of. During meetings, she is now able to count the money that the the women have collected. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Florence Agabo.
    Worldrenew_kaberamaido-2940.jpg
  • CAPTION: Every home in Kaberamaido keeps chickens, which play an important role in households and have particular significance when given as a meal or gift. A son can be gifted a hen to show that he has become responsible, while a visitor is only considered welcome once s/he has been given a chicken meal. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: N/A.
    Worldrenew_kaberamaido-2847.jpg
  • CAPTION: Christopher Onyimo has gained detailed knowledge of conservation agriculture from training provided by World Renew partner organization, the Kaberamaido Mission Development Program. Here, we see him surrounded by his mucuna plants, which are particularly useful in agricultural conservation. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Christopher Onyimo.
    Worldrenew_kaberamaido-2804.jpg
  • CAPTION: Christopher Onyimo lives in the parish of Apapai in Uganda’s district of Kaberamaido, where he owns a three-acre farm. Through World Renew's partner the Kaberamaido Mission Development Program, he learnt conservation agriculture and swiftly put this into practice on his farm. Here, we see him spraying his orange trees with pesticide. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Christopher Onyimo.
    Worldrenew_kaberamaido-2771.jpg
  • CAPTION: Ankole cows get their name from the fact that they are kept mostly by the Ankole Tribe of Western Uganda. It was only recently that groups of people in other parts of the country started rearing them, as here in Eastern Uganda. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: N/A.
    Worldrenew_kaberamaido-2714.jpg
  • CAPTION: Catherine Anaso prepares a meal of sweet potatoes and beans for her husband and children. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Catherine Anaso.
    Worldrenew_kaberamaido-2600.jpg
  • CAPTION: Under the Chamkol programme, every disabled member of the community has an Individual Health Plan (IHP). For Rajashekar, who has cerebral palsy, this means following a tailor-made exercise regime. During regular visits to his home, Rehabilitation Therapy Assistant (RTA) Sudha shows his family how to support him with this. LOCATION: Marialla (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Sudhamani R., Rajashekar and Rangaswamy.
    031_IMG31902.jpg
  • CAPTION: Mallesh has a severe learning disability. He needs almost constant care. During the earliest days following the birth of a child who has (or develops) a disability, parents often struggle to work out what best they can do for him or her, and could use more information and firmer direction. Under the Chamkol programme, such children aged between zero and five and their mothers, expectant mothers and women of child-bearing age will be able to get this through health, wellbeing, development and pre-school programmes run through Early Years' Clubs. LOCATION: Mahanthalpura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Nandini M. (left) and Mallesh M. (right).
    044_IMG44183.jpg
  • CAPTION: Jyothi has multiple disabilities, including cerebral palsy. Her parents are in the process of constructing a new home, so Mobility India representative Ramesh has come to advise them on the modifications they will need to build in so as to make the house as accessibe to her as possible. He suggests wall bars and foot steps (moulds in the floor) to help her get around the house, and also a specially adapted toilet. LOCATION: Yangahalli (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Doreswamy, Ramesh, Jyothi and Lakshmamma.
    028_IMG32765.jpg
  • CAPTION: Basavanna can see only partially with one eye. He has taken a dairy-related livelihoods training course arranged by Mobility India, specially targeted at people with disabilities. This included several aspects of caring for cows that were unfamiliar to him before. LOCATION: Mudnakudu (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Basavanna (left) and Gowramma (right).
    021_IMG33219.jpg
  • CAPTION: Nirmala Shukla, wearing white, is another member of the panchayati raj system. She is also very active in Community COPE as a part of the information system, bringing its work to the public's attention and serving as a bridge to the press. Shruti Deogam, to her left in orange, is the pramud, the elected head of Ghatshila Block (meaning the highest rank in the panchayati raj system), and is also an important representative of the community to the outside in that she links the block to those higher up at the district level. She is the leader of the Community COPE exercise, and helps to bring in high-level officials to address issues being experienced at the block level. In this line of women (from right to left) we see the pramud (working at the block level), mukhya (village level), Vandana Maitry who is a ward member (village level), and a new Community COPE member. They are discussing what the work plan has addressed so far and what is still to be addressed. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Bisu Murmu, Vandana Maitry, Parwati Murmu, Shruti Deogam, Nirmala Shukla and Shyam Bahadur Sonar.
    IMG44633.jpg
  • CAPTION: Community COPE members come to ask a householder about what her expectations of the health system are and what she feels ought to be done to get more people into the Government-run Community Health Centre (CHC). She says she’s happy with what she’s been accessing, but reveals a lack of awareness of what she is actually entitled to. Shyam Bahadur Sonar is therefore suggesting that she should discuss her needs with knowledgeable community members. Kalicharan Namata (second from left) is one of the two adolescent representatives in Community COPE, and has an important role in bringing adolescent voices into the community dialogue. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Shyam Bahadur Sonar (left) and Rupa Namata (right).
    IMG44723.jpg
  • CAPTION: The final group is listing out the various mental and social changes experienced by adolescents. One of these is the development of attraction to the opposite sex. It is impressed upon participants that this is something natural that happens to everyone, and that it should not be condemned as something 'bad'. Another is that girls start wanting to make themselves appear as beautiful as possible to others. Boys, meanwhile, might like to drive very fast in front of others, or smoke and take drugs. The group is considering the consequences of these things and how they may be addressed. After discussing these things, the groups join together and discuss what they have each found. This then leads to the enactment of role-plays. LOCATION: Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Kalpana Mahato, Savita Horo, Dr Jagannath Hembrom, Krishna Chakrabarty and Shobha Kumari Nirali.
    IMG45134.jpg
  • CAPTION: The Mahila Samakhya girls have split up into groups to draw the physical changes that occur in male and female bodies during adolescence. This is done pictorially, because this makes it easier for them to memorize. LOCATION: Mahila Samakhya, Ratu (block), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Shobha Pareya, Ganga Purti, Sakro Hembrom, Hisee Murmu, Malti Laguri and Shobha Pareya.
    IMG45245.jpg
  • CAPTION: Shanti Toppo is married. She would like there to be a gap before she has her second child. Health worker Dr Kusum Kumari Bara suggests two options for her, firstly the Copper T, which allows the user to delay pregnancy for a longer period, and secondly the condom, which must be used by her husband. It is stressed that the condom is the only thing that also prevents spread of reproductive tract infections (RTIs) and sexually transmitted infections (STIs). The service provider then suggests that it is a good idea to come back along with her husband, so that he can also understand these things. LOCATION: Adolescent Reproductive and Sexual Health (ARSH) clinic, Ratu Community Health Centre (CHC), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Dr Kusum Kumari Bara (left) and Shanti Toppo (right).
    IMG45324.jpg
  • CAPTION: 13-year-old Chowdamma could only stand rooted to the spot when she first started attending her local After-School Club (ASC) five years ago. She has a learning disability, and was afraid to communicate with the other children in any way at all. Under her ASC tutor's careful strategic guidance, she has been able to build her confidence levels dramatically. LOCATION: Marialla (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Chowdamma.
    068_IMG32804.jpg
  • CAPTION: Every self-help group (SHG) has various office-bearing positions, including chairperson (right) and treasurer (left). LOCATION: Doddarayapete (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Left: Suvarna; right: Shobha.
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  • CAPTION: The Chamkol programme supports the government's response to the health and wellbeing of individuals with or at disk of disability. For Village Rehabilitation Workers (VRWs) like Rekha (who herself has polio) - pictured here visiting a boy with a learning disability who she recently supported in entering the formal education system - informal support to service delivery means provision of tailored quarterly training. LOCATION: Meghalahundi (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Rekha H.B. (woman), Mahesh (boy) and Mahadevaswamy (man).
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  • CAPTION: While Cluster Resource Person (CRP) Basavaraju observes, Sunithamma leads her primary school class in enacting a skit called 'Grandmother’s Pride'. This group work exercise taught by The Teacher Foundation (TTF) is especially useful for including children with special needs. Roopa (left), for example, loves acting. She has a learning disability and used to come to class only very irregularly. Now that these activities are included in the lesson plan, she's happy to come much more often. LOCATION: Mariallahundi (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Roopa S., Kavya P., Kavya M.P., Mamatha M., Sunithamma, Sunil M.K. and Basavaraju M.
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  • CAPTION: As an elected member of the Karnataka State Children’s Parliament, Sushma Rani recently met the state's Chief Minister. She had been chosen to represent children with disabilities, and thought carefully about what she could say to him that would be most useful for those whose name she was speaking in. She recognises that she’s become a role model for children with disabilities, and says she hopes to motivate others to follow in her footsteps and speak up for their rights. LOCATION: Bogapura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Left: Tejaswini; right: Sushma Rani.
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  • CAPTION: Rajashetty, who contracted polio early in life, is a self-employed blacksmith. He is pictured here working alongside two of his family members. He is a member of his local self-help group (SHG), which has enabled him to draw small loans to invest in his business. LOCATION: Alduru (village), Santhemarahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Rajashetty, Bhagya and Basavashetty.
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  • CAPTION: Inaccessible toilets in schools prove a tremendous challenge to children with disabilities. Teachers may not always be on hand to help out, nor may they appreciate needing to do so. The Chamkol programme therefore provides for School Inclusion Audits and Plans to be carried out by Pupils' Clubs with a view to correcting these flaws. LOCATION: Bogapura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Lingaraju (left) and Shivakumar M. (right).
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  • CAPTION: Every child with severe disabilities is entitled to enrol at his or her local school and receive education through a Home Based Educator (HBE). Jyothi, an HBE, is pictured here working with her own brother, Siddaraju, who has severe learning disabilities. LOCATION: Mallianpura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: M. Jyothi (left) and Siddaraju (right).
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  • CAPTION: Over the course of six months, Karthik’s Home-Based Educator (HBE) Honnamma (pictured, right) helped him learn to dress himself, identify his parents, indicate that he’s hungry and eat with assistance. This represents marked progress; when she first started working with Karthik, who has cerebral palsy, he could not even feel sensations or react to stimuli. LOCATION: Mudnakudu (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Manjula, Karthik and Honnamma.
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  • CAPTION: Nirmala has speech problems owing to jaw disfigurement. Thanks to Mobility India, she has benefited from surgery, and now works as a tamarind de-seeder. Soon, she will be taking up livelihood training for other income-earning activities. LOCATION: Doddarayapete (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Nirmala.
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  • CAPTION: Thanks to The Teacher Foundation (TTF), Prabhuswamy has been trained to lead Quality Circle Time (QCT) sessions in his primary school classrooms. This technique helps him to involve children with special needs in different activities to a much greater extent, as in this instance where he uses a hand puppet to talk to Gowrishankar, who has speech and hearing difficulties. LOCATION: Bedrapura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Prabhuswamy, Gowrishankar and Abhi K.
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  • CAPTION: Pallavi, who is unable to speak, was recently assisted by Mobility India to enrol in vocational training courses to develop computing, tailoring and beautician skills. Now that she has had a taste for the sorts of work she could do, she is keen to redouble her efforts and get a good job that will draw on the skills she’s gained. LOCATION: Naviluru (village), Santhemarahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Pallavi.
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  • CAPTION: Geetha's daughter Priyanka tends to vomit up what she is fed, and Geetha had to experiment a lot to find ways to feed her so that this doesn't happen. Priyanka also goes through regular periods of almost non-stop crying. During the earliest days following the birth of a child who has (or develops) a disability or special needs, parents often struggle to work out what they can do for him or her, and would find more information and direction useful. Under the Chamkol programme, children aged between zero and five and their mothers, expectant mothers and women of child-bearing age will be able to get this through health, wellbeing, development and pre-school programmes run through Early Years' Clubs. LOCATION: Mallianpura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Geetha (mother) and Priyanka (daughter).
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  • CAPTION: Accredited Social Health Activist (ASHA) Supervisor Lakshmi meets with Taluk Health Officer Dr Mallika to discuss ASHA incentives. Under the Chamkol programme, ASHAs will soon start receiving focussed training on ways to minimise the risk of disability during pregnancy, childbirth or infancy, on how to identify and respond to suspected impairments and how to care for, nurture and support children with different impairments. LOCATION: Chamarajanagar (town), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Dr Mallika B. (left) and Lakshmi C. (right).
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  • CAPTION: Shilpa, who has cerebral palsy and moves around in a wheelchair, has developed her confidence level dramatically since joining her local After-School Club (ASC). Its sessions are designed to be highly inclusive, so she feels she is able to engage in activities without disadvantage compared with the other children there. LOCATION: Heggotara (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Manasa and Shilpa N. (right).
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  • CAPTION: Visually impaired self-help group (SHG) member Shivaraju proudly displays the bus pass that his membership of the group has helped him to secure. LOCATION: Amchawadi (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Left: Shivaraju; right: Madamma.
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  • CAPTION: Parwati Murmu is one of Community COPE's elected members. She is the mukhya (head of four to five villages) of the Pawra area, and is one of the most active Community COPE leaders. Before getting elected, she had 15 years’ experience in the panchayati raj system. The panchayati raj system dictates that 50% of those elected must be female; in this area, 60-70% are. She also used to be a very active anganwadi worker, and because she is very knowledgeable on relevant health matters she now helps a lot with mother and child health services. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Bisu Murmu, Vandana Maitry and Parwati Murmu.
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  • CAPTION: Daya Nidhi Shit is a retired government worker who is very active in the community. He says he is especially keen on COPE because it is ensuring access to much in healthcare that was previously unavailable in this block. Here, he is raising the issue of non-availability of appropriate medicines for snake and dog bites. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Damodar Shit.
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  • CAPTION: . LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Nirmala Shukla, Panchami Namta and Susmita Mardi.
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  • CAPTION: The media is interested in COPE because the Community is all about bringing positive change. This journalist is from GTN News, a local cable channel which broadcasts across several districts of Jharkhand. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Left: unknown; right: Shruti Deogam.
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  • CAPTION: Shyam Bahadur Sonar has been engaged with the Community COPE initiative for the past six months. In the community, he is a cricket coach and talent scout, and he's also politically active. He has been a particularly active COPE member, providing a great deal of insight during the scoping phase. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Shyam Bahadur Sonar.
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  • CAPTION: Community COPE members come to ask a householder about what her expectations of the health system are and what she feels ought to be done to get more people into the Government-run Community Health Centre (CHC). The men and women have teamed up here; mostly the men talk with the male heads of households. This lady has been living in this community for around 40 years since marriage. She has observed many changes in health service provision. She says that the panchayati raj system has brought significant health service changes for her, which she’s very happy about. She says that people hear from the newspapers and TV what they can access. The newly-elected female panchayati raj members, reserved 50% of the positions as part of women’s empowerment efforts, have been very active in changing how the government system works and serves people. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Daya Nidhi Shit, Damodar Shit, Shruti Deogam, Punta Hansda and Parwati Murmu.
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  • CAPTION: The lady on the right is a sahiya. She serves as a link between the health system and the community, working at the grassroots in villages. Every village has at least one sahiya. They help health service professionals understand what community needs are and what issues community members are facing. LOCATION: Adolescent Reproductive and Sexual Health (ARSH) clinic, Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Dr Ram Chandra Soren (left) and Rupali Shit (right).
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  • CAPTION: Dr Ram Chandra Soren, the area’s Medical Officer-in-Charge, notes that adolescents tend to be reluctant to visit their CHCs, preferring private clinics and 'quacks', because they assume that they will not get what they need there, or that there will be insufficient privacy. He assures them that they can get what they need from the ARSH clinic with full privacy and confidentiality. Changing awareness about this has resulted in significant positive changes, such as a marked reduction in septic abortions. LOCATION: Adolescent Reproductive and Sexual Health (ARSH) clinic, Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Dr Ram Chandra Soren.
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  • CAPTION: ARSH Counselor Sarita Kumari Panna explains the use of iron and folic acid tablets to Atosi Shit. Most of the adolescent girls (perhaps 80-90%) in villages like this are anemic. There is large-scale absence of awareness of how to ensure their diets contain iron and folic acid, especially with the rising popularity of fast food while young people are away at school or college. Girls are especially unaware, after their menstrual cycles start, about when they ought to have particular types of nutrition. This often results in menstrual problems and anemia. LOCATION: Adolescent Reproductive and Sexual Health (ARSH) clinic, Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Sarita Kumari Panna (left) and Atosi Shit (right).
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  • CAPTION: Adolescent client Tulika Shit has a lower respiratory tract infection. Many adolescents in this area have tuberculosis (TB) but don’t realize it. So Dr Ram Chandra Soren is checking whether her symptoms add up to this. ARSH clinics provide services that extend far beyond reproductive and sexual health. They are far more accessible to young people than the outpatient department (OPD) at the hospital is, ensuring they can get the services they need quickly. LOCATION: Adolescent Reproductive and Sexual Health (ARSH) clinic, Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Sarita Kumari Panna (left) and Sujata Shit (right).
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  • CAPTION: Sahiya Anupma Soren takes a monthly session with the 15-19-year olds. The discussion covers delaying the age of marriage, antenatal care, where the ARSH clinic is and what it does, the methods of family planning that the facility can help with, and what their respective pros and cons are. The Government requires these sessions to be conducted monthly. Sahiyas are given an incentive of ₹ 75 per session they lead. The girls are asked to come on a regular basis, as the knowledge imparted builds over time. LOCATION: Pawra Anganwadi Centre (AWC), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Anupma Soren, Pritilata Giope, Sarshati Hansda, Maya Namata, Kajal Namata and Sunita Murmu .
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  • CAPTION: Sahiya Anupma Soren takes a monthly session with the 15-19-year olds. The discussion covers delaying the age of marriage, antenatal care, where the ARSH clinic is and what it does, the methods of family planning that the facility can help with, and what their respective pros and cons are. The Government requires these sessions to be conducted monthly. Sahiyas are given an incentive of ₹ 75 per session they lead. The girls are asked to come on a regular basis, as the knowledge imparted builds over time. LOCATION: Pawra Anganwadi Centre (AWC), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Anupma Soren, Pritilata Giope, Sarshati Hansda, Maya Namata and Kajal Namata.
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  • CAPTION: This group is considering sexual changes, such as the start of the menstrual cycle. Girls tend not to be aware that this is coming up, as parents and even the health system tend not to orient them on it. Then, when bleeding happens for the first time and it shows through a girl’s clothes, she may feel very embarrassed. So adolescents, schools, parents, and other family members all need to be sensitized. A similar example in the case of boys is night emissions after 'wet dreams'. The first time this happens, the boy may be very startled. In the rural Indian cultural context, boys are unlikely to want to talk about it with parents or healthcare professionals, nor are these people likely to want to talk about what's happening for them. Often, boys will consult 'quacks' or low-cost books available in local markets, and may get information that's far from the truth. Again, ways to tackle this must be considered. LOCATION: Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Sunita Patra, Jayashree Sawayan, Dr Jagannath Hembrom, Suhagini Kisku and Sefali Dandapat.
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  • CAPTION: The final group is listing out the various mental and social changes experienced by adolescents. One of these is the development of attraction to the opposite sex. It is impressed upon participants that this is something natural that happens to everyone, and that it should not be condemned as something 'bad'. Another is that girls start wanting to make themselves appear as beautiful as possible to others. Boys, meanwhile, might like to drive very fast in front of others, or smoke and take drugs. The group is considering the consequences of these things and how they may be addressed. After discussing these things, the groups join together and discuss what they have each found. This then leads to the enactment of role-plays. LOCATION: Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Ratna Das Banerjee, Kalpana Mahato, Savita Horo and Krishna Chakrabarty.
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  • CAPTION: Mahila Samakhya students act out a role-play. In the play, the old lady’s granddaughter has just started menstruating. She is worrying about what’s happening her, so goes to her grandmother and asks why this is suddenly happening to her. The old lady reassures her that it happens to every woman; that it also happened to her, and that there’s nothing to worry about, everything will be alright. The girl who then comes along is playing the role of a sahiya. She is visiting the household, and reassures the girl that it’s a natural process for all young girls, and goes on to explain how to take care of nutritional intake including supplementation during this period, and also how to be clean and hygienic. She then assures her that if she experiences very bad pain, she can come to her for some medicines. LOCATION: Mahila Samakhya, Ratu (block), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Foreground, from left to right: Shobha Pareya, Sita Kujur, Ganga Purti and Salomi Horo; background: multiple people.
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  • CAPTION: A trained ANM visits Bethany Convent School in Ratu, Ranchi, and teaches them on sexual and reproductive health through a game. The cards state the physical changes that occur for both boys and girls, and the boys are asked to segregate them by gender and put them in order. This is followed by a discussion. These sessions happen at the school biannually when the school health team visits. A lot more of this work is being done with girls as compared with boys. The reason is that for boys, suitable forums are not so readily accessible. For girls, there are the Mahila Samakhya schools and anganwadi centers. The latter come under the Government’s Ministry of Women and Child Development. The School Health Program, however, is a component of the Adolescent Health Program, which gives importance to both boys and girls. Rashtriya Kishor Swasthya Karyakram (RKSK) (National Adolescent Health Program) was launched this year, doing peer interventions with both boys and girls. LOCATION: Bethany Convent School, Ratu (block), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Adult: Raj Kumari Sinha; boys in the foreground: Ritesh Munda (left) and Nikhil Tigga (right).
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  • CAPTION: A trained ANM visits Bethany Convent School in Ratu, Ranchi, and teaches them on sexual and reproductive health through a game. The cards state the physical changes that occur for both boys and girls, and the boys are asked to segregate them by gender and put them in order. This is followed by a discussion. These sessions happen at the school biannually when the school health team visits. A lot more of this work is being done with girls as compared with boys. The reason is that for boys, suitable forums are not so readily accessible. For girls, there are the Mahila Samakhya schools and anganwadi centers. The latter come under the Government’s Ministry of Women and Child Development. The School Health Program, however, is a component of the Adolescent Health Program, which gives importance to both boys and girls. Rashtriya Kishor Swasthya Karyakram (RKSK) (National Adolescent Health Program) was launched this year, doing peer interventions with both boys and girls. LOCATION: Bethany Convent School, Ratu (block), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Raj Kumari Sinha, Subhash Gope, Ritesh Munda, Nikhil Tigga, Kuldeep Sahu and Raj Kumar Prajpati.
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  • CAPTION: Ningarajamma is a flower vendor. Thanks to the Chamkol programme's Revolving Fund Scheme, she has been able to invest in this business and in turn make it easier for her family to support her brother Jawara Naik, who has a severe learning disability. LOCATION: Alduru (village), Santhemarahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Ningarajamma (left) and Jawara Naik (right).
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  • CAPTION: Jayamala keeps an eye on Madhushree while leading a game at her anganwadi (pre-school). Through the Chamkol programme's Early Years' Clubs, anganwadi workers like Jayamala will play more of a role in the lives of the youngest children with special needs, like Madhushree, who has autism. LOCATION: Masagapura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right (visible faces only): Madhushree, Jayamala, Chamdama M., Radhika B., Chamdama M. and Aishwarya S.
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  • CAPTION: Steps prove a significant challenge for Ashwin, who has diplegia and can only get around unassisted if on his hands and knees. The Chamkol programme therefore provides for School Inclusion Audits and Plans with a view to correcting these flaws. LOCATION: Mangala Hosuru (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Nagamma (left) and Ashwin (right).
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  • CAPTION: Gathering community data. Mobility India and CBM have partnered with Aptivate to develop a simple means of collecting key project-relevant data using relatively unsophisticated mobile phones. LOCATION: Sappayyanapura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Mariswamy, Manu and Nandini A.C.
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  • CAPTION: Rajamma, who has severe rheumatoid arthritis, gets around her home by crawling. She has a new wheelchair, but her mother Mahadevamma will not be able to wheel her into and out of her house in this until construction of the ramp up to the doorway has been completed. LOCATION: Amchawadi (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Rajamma (left) and Mahadevamma (right).
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  • CAPTION: When her mother is unable to attend, Padma stands in for her at their local self-help group (SHG) meetings. This is made up of people from their locality who either live with a disability or have a close family member who does. In their case, Padma's brother Shesh Naik lives with multiple disabilities, including cerebral palsy. LOCATION: Amchawadi (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Padma, Sakamma, Chikkatayamma and unknown.
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  • CAPTION: Sushma has a form of cerebral palsy called diplegia. She needs almost constant care. During the earliest days following the birth of a child who has (or develops) a disability, parents often struggle to work out what best they can do for him or her, and could use more information and firmer direction. Under the Chamkol programme, such children aged between zero and five and their mothers, expectant mothers and women of child-bearing age will be able to get this through health, wellbeing, development and pre-school programmes run through Early Years' Clubs. LOCATION: Mangala (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Ambika (left) and Sushma (right).
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  • CAPTION: Under the Chamkol programme, anganwadi (pre-school) workers like Shashikala will soon start receiving focussed training on ways to minimise the risk of disability during pregnancy, childbirth or infancy, on how to identify and respond to suspected impairments and how to care for, nurture and support children with different impairments. LOCATION: Uttuvalli (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Pavitra, Komala and N. Shashikala.
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  • CAPTION: The Chamkol programme supports the government's response to the health and wellbeing of individuals with or at disk of disability. For Primary Health Centre (PHC) workers such as Dr Prasad, this means informal support during disability screenings, vaccination and immunisation outreaches. LOCATION: Panyadhundi (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Dr Prasad P.M. (left) and Navida Begum (right).
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