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  • 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: 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: 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: 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 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: Madhushree has a profound learning disability. Chinnaswamy and his family are determined that in spite of this, she should be able to enjoy a gradually improving quality of life. To assist with making this a reality, Mobility India have helped to draw up an Individual Education Plan (IEP) that is tailored to Madhushree’s specific needs. Together with her local After-School Club (ASC) coordinators, her family have resolved to work with her to meet each goal that’s been set in this plan in turn. Activities in Madhushree’s plan include brushing her teeth, eating and bathing without support and identifying colours. LOCATION: Heggotara (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Chinnaswamy, Madhushree and Asha.
    069_IMG33077.jpg
  • CAPTION: Shesh Naik has multiple disabilities, including cerebral palsy. His only mobility comes through wheelchair use, and he's totally dependent on family members to wheel him around. He still needs a ramp to be constructed, so that they will be able to get him into and out of the family home. LOCATION: Amchawadi (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Padma, Shesh Naik, Raghu and Latha.
    027_IMG32704.jpg
  • CAPTION: Adolescent Rakhi Shit is being taught about family planning methods. The counselor Sarita Kumari Panna is telling her about the different options available to her. This information is not considered something that should be given only after marriage; it is recognized that sexual activity could happen before as well, even though this is culturally unacceptable. Most of the girls here (and also the boys) are unaware that the condom is something that can be used to prevent STIs - including AIDS - and unwanted pregnancy. Owing to this ignorance, under-age pregnancies are quite common, and abortions - including unsafe illegal ones - are being sought. 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 Rakhi Shit (right).
    IMG44789.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.
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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).
    018_IMG32435.jpg
  • 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.
    013_IMG32488.jpg
  • CAPTION: Shobha has taken up a job as a sweeper at Vijaya Bank in order to help support her two brothers, Siddaraju and Shivaraju, who both have severe learning disabilities. Through the Chamkol programme, families like hers are able to get support in devising Individual Livelihood Plans to build pathways out of poverty. LOCATION: Mudlumole (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Siddaraju, Jayamma, Shivaraju and Shobha.
    023_IMG32243.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: 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: 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: 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: 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: 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 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’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: 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: 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: 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: 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: 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.
    012_IMG32318.jpg
  • 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).
    043_IMG43314.jpg
  • 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.
    038_IMG43845.jpg
  • CAPTION: For many years, Mantesh - who has a learning disability - would hardly communicate with other children or even with his parents. His mother Roopa supports him with his Individual Education Plan (IEP), which includes his attendance at his local After-School Club (ASC). This is very important in developing his self-belief. Just ensuring he attends regularly is a challenge, so it helps if his mother drops him there directly herself, and then meets him once the session is over. LOCATION: Mallianpura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Roopa (left) and Mantesh (right).
    070_IMG32041.jpg
  • 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.
    059_IMG33151.jpg
  • CAPTION: For a long time, Madhushree's mother Bhagya thought that her daughter was a bit of a slow learner, and she had no idea why. Nobody told her that her daughter had autism, and how autistic children could be helped to develop and thrive. 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: Masagapura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Bhagya, Megha and Madhushree.
    042_IMG44403.jpg
  • 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).
    047_IMG44234.jpg
  • CAPTION: Anaganwadi (pre-school) Supervisor Jayalakshmi observes anganwadi feeding. Under the Chamkol programme, anganwadi workers 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: Mallianpura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Jayalakshmi, Nagamma H.S., Aishwarya, Mahadevamma, Bhavani and Mahadevprasad.
    040_IMG44202.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).
    IMG45322.jpg
  • 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: 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: Sheela has a small business making food and drinks for local schoolchildren. Through this, she is able to support her daughter Nandini, who has a learning disability. She plans to soon take advantage of a loan provided through the Chamkol programme's Revolving Fund Scheme in order to upgrade her shop stock. Here, we see Nandini helping her mother to make tea to sell. LOCATION: Alduru (village), Santhemarahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Nandini (left) and Sheela (right).
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  • CAPTION: Accredited Social Health Activist (ASHA) Gurushanthi administers the polio vaccine to Mahendra while his mother holds him. Through the Chamkol programme's Early Years' Clubs, ASHAs like Gurushanthi will play more of a role in the lives of the youngest children with disabilities, like Mahendra, who has cerebral palsy. LOCATION: K K Hundi (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Chiktayamma, Mahendra and Gurushanthi.
    045_IMG43871.jpg
  • CAPTION: Using a loan from her local self-help group (SHG), Shivamma has set up a petty shop to help cover the costs associated with her daughter Saraswathi's learning disability. LOCATION: Mangala Hosuru (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Shivamma (left) and Saraswathi (right).
    016_IMG32391.jpg
  • CAPTION: Manju's son Sagar was born with clubfoot and hands. Thanks to timely interventions, he has been making great progress. 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: Melagipura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Pushpalata, Santosh, Sagar, Manju and Chenajamma.
    041_IMG44074.jpg
  • CAPTION: Using a loan from his local self-help group (SHG), Mariswamy has set up a petty shop to help cover the costs associated with his son Manu's club foot. LOCATION: Sappayyanapura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Mariswamy, Manu and Meelamma.
    015_IMG44159.jpg
  • CAPTION: Following an accident, Pradeep (pictured, front) had to have his hand amputated. In order to ensure he'd be able to meet the costs associated with his special needs over the years, his father Jayanna borrowed from the Chamkol Programme's Revolving Fund Scheme and started a small sheep rearing business. LOCATION: Heggawadi (village), Santhemarahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Jayanna, Kumari, Prathap and Pradeep.
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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: Vandana Maitry, Kalicharan Namata, Shyam Bahadur Sonar and Rupa Namata.
    IMG44718.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).
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  • CAPTION: Health worker Dr Kusum Kumari Bara demonstrates the use of a mala chakra, a necklace made of red and white beads, to her client. It will help her know when it’s safer to have sex if she does not want to conceive. It is provided by the ARSH clinic free of cost. LOCATION: Adolescent Reproductive and Sexual Health (ARSH) clinic, Ratu Community Health Centre (CHC), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Dr Kusum Kumari Bara, Sabita Devi and Najmain Parveen.
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  • CAPTION: While Shanti Toppo discusses contraceptive options with the health worker, another ANM checks her blood pressure. This is because she has been complaining of a spinning head and pains in her abdomen. The cause of this might be anemia, though there are other possibilities as well.<br />
LOCATION: Adolescent Reproductive and Sexual Health (ARSH) clinic, Ratu Community Health Centre (CHC), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Dr Kusum Kumari Bara, Raj Kumari Sinha and Shanti Toppo.
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  • CAPTION: Aishwarya's legs are so weak, she cannot stand without support. She also goes through long periods of constant 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 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: Mallianpura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Nagamma H.S. (left) and Aishwarya (right).
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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). 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. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Vandana Maitry (left) and Rupa Namata (right).
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  • CAPTION: “The biggest benefit is the knowledge I’ve learned and can now apply in real life”, reports Hue. “I’m also more confident about sharing what I know with other people, and in giving voice to my own opinion. More than this, I’ve been able to improve my position within my family. For example, when I make a suggestion about how to look after the pigs, the rest of the family trusts my opinion more than ever before and allows me to follow through on my idea”. Hue goes on to speak of how she also feels empowered to voice her opinion in the wider community. Indeed, since participating in training sponsored by We Effect, she’s become a more active member in the Women’s Association and the community as a whole. LOCATION: Consumption Office, Hanoi, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: Ha Duc Duong.
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  • INDIVIDUAL(S) PHOTOGRAPHED: N/A. LOCATION: Family Health Clinic, Moor Road, Calabar, Cross River, Nigeria. CAPTION: The Family Health Clinic provides quality courses to health staff in Calabar, in the Nigerian state of Cross River.
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  • INDIVIDUAL(S) PHOTOGRAPHED: N/A. LOCATION: Family Health Clinic, Moor Road, Calabar, Cross River, Nigeria. CAPTION: The Family Health Clinic provides quality courses to health staff in Calabar, in the Nigerian state of Cross River.
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  • CAPTION: Juliet, who lives with a hearing impairment, cleans up her family home before preparing for school in the morning. SignHealth Uganda assists parents in understanding the nature of hearing impairment, which is traditionally seen as a bad omen on the family, and helps them to realise that hearing impaired children are still capable of leading normal, happy lives both at home and at school. The organisation has also 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.
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  • INDIVIDUAL(S) PHOTOGRAPHED: N/A. LOCATION: Family Health Clinic, Moor Road, Calabar, Cross River, Nigeria. CAPTION: The Family Health Clinic provides quality courses to health staff in Calabar, in the Nigerian state of Cross River.
    CommForDev_AbtUSAID_Nigeria_048.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: N/A. LOCATION: Family Health Clinic, Moor Road, Calabar, Cross River, Nigeria. CAPTION: The Family Health Clinic provides quality courses to health staff in Calabar, in the Nigerian state of Cross River.
    CommForDev_AbtUSAID_Nigeria_046.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Ibiam Azu Agwu (left) and N/A (right). LOCATION: Family Health Clinic, Moor Road, Calabar, Cross River, Nigeria. CAPTION: Ibiam Azu Agwu, who manages the HFG Project in Cross River, speaks with a staff member at the Family Health Clinic.
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  • CAPTION: With limited access to arable land and a poor knowledge of agriculture, Thuan’s harvest was never big enough to feed her family throughout the year, forcing her to purchase food for three of the 12 months. In 2012, she was trained in innovative and sustainable rice cultivation by a fellow member of the Women’s Association. Despite being equipped with the knowledge of better farming techniques, We Effect recognised that low-income households like Thuan’s would be reluctant to risk investing in new, higher yielding rice varieties without first witnessing the benefits. They therefore created local demonstration models by funding a number of low-income households to receive high yielding varieties, enabling these farmers to put into practice everything they had learned. Thuan’s household was chosen as one of the demonstration models, and subsequently her productivity increased from 500 kg to 700 kg a year, giving her family enough food to last throughout all 12 months. Seeing her success, a number of other members of Huy Tuong Commune now follow this model of rice cultivation. LOCATION: Coong Village, Huy Tuong, Son La Province, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: Ngan Thi Thuan.
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  • CAPTION: Duong, Hue’s father-in-law, says that the biggest problem facing the family till now has been the absence of a regular and stable income. Aside from his son, who gets occasional work as a daily wage labourer, they rely almost entirely on livestock and agricultural production. “I’m more confident about the future now that my daughter-in-law is able to generate a decent income through pig breeding”, he asserts, adding, “I’m happy to say that she is making good money for the family”. By ensuring that at least 50% of direct beneficiaries are women like Hue, We Effect is mainstream gender equality into its project. LOCATION: Consumption Office, Hanoi, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: Ha Duc Duong.
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  • 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).
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  • 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.
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  • CAPTION: Thuy prepares soup to sell at her family's cafe. LOCATION: An Binh Ward, Can Tho, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: Phan Thi Thu Thuy.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Bassey Immaculata (left) and Emem E (right). LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: A family planning nurse provides information on how to correctly use a condom to prevent sexually transmitted diseases and protect against unwanted pregnancy.
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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: SignHealth Uganda often uses its volunteers to put on short dramas at events in order to heighten awareness and challenge the stigmas attached to hearing impairment. In this scene, one of the volunteers is teaching a family how to communicate using sign language.  LOCATION: Kakunyu Inclusive Nursery and Primary School, Kakunyu Village, near Masaka city, Lweongo District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Elizabeth Nakiberu.
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  • CAPTION: Babinye Nalubega is member of a Parent’s Support Group (PSG) in the town of Lukaya. PSGs were set up by SignHealth Uganda to help raise awareness about hearing impairment, overcome the superstitions and stigmas that are attached to the condition and help parents overcome the situation of poverty that many of them have so far endured. They have helped to establish several income generating activities, including mushroom growing and soap production, both of which are sold to other community members. Babinye’s son Bashim has several other disabilities alongside his hearing impairment. SignHealth Uganda has helped her to cope with the associated challenges, and to generate an income for her family by selling the soap we see here, displayed outside their home. LOCATION: Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Left: Babinye Nalubega; right: Bashim Ssegame.
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  • CAPTION: Thuy prepares soup to sell at her family's cafe. LOCATION: An Binh Ward, Can Tho, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: Phan Thi Thu Thuy.
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  • CAPTION: Mukahaynah in her family home with her youngest son, Sahrul. LOCATION: Tapak, Semarang, Indonesia. INDIVIDUAL(S) PHOTOGRAPHED: Mukhayanah Siyam (left) and Sahrul Siyam (right).
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  • CAPTION: Hue takes her children to school on the family’s recently purchased motorbike, saving her time every day. LOCATION: Coong Village, Huy Tuong, Son La Province, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: Lo Thi Hue (above) and Ha Thi Huong (below).
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  • INDIVIDUAL(S) PHOTOGRAPHED: Ibiam Azu Agwu. LOCATION: Family Health Clinic, Moor Road, Calabar, Cross River, Nigeria. CAPTION: Ibiam Azu Agwu, pictured here in his office in Calabar, manages the HFG Project in Cross River.
    CommForDev_AbtUSAID_Nigeria_049.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Saifullah. LOCATION: Bhance Colony, Landhi, Karachi, Pakistan. CAPTION: Saifulla repairs a generator at his workshop in Karachi, Pakistan. Since starting out 18 years ago from a small roadside generator repair shop, Saifulla has since expanded his business into spare parts thanks to 2012 a microfinancing loan of Rs. 40,000 (£280) from the First Micro Finance Bank (FMFB). He has now completed various cycles of financing and repayment. His most recent loan totalled Rs. 150,000, which allowed him to shift his business into a larger rented space and hire three more workers. Today, his monthly revenues average around Rs. 130,000, a sum that recently enabled him to buy an old 1000 cc car for his family. Saifullah dreams of one day owning an even bigger auto-repairing workshop that also offers generator sales.
    CommForDev_CDCGroup_Pakistan_008.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Saifullah. LOCATION: Bhance Colony, Landhi, Karachi, Pakistan. CAPTION: Saifulla repairs a generator at his workshop in Karachi, Pakistan. Since starting out 18 years ago from a small roadside generator repair shop, Saifulla has since expanded his business into spare parts thanks to 2012 a microfinancing loan of Rs. 40,000 (£280) from the First Micro Finance Bank (FMFB). He has now completed various cycles of financing and repayment. His most recent loan totalled Rs. 150,000, which allowed him to shift his business into a larger rented space and hire three more workers. Today, his monthly revenues average around Rs. 130,000, a sum that recently enabled him to buy an old 1000 cc car for his family. Saifullah dreams of one day owning an even bigger auto-repairing workshop that also offers generator sales.
    CommForDev_CDCGroup_Pakistan_007.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Saifullah. LOCATION: Bhance Colony, Landhi, Karachi, Pakistan. CAPTION: Saifulla repairs a generator at his workshop in Karachi, Pakistan. Since starting out 18 years ago from a small roadside generator repair shop, Saifulla has since expanded his business into spare parts thanks to 2012 a microfinancing loan of Rs. 40,000 (£280) from the First Micro Finance Bank (FMFB). He has now completed various cycles of financing and repayment. His most recent loan totalled Rs. 150,000, which allowed him to shift his business into a larger rented space and hire three more workers. Today, his monthly revenues average around Rs. 130,000, a sum that recently enabled him to buy an old 1000 cc car for his family. Saifullah dreams of one day owning an even bigger auto-repairing workshop that also offers generator sales.
    CommForDev_CDCGroup_Pakistan_005.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Embet Matebe, Birtukan Mekonen,  Mariamawit Mikiyas (child), and Nega Alemneh. LOCATION: Mecha Health Center, Bahir Dar, Ethiopia. CAPTION: Birtukan Mekonen rocks her infant while nurse Nega Alemneh explains how she and her family should support the health and development of the baby in the coming months.
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  • CAPTION: Sahiya Anupma Soren quizzes the girls on such subjects as the legal age of marriage, their daily nutritional needs and the foods that can provide these, the sort of medical advice that’s available for them, etc. There are two groups in the room. One is made up of married adolescents, aged 15-19, which discusses delaying the age of marriage, the different methods of family planning that are available, and antenatal care; the other consists of 10 to 14-year olds, with some school-going girls and some school dropouts, and this group focuses in a big way on nutrition, menstrual hygiene, and developmental changes. LOCATION: Pawra Anganwadi Centre (AWC), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Anupma Soren (standing, left) and multiple others.
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  • CAPTION: Sahiya Anupma Soren quizzes the girls on such subjects as the legal age of marriage, their daily nutritional needs and the foods that can provide these, the sort of medical advice that’s available for them, etc. There are two groups in the room. One is made up of married adolescents, aged 15-19, which discusses delaying the age of marriage, the different methods of family planning that are available, and antenatal care; the other consists of 10 to 14-year olds, with some school-going girls and some school dropouts, and this group focuses in a big way on nutrition, menstrual hygiene, and developmental changes. LOCATION: Pawra Anganwadi Centre (AWC), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Anupma Soren (standing, left) and multiple others.
    IMG44921.jpg
  • 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, Anjana Hembrom 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: Training of frontline workers (FLWs) is being rolled out in phases. Topics include developmental changes among adolescents and their consequences; nutritional requirements and how to meet them, plus what happens if they are not met; family planning; reproductive tract infections (RTIs) and sexually transmitted infections (STIs); menstrual hygiene; non-communicable diseases; and how to counsel on all of these things. Of these, counseling takes the major focus. LOCATION: Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Left: Dr Jagannath Hembrom; right: multiple people.
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  • CAPTION: SignHealth Uganda often uses its volunteers to put on short dramas at events in order to heighten awareness and challenge the stigmas attached to hearing impairment. In this scene, one of the volunteers is teaching a family how to communicate using sign language.  LOCATION: Kakunyu Inclusive Nursery and Primary School, Kakunyu Village, near Masaka city, Lweongo District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Elizabeth Nakiberu.
    SignHealth Uganda-14.jpg
  • CAPTION: SignHealth Uganda often uses its volunteers to put on short dramas at events in order to heighten awareness and challenge the stigmas attached to hearing impairment. In this scene, one of the volunteers is teaching a family how to communicate using sign language.  LOCATION: Kakunyu Inclusive Nursery and Primary School, Kakunyu Village, near Masaka city, Lweongo District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Elizabeth Nakiberu.
    SignHealth Uganda-15.jpg
  • CAPTION: Veronica, who is eight years old, performs her daily chores before preparing for school in the morning. SignHealth Uganda assists parents in understanding the nature of hearing impairment, which is traditionally seen as a bad omen on the family. It also helps them to realise that hearing impaired children are still capable of normal, happy lives both at home and at school. LOCATION: Lutungu Village, Rakai District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Veronica Nampijja.
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  • CAPTION: First thing in the morning, Veronica washes herself with a bucket of water before getting ready for school. Economic factors, which force children like Veronica and her family to sleep on the floor and function without running water, can cause hearing impairment because they often imply poor personal hygiene. SignHealth Uganda helped Veronica by providing her with medical treatment. LOCATION: Lutungu Village, Rakai District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Veronica Nampijja.
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  • CAPTION: First thing in the morning, Veronica washes herself with a bucket of water before getting ready for school. Economic factors, which force children like Veronica and her family to sleep on the floor and function without running water, can cause hearing impairment because they often imply poor personal hygiene. SignHealth Uganda helped Veronica by providing her with medical treatment. LOCATION: Lutungu Village, Rakai District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Veronica Nampijja.
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  • CAPTION: Thuy prepares soup to sell at her family's cafe. LOCATION: An Binh Ward, Can Tho, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: Phan Thi Thu Thuy.
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  • CAPTION: Mr Phuong in front of his family business, a small cafe on stilts which is becoming increasingly vulnerable as the water levels rise. He built a small concrete wall to prevent floodwater from further damaging the floor inside. LOCATION: An Binh Ward, Can Tho, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: Phan Van Phuong.
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  • CAPTION: Thuy prepares soup to sell at her family's cafe. LOCATION: An Binh Ward, Can Tho, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: Phan Thi Thu Thuy.
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  • CAPTION: Hilda recounts the psychological impact the floods of 2009 have had on her family, and how they get very nervous every time there is a storm. For a long time, every time it rained after the floods, her son Brence would immediately hug her in order to feel safe. LOCATION: Ampalaya Street, Barangay Tumana, Marikina City, Philippines. INDIVIDUAL(S) PHOTOGRAPHED: Brence Ochoa.
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  • CAPTION: Sugeng is a fish and crab farmer from Tapak village. Like many of the local fish farmers, his family relies heavily upon the income generated through fish farming. Each time it floods, he experiences huge financial losses and has to search for wage labour. LOCATION: Tapak, Semarang, Indonesia. INDIVIDUAL(S) PHOTOGRAPHED: Sugeng.
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  • CAPTION: Dwi collects water from the household well. Since biopores have been installed at the house and throughout the wider community, Dwi's family has seen a notable increase in the water level. LOCATION: Dwi Wijayanti's house, Jl. St. Badaruddin II No 56, Bandar Lampung, Indonesia. INDIVIDUAL(S) PHOTOGRAPHED: Dwi Wijayanti.
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  • CAPTION: Dwi's mother, Maini, says she has noticed a few changes in her daughter's behaviour since learning about climate change at school. For example, she says she's been eager to install biopores around the house and that she has also started to make compost out of the family's organic waste. LOCATION: Dwi Wijayanti's house, Jl. St. Badaruddin II No 56, Bandar Lampung, Indonesia. INDIVIDUAL(S) PHOTOGRAPHED: Maini Wijayanti.
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  • CAPTION: Shortening the agricultural production chain, combined with the application of innovative, sustainable farming techniques, has enabled small-scale farmers like Chung to earn a higher and more sustainable income. Prior to We Effect’s intervention, his household was considered to be a ‘very poor’ one. With an increase in income generated through livestock sales, he’s been able to bring his family out of this bracket. LOCATION: Coong Village, Huy Tuong, Son La Province, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Vi Van Chung, Ha Thi Sien and Vi Cam An Tuong.
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  • CAPTION: “Before, I’d have to buy piglets from the market, but now I know how to breed them on my own”, Hue says triumphantly. “Last year, I sold 13 pigs. This made me 37 million Dong (US$ 1,737)”. This is not the summit of her ambitions, however. “I want to develop my business even further in the future”, she insists. Pictured here, Hue’s sister-in-law helps the children get ready for school. With a higher household income, Hue and her family have been able to purchase a motorbike, a refrigerator and a biogas unit. LOCATION: Coong Village, Huy Tuong, Son La Province, Vietnam. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Ha Hong Le, Dinh Thai Son and Ha Thi Huong.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Umo Umo Etim, Bassey Immaculata, and Ayene Akong. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: The nurses specialized in family planning provide all kinds of information to their beneficiaries on how to correctly use birth control and prevent sexually transmitted diseases.
    CommForDev_AbtUSAID_Nigeria_082.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Efaga Ibok, N/A, Bassey Immaculata, and Ayene Akong. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: The nurses specialized in family planning provide all kinds of information to their beneficiaries on how to correctly use birth control and prevent sexually transmitted diseases.
    CommForDev_AbtUSAID_Nigeria_081.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: N/A. LOCATION: Sacré-Cœur Hospital, Milot Commune, Cap-Haïtien, Haïti. CAPTION: Friends and family of patients at the Orthopedic Department wait for them by the front entrance.
    CommForDev_AbtUSAID_Haiti_087.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Saifullah. LOCATION: Bhance Colony, Landhi, Karachi, Pakistan. CAPTION: Saifulla repairs a generator at his workshop in Karachi, Pakistan. Since starting out 18 years ago from a small roadside generator repair shop, Saifulla has since expanded his business into spare parts thanks to 2012 a microfinancing loan of Rs. 40,000 (£280) from the First Micro Finance Bank (FMFB). He has now completed various cycles of financing and repayment. His most recent loan totalled Rs. 150,000, which allowed him to shift his business into a larger rented space and hire three more workers. Today, his monthly revenues average around Rs. 130,000, a sum that recently enabled him to buy an old 1000 cc car for his family. Saifullah dreams of one day owning an even bigger auto-repairing workshop that also offers generator sales.
    CommForDev_CDCGroup_Pakistan_006.jpg
  • CAPTION: Sahiya Anupma Soren quizzes the girls on such subjects as the legal age of marriage, their daily nutritional needs and the foods that can provide these, the sort of medical advice that’s available for them, etc. There are two groups in the room. One is made up of married adolescents, aged 15-19, which discusses delaying the age of marriage, the different methods of family planning that are available, and antenatal care; the other consists of 10 to 14-year olds, with some school-going girls and some school dropouts, and this group focuses in a big way on nutrition, menstrual hygiene, and developmental changes. LOCATION: Pawra Anganwadi Centre (AWC), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Anupma Soren (standing, left) and multiple others.
    IMG44939.jpg
  • 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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