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  • CAPTION: ARSH Counselor Sarita Kumari Panna explains the use of iron and folic acid tablets to Atosi Shit. Most of the adolescent girls (perhaps 80-90%) in villages like this are anemic. There is large-scale absence of awareness of how to ensure their diets contain iron and folic acid, especially with the rising popularity of fast food while young people are away at school or college. Girls are especially unaware, after their menstrual cycles start, about when they ought to have particular types of nutrition. This often results in menstrual problems and anemia. LOCATION: Adolescent Reproductive and Sexual Health (ARSH) clinic, Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Sarita Kumari Panna (left) and Atosi Shit (right).
    IMG44811.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 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: Christpoher Onyimo farms a variety of different fruits and cereals, including oranges, mangoes, pineapples, green grams and groundnuts. Here, we see him using a machine to remove groundnuts from their shells. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Christopher Onyimo.
    Worldrenew_kaberamaido-2785.jpg
  • CAPTION: Catherine 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: Christopher Onyimo lives in the parish of Apapai in Uganda’s district of Kaberamaido, where he owns a three-acre farm. Through World Renew's partner the Kaberamaido Mission Development Program, he learnt conservation agriculture and swiftly put this into practice on his farm. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Christopher Onyimo.
    Worldrenew_kaberamaido-2818.jpg
  • CAPTION: Christopher Onyimo has gained detailed knowledge of conservation agriculture from training provided by World Renew partner organization, the Kaberamaido Mission Development Program. Here, we see him surrounded by his mucuna plants, which are particularly useful in agricultural conservation. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Christopher Onyimo.
    Worldrenew_kaberamaido-2804.jpg
  • CAPTION: Christopher Onyimo lives in the parish of Apapai in Uganda’s district of Kaberamaido, where he owns a three-acre farm. Through World Renew's partner the Kaberamaido Mission Development Program, he learnt conservation agriculture and swiftly put this into practice on his farm. Here, we see him spraying his orange trees with pesticide. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Christopher Onyimo.
    Worldrenew_kaberamaido-2773.jpg
  • CAPTION: Christopher Onyimo lives in the parish of Apapai in Uganda’s district of Kaberamaido, where he owns a three-acre farm. Through World Renew's partner the Kaberamaido Mission Development Program, he learnt conservation agriculture and swiftly put this into practice on his farm. Here, we see him spraying his orange trees with pesticide. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Christopher Onyimo.
    Worldrenew_kaberamaido-2771.jpg
  • CAPTION: 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: 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: Ankole cows get their name from the fact that they are kept mostly by the Ankole Tribe of Western Uganda. It was only recently that groups of people in other parts of the country started rearing them, as here in Eastern Uganda. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: N/A.
    Worldrenew_kaberamaido-2714.jpg
  • CAPTION: Under the Chamkol programme, anganwadi (pre-school) workers like Shashikala will soon start receiving focussed training on ways to minimise the risk of disability during pregnancy, childbirth or infancy, on how to identify and respond to suspected impairments and how to care for, nurture and support children with different impairments. LOCATION: Uttuvalli (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Pavitra, Komala and N. Shashikala.
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  • CAPTION: 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: 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.
    IMG44923.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 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: This is the group aged 10-14. The song the sahiya is leading is about the nutritional requirements of the adolescent age group, and how nutrition affects their mental, physical, and social development, as well as how important it is for future generations. They are singing in Santhal, the local tribal language. LOCATION: Pawra Anganwadi Centre (AWC), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Multiple people.
    IMG45034.jpg
  • CAPTION: This is the group aged 10-14. The song the sahiya is leading is about the nutritional requirements of the adolescent age group, and how nutrition affects their mental, physical, and social development, as well as how important it is for future generations. They are singing in Santhal, the local tribal language. LOCATION: Pawra Anganwadi Centre (AWC), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Multiple people.
    IMG45015.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).
    IMG44747.jpg
  • 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.
    IMG45209.jpg
  • 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.
    IMG45066.jpg
  • 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).
    IMG45198.jpg
  • 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.
    IMG45234.jpg
  • 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.
    IMG45187.jpg