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  • 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).
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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: 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 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: 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: 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: 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.
    024_IMG32423.jpg
  • 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: 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: 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 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: 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: 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: 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.
    003_IMG32935.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).
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  • CAPTION: Gathering PIMMS 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: Left: Sudhamani R.; right: Doddamma.
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  • 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.
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  • CAPTION: After-School Club (ASC) Coordinator Asha, who herself has scoliosis, leads children in a card game. The game is very visual, designed to be inclusive for those children who struggle to recognise words. LOCATION: Heggotara (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Megha M., Chennanjamma and Asha.
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  • 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: 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: 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-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 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 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 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: 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: Under the Chamkol programme, every disabled member of the community has an Individual Health Plan (IHP). For Netrawati, who has scoliosis, this means following a tailor-made exercise regime. During regular visits to her home, Rehabilitation Therapy Assistant (RTA) Kavitha shows both her and her mother Nagamma what they need to do. LOCATION: Mallianpura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Netrawati, Kavitha M.L. and Nagamma.
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  • CAPTION: Mantesh, who has a learning disability, hardly communicates with other children or even with his parents. His family is keen for him to get involved in the local Chamkol programme-supported After School Club (ASC), but feels the challenge lies in getting him to attend and participate. His case worker will therefore be working with him according to his Individual Education Plan (IEP) to help him develop his self-belief, and also with his mother, who needs encouragement to believe in him. LOCATION: Mallianpura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Mantesh (left) and Vathsalakumari (right).
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  • CAPTION: Doddamma is almost completely blind. Her local self-help group (SHG) helped her come together with a small number of other blind women to form an income-generating group. After each contributed an upfront investment to enable them to buy the raw materials they needed, they started making banana leaf bowls to satisfy the demand of street food vendors. LOCATION: Hullepura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Doddamma.
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  • CAPTION: Inclusive Education Resource Teachers (IERTs) such as Kiran are one of the government's primary resources for inclusive education, and great allies for the Chamkol programme. They are responsible for identifying those children who have special educational needs and assessing what should be provided for them. Here, Kiran is leading a training session of parents and siblings of people with learning disabilities. LOCATION: Haradanahalli (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Kiran.
    057_IMG32583.jpg
  • 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: Rakshitha S. V., Bhagya, P. Murthy, Shilpa C.B., Kavya S.N. and Manjula; background: Mahadevamma.
    004_IMG32947.jpg
  • CAPTION: Until the age of five, Naveen - who has cerebral palsy - was confined to his bed. That was the point at which he got his first life-changing surgery, after which he started to receive training from Mobility India. Rehabilitation Therapy Assistant (RTA) Kavitha patiently worked with him on a one-to-one basis, teaching him how to stand, balance and walk. Since then, he has been an enthusiastic participant at his local After-School Club (ASC). In this image, we see him standing on his own two feet at the front of his class, leading his fellow attendees in a Kannada literacy session under the watchful eye of his ASC tutor. LOCATION: Mallianpura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Naveen Kumar N. (boy) and Vathsalakumari (woman).
    067_IMG31980.jpg
  • CAPTION: The core activity of Chamkol is the enablement and support of self-help groups (SHGs) in every village and their democratic representation through local Grassroots Federations (GRFs). The overarching body in this structure is the Chiguru Committee, of which inspirational Jayamma H.R. (right) held the presidency until December 2013. LOCATION: Heggotara (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Left: Doddamma M.; right: Jayamma H.R.
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  • 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: 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: 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: 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: 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: 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).
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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: 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.
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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: 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.
    046_IMG44330.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).
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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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  • 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: 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.
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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: 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 Shilpa - seen here addressing a meeting of anganwadi workers - this means informal support during disability screenings, vaccination and immunisation outreaches. LOCATION: Benderwadi (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Shilpa K.N.
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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: 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: Ganga Purti (sitting in front), Salomi Horo (lying down) and Shobha Pareya (sitting behind).
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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: Salomi Horo, Shobha Pareya, Sita Kujur and Ganga Purti; background: multiple people.
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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: Ganga Purti (walking with stick) and multiple other people.
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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: Community COPE is promoting institutional delivery, and is raising awareness that the Government has set aside money to facilitate this through the Janani Suraksha Yojana (JSY) scheme. This roughly translates as 'New Mother’, and provides ₹ 1,400 for the mother and newborn child. This lady has received this money directly to her bank account, yet it turns out she’s unaware of this. Here, Vandana Maitry is assuring her that the money is there and she can withdraw it. During the initial days after birth, it’s especially important that the baby should get adequate nutrition. The system was changed to ensure mothers would get the money and it wouldn’t fall into the wrong hands, but the problem is that husbands or heads of households can also appropriate it under the new system. 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: 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: This is a training of frontline workers (FLWs): auxiliary nurse midwives (ANMs) and lady health visitors (LHVs). The latter supervise ANMs. Across the state, there are more than 2,000 FLWs. The Government-approved plan states that these individuals must have five days of training on adolescent reproductive and sexual health matters. It is being conducted by Dr Jagannath Hembrom, a ‘Master Trainer’. His role is more as a facilitator than a teacher. There is a pool of 67 such master trainers in Jharkhand, and Dr Jagannath is recognized as one of the best of these.  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: 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.
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