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  • 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: 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: 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).
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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: 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: Ningaraju's mother Rajamma has joined her local self-help group (SHG), made up of people from their locality who either live with a disability or have a close family member who does. Borrowing money from the SHG makes meeting the costs associated with Ningaraju's condition (club foot) considerably easier. LOCATION: Sappayyanapura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Left: Rajamma; right: Ningaraju S.R.
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  • CAPTION: Sushma has a form of cerebral palsy called diplegia. She needs almost constant care. During the earliest days following the birth of a child who has (or develops) a disability, parents often struggle to work out what best they can do for him or her, and could use more information and firmer direction. Under the Chamkol programme, such children aged between zero and five and their mothers, expectant mothers and women of child-bearing age will be able to get this through health, wellbeing, development and pre-school programmes run through Early Years' Clubs. LOCATION: Mangala (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Ambika (left) and Sushma (right).
    043_IMG43314.jpg
  • 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).
    048_IMG43808.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: 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: 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 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 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: 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: 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: 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 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: 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: 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.
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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. 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: 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: Over the course of six months, Karthik’s Home-Based Educator (HBE) Honnamma (pictured, right) helped him learn to dress himself, identify his parents, indicate that he’s hungry and eat with assistance. This represents marked progress; when she first started working with Karthik, who has cerebral palsy, he could not even feel sensations or react to stimuli. LOCATION: Mudnakudu (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Manjula, Karthik and Honnamma.
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  • CAPTION: 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: 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).
    056_IMG43441.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: 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).
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  • 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: 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: 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.
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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).
    IMG44731.jpg
  • 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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  • INDIVIDUAL(S) PHOTOGRAPHED: Fernande Delice (left) and Emmanuelo Wariens (right). LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: Fernande Delice, a 39-year-old, mother takes care of her third child, Emmanuelo. He was born the same morning the photo was taken, on January 19, 2018, at St. Damien Hospital.
    CommForDev_AbtUSAID_Haiti_020.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Unknown, unknown, unknown, and unknown. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: In the waiting room of Epko Abasi clinic, a mother and her child wait to receive care.
    CommForDev_AbtUSAID_Nigeria_053.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Cheriza Josie. LOCATION: Sacré-Cœur Hospital, Milot Commune, Cap-Haïtien, Haïti. CAPTION: Nurse Cheriza Josie, weighs a mother and her child in the emergency room of Sacré-Cœur Hospital.
    CommForDev_AbtUSAID_Haiti_076.jpg
  • CAPTION: Parwati Murmu is one of Community COPE's elected members. She is the mukhya (head of four to five villages) of the Pawra area, and is one of the most active Community COPE leaders. Before getting elected, she had 15 years’ experience in the panchayati raj system. The panchayati raj system dictates that 50% of those elected must be female; in this area, 60-70% are. She also used to be a very active anganwadi worker, and because she is very knowledgeable on relevant health matters she now helps a lot with mother and child health services. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Bisu Murmu, Vandana Maitry and Parwati Murmu.
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  • INDIVIDUAL(S) PHOTOGRAPHED: N/A. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: The doctor in charge of pharmaceutical stock draws up a list of the medicines leaving his store, in line with the medical prescription given to a mother and her child.
    CommForDev_AbtUSAID_Nigeria_069.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Unknown (left) and unknown (right). LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: A young child waits with her mother in the waiting room at the Epko Abasi Clinic.
    CommForDev_AbtUSAID_Nigeria_057.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Unknown (left) and unknown (right). LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: A mother and her young daughter wait for the infant to be attended to at the Ekpo Abasi Clinic.
    CommForDev_AbtUSAID_Nigeria_056.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Unknown. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: A young child waits with her mother in the waiting room at the Epko Abasi Clinic.
    CommForDev_AbtUSAID_Nigeria_052.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: . LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: Fessiva Lamour,  a 20-year-old mother, looks towards her newborn daughter at St Damien Hospital.
    CommForDev_AbtUSAID_Haiti_026.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: . LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: Fessiva Lamour, a 20-year-old mother, poses with her little girl Jessica, born three days earlier at St Damien Hospital.
    CommForDev_AbtUSAID_Haiti_023.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, a son and his mother cower in fear as the boy’s father vents his anger at having a hearing impaired child. LOCATION: Kakunyu Inclusive Nursery and Primary School, Kakunyu Village, near Masaka city, Lweongo District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Left: Geoffrey Kalanzi; right: Prossy Nassolo.
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  • CAPTION: John has a hearing impairment, but benefited from Signhealth Uganda’s projects in Lukaya and has since regained most of his hearing function. He is seen here with is mother Margret, after arriving home from school. From school, he has to walk about four kilometres through the town of Lukaya and the bush in order to reach his home village of Lusango. Without shoes, the journey is arduous; his skin’s constant contact with the ground also impacts on his personal hygiene, a factor in causing hearing impairment through ear infections. LOCATION: Lusango Village, near Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Left: John Makumbi; right: Margret Nakachwa.
    SignHealth Uganda-29.jpg
  • 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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  • INDIVIDUAL(S) PHOTOGRAPHED: Eme Okon (left) and Favour Okon (right). LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: A mother waits with her baby to receive their medication in the pharmacy section of the Epko Abasi Clinic. She reports being satisfied with the service.
    CommForDev_AbtUSAID_Nigeria_075.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Patricia Ayine, unknown, and unknown. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: A mother attends to paperwork with a nurse, while she waits for her young daughter to be seen in the waiting room at the Epko Abasi Clinic.
    CommForDev_AbtUSAID_Nigeria_059.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Fernande Delice (left) and Emmanuelo Wariens (right). LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: Fernande Delice, a 39-year-old mother, adjusts her newborn son's cap.
    CommForDev_AbtUSAID_Haiti_036.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: Fenelie Ponolle (left) and unknown (right). LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: Wearing a cute pink onesie with a monkey on it, Fenelie Ponolle's newborn baby girl cries as her mother holds her.
    CommForDev_AbtUSAID_Haiti_032.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Nega Alemneh, Embet Matebe, Mariamawit Mikiyas (child), and Birtukan Mekonen. LOCATION: Mecha Health Center, Bahir Dar, Ethiopia. CAPTION: Mariamawit Mikiya is held by her relative while nurse Nega Alemneh prepares an injection for the baby. The baby's mother observes from behind.
    CommForDev_AbtUSAID_Ethiopia_065.jpg
  • CAPTION: John has a hearing impairment, but benefited from Signhealth Uganda’s projects in Lukaya and has since regained most of his hearing function. He is seen here with is mother Margret, after arriving home from school. From school, he has to walk about four kilometres through the town of Lukaya and the bush in order to reach his home village of Lusango. Without shoes, the journey is arduous; his skin’s constant contact with the ground also impacts on his personal hygiene, a factor in causing hearing impairment through ear infections. LOCATION: Lusango Village, near Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Left: John Makumbi; right: Margret Nakachwa.
    SignHealth Uganda-30.jpg
  • INDIVIDUAL(S) PHOTOGRAPHED: N/A. LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: People waiting for treatment at St. Damien's Hospital. A young mother, Maricia Agenur, is waiting with her little baby at the front of the line.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Fenelie Ponolle (left) and unknown (right). LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: Fenelie Ponolle, a 33-year-old mother, sits with her little girl, born three days earlier at St. Damien Hospital.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Abebech Siyoum, Betelem Bedilu, and Sr. Birku Niguse. LOCATION: Mecha Health Center, Bahir Dar, Ethiopia. CAPTION: Sr. Birku Niguse weighs Betelem Bedilu, a 42-day-old child brought in by Abebech Siyoum, her mother.
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  • CAPTION: When her mother is unable to attend, Padma stands in for her at their local self-help group (SHG) meetings. This is made up of people from their locality who either live with a disability or have a close family member who does. In their case, Padma's brother Shesh Naik lives with multiple disabilities, including cerebral palsy. LOCATION: Amchawadi (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Padma, Sakamma, Chikkatayamma and unknown.
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  • CAPTION: 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: 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: 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: Home-Based Educator (HBE) Sakamma has been able to help eight-year-old Sangeetha, who has cerebral palsy, improve her fine motor skills by playing with various teaching and learning materials. Sangeetha has also learned to recognise regular visitors to her home, and to say simple words like amma ('mother'). Over the lifetime of the Chamkol programme, Sakamma says we can expect Sangeetha to start walking, and also to learn to write a little and turn those single words into full sentences. LOCATION: Amchawadi (village), Haradanahalli (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Sakamma (left) and Sangeetha (right).
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  • INDIVIDUAL(S) PHOTOGRAPHED: N/A. LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: Oxygen bottles stand against a wall painted with murals of new mothers and pregnant women at St. Damien Hospital.
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  • INDIVIDUAL(S) PHOTOGRAPHED: N/A. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: Mothers and their young daughters in the waiting room at the Epko Abasi Clinic, listening to the nurses' instructions.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Unknown, unknown, unknown, unknown, unknown, unknown, and unknown. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: Mothers and their children in the waiting room at the Epko Abasi Clinic, waiting for consultation and treatment.
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