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  • 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: 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: 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: 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: 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: 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: 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: 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: 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 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: 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 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 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: 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: 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).
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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: 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: 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: 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.
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  • CAPTION: Steps prove a significant challenge for Ashwin, who has diplegia and can only get around unassisted if on his hands and knees. The Chamkol programme therefore provides for School Inclusion Audits and Plans with a view to correcting these flaws. LOCATION: Mangala Hosuru (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Nagamma (left) and Ashwin (right).
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  • CAPTION: 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: 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.
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  • 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.
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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: 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.
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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: 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: 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.
    SignHealth Uganda-22.jpg
  • CAPTION: Adrian is the Chairperson of the 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. Adrian is known as a ‘hero’ among his local community, who often walks great distances over the region’s hills in order to reach out to remote families who have children with hearing impairments. While he remains resolute in his willingness to walk such distances, he explains that if he had a motorbike, he would be able to cover considerably more ground and reach yet more of those in need. He says that he was inspired by his hearing impaired granddaughter. Her experiences convinced Adrian that he would also like to help other families in a similar position, not just his own. LOCATION: Lutungu Village, Rakai District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Adrian Mugerwa.
    SignHealth Uganda-37.jpg
  • CAPTION: Adrian is the Chairperson of the 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. Adrian is known as a ‘hero’ among his local community, who often walks great distances over the region’s hills in order to reach out to remote families who have children with hearing impairments. While he remains resolute in his willingness to walk such distances, he explains that if he had a motorbike, he would be able to cover considerably more ground and reach yet more of those in need. He says that he was inspired by his hearing impaired granddaughter. Her experiences convinced Adrian that he would also like to help other families in a similar position, not just his own. LOCATION: Lutungu Village, Rakai District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Adrian Mugerwa.
    SignHealth Uganda-38.jpg
  • CAPTION: Betty Namale chairs the 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. LOCATION: Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Betty Namale.
    SignHealth Uganda-18.jpg
  • 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.
    SignHealth Uganda-21.jpg
  • CAPTION: Betty Namale chairs the 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. LOCATION: Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Betty Namale, Florence Nakamya, Ritah Nakato, Halima Nalwoga and Salima Nakanwagi.
    SignHealth Uganda-20.jpg
  • CAPTION: Betty Namale chairs the 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. LOCATION: Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Betty Namale.
    SignHealth Uganda-19.jpg
  • 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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  • 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 boy is performing manual labour in the fields. This is a common occurrence among hearing impaired children, whose parents are embarrassed by them and force them to do hard work instead of sending them to school. LOCATION: Kakunyu Inclusive Nursery and Primary School, Kakunyu Village, near Masaka city, Lweongo District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Geoffrey Kalanzi.
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  • CAPTION: Alice Ajoi is SignHealth Uganda’s ‘focus teacher’ at St Jude’s Primary School. She has received special training in how to work with children who have a hearing impairment, which she uses in her own classroom and also teaches to other staff. Outside of school, she also works among the wider community in Lukaya, providing support to parents and helping to increase awareness. LOCATION: St Jude’s Primary School, Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Alice Ajoi.
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  • CAPTION: The training of frontline workers (FLWs) is very participatory, and it is not held exclusively in classrooms. There is a lot of group work, which the master trainer facilitates, as well as role-plays wherein case studies are acted out. Service providers are taught not only on how to counsel children, but also their parents. EngenderHealth is measuring the effectiveness of what it’s doing in different ways. One involves looking at how those they train perform using a performance to standard tool. Knowledge is tested, counseling is observed, and a check on what services are being given is carried out. If there are gaps, an effort is made to consider how these might be addressed. Another considers how many adolescents (male and female, across different ages) are accessing these services, and which services specifically. So far, it has been noted that male take-up has been slightly lower than female. 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: 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: Alice Ajoi is SignHealth Uganda’s ‘focus teacher’ at St Jude’s Primary School. She has received special training in how to work with children who have a hearing impairment, which she uses in her own classroom and also teaches to other staff. Outside of school, she also works among the wider community in Lukaya, providing support to parents and helping to increase awareness. Here, we see her teaching children about sexual abuse, which is sadly far more common among children with hearing impairment because they are often already ostracised and easy to target as ‘silent victims’. LOCATION: St Jude’s Primary School, Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Alice Ajoi.
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  • CAPTION: Alice Ajoi is SignHealth Uganda’s ‘focus teacher’ at St Jude’s Primary School. She has received special training in how to work with children who have a hearing impairment, which she uses in her own classroom and also teaches to other staff. Outside of school, she also works among the wider community in Lukaya, providing support to parents and helping to increase awareness. LOCATION: St Jude’s Primary School, Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Alice Ajoi.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Ayine, unknown, and Inyang Eyo. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: A nurse demonstrates the health booklets that are distributed to young parents to inform them about the developmental milestones that occur during the first months of their baby's lives.
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  • 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: Alice Ajoi is SignHealth Uganda’s ‘focus teacher’ at St Jude’s Primary School. She has received special training in how to work with children who have a hearing impairment, which she uses in her own classroom and also teaches to other staff. Outside of school, she also works among the wider community in Lukaya, providing support to parents and helping to increase awareness. Here, we see her teaching children about sexual abuse, which is sadly far more common among children with hearing impairment because they are often already ostracised and easy to target as ‘silent victims’. LOCATION: St Jude’s Primary School, Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Alice Ajoi.
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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: 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.
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