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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: While Cluster Resource Person (CRP) Basavaraju observes, Sunithamma leads her primary school class in enacting a skit called 'Grandmother’s Pride'. This group work exercise taught by The Teacher Foundation (TTF) is especially useful for including children with special needs. Roopa (left), for example, loves acting. She has a learning disability and used to come to class only very irregularly. Now that these activities are included in the lesson plan, she's happy to come much more often. LOCATION: Mariallahundi (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Roopa S., Kavya P., Kavya M.P., Mamatha M., Sunithamma, Sunil M.K. and Basavaraju M.
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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: Thanks to The Teacher Foundation (TTF), Prabhuswamy has been trained to lead Quality Circle Time (QCT) sessions in his primary school classrooms. This technique helps him to involve children with special needs in different activities to a much greater extent, as in this instance where he uses a hand puppet to talk to Gowrishankar, who has speech and hearing difficulties. LOCATION: Bedrapura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Prabhuswamy, Gowrishankar and Abhi K.
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  • CAPTION: Inaccessible toilets in schools prove a tremendous challenge to children with disabilities. Teachers may not always be on hand to help out, nor may they appreciate needing to do so. The Chamkol programme therefore provides for School Inclusion Audits and Plans to be carried out by Pupils' Clubs with a view to correcting these flaws. LOCATION: Bogapura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Lingaraju (left) and Shivakumar M. (right).
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  • CAPTION: As After-School Club (ASC) Coordinator Ravikumar observes, Mahadev Swamy - who has speech and hearing difficulties - engages with non-disabled participants in an exercise taught during recent training by The Teacher Foundation (TTF). LOCATION: Bydamudlu (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Ravikumar, Mahadev Swamy, K. Mahesh and Madhulakshmi.
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  • CAPTION: Partially visually impaired After-School Club (ASC) Coordinator Chethankumar leads 'Cheering Up', a highly inclusive exercise that gets the children enthusiastic about engaging with one another. This is one of the steps in Quality Circle Time (QCT), recently taught to all of Kasaba's ASC Coordinators. LOCATION: Mangala Hosuru (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Santhosh, Nagasundra, Kavitha, Arathi, Chethankumar and Ashi.
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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: All schools in Kasaba hobli have ramps for wheelchair users, though few were built for the benefit of disabled students; rather, they were put in place for election purposes, to enable disabled voters to attend polling booths during elections. Many, like this one, lie unused and in deteriorating conditions where there may not even be any wheelchair users. Meanwhile, other aspects of school accessibility - such as signs with text that's too small for the visually impaired - go unaddressed. The Chamkol programme therefore provides for School Inclusion Audits and Plans to be carried out by Pupils' Clubs with a view to correcting these flaws. LOCATION: Budhitittu (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Sanjana (above), Pradeep S. (below), Rajeshwari R., Kavya R.S., Nagendra and Rajesh.
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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.
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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: After-School Club (ASC) Coordinator Doddamma, who herself has rheumatoid arthritis, works on an activity designed under a visually impaired child's Individual Education Plan (IEP). LOCATION: Doddarayapete (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Gowtham S. (left) and Doddamma M. (right).
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  • CAPTION: At the end of a classroom session, Hemavathi gets the children to do a group work exercise that reviews, in a fun way, what has been taught. This is a particularly inclusive technique, which she learned during training by The Teacher Foundation (TTF). In spite of his locomotor disability, Sidaraju (centre) feels very much a part of the action. LOCATION: Mangala (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right (visible faces only): Mallikarjuna, Sidaraju, D. Mahendra, B.P. Hemavathi, S. Asha and Rachana.
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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: Encouraging and facilitating disabled people's participation in local governance is a very important part of the Chamkol project, something that Shashikumar - who is blind in one eye - is taking the lead in. Today, he’s come to meet the Development Officer at his local gram panchayat (village assembly) to talk about the fact that his self-help group (SHG) doesn’t have a place where it can meet regularly. LOCATION: Hullepura (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Left: K. Nagarajappa; right: Shashikumar.
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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 Village Rehabilitation Workers (VRWs) like Rekha (who herself has polio) - pictured here visiting a boy with a learning disability who she recently supported in entering the formal education system - informal support to service delivery means provision of tailored quarterly training. LOCATION: Meghalahundi (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Rekha H.B. (woman), Mahesh (boy) and Mahadevaswamy (man).
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  • CAPTION: Fortunately for Shilpa, ramps are one aspect of school accessibility that Kasaba's schools have in place. However, many are too steep, while many other aspects of accessibility - such as toilets and signage - also need urgent attention. The Chamkol programme therefore provides for School Inclusion Audits and Plans to be carried out by Pupils' Clubs with a view to correcting these flaws. LOCATION: Heggotara (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Shilpa N. (in wheelchair) and Revanna K. (teacher).
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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 Village Rehabilitation Workers (VRWs) like Kumara Naika, pictured here helping Govinda reach his local anganwadi, informal support to service delivery means provision of tailored quarterly training. LOCATION: Badanaguppe (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Kumara Naika (man), Govinda K. (disabled boy) and Puttbassamma (woman).
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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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  • CAPTION: Hilda Ochoa and her husband Amelio, seen just outside their home. Like many in the communities living along the river, they don't have legal rights to their house. Hilda says she hopes that one day, they will be relocated to an area higher up, so that they will no longer be affected by flooding. LOCATION: Ampalaya Street, Barangay Tumana, Marikina City, Philippines. INDIVIDUAL(S) PHOTOGRAPHED: Hilda Ochoa (left) and Emelio Ochoa (right).
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  • CAPTION: Mahila Samakhya takes on young women who’ve been abandoned or sexually abused, and teaches them with a view to mainstreaming them back into society, including the area of sexual and reproductive rights. It is a national-level NGO, and is working in 11 districts in Jharkhand. Last year, EngenderHealth worked with the Government to bring Mahila Samakhya into the Rashtriya Kishor Swasthya Karyakram (RKSK) (National Adolescent Health Program). They have since trained 27 Sayogini and district-level trainers on adolescent issues. From these, they identified 14 to train outreach and frontline workers in facilitation. They are now organizing trainings in the field, contributing to demand generation for adolescent health services. In this image, Aditi Ranjan has arrived at Mahila Samakhya's residential school in Ratu, Ranchi with Dr Satya Mohapatra. The latter is the Program Manager of the Tarunya ARSH India programme; Aditi is the Senior Program Officer with responsibility for four districts in Jharkhand, including Ranchi. LOCATION: Mahila Samakhya, Ratu (block), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Adults, from left to right: Aditi Ranjan, Dr Satya Mohapatra and Rajni Lakra; children: multiple people.
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  • CAPTION: Class photo at Mahila Samakhya's residential school in Ratu, Ranchi. Mahila Samakhya takes on young women who’ve been abandoned or sexually abused, and teaches them with a view to mainstreaming them back into society, including the area of sexual and reproductive rights. It is a national-level NGO, and is working in 11 districts in Jharkhand. Last year, EngenderHealth worked with the Government to bring Mahila Samakhya into the Rashtriya Kishor Swasthya Karyakram (RKSK) (National Adolescent Health Program). LOCATION: Mahila Samakhya, Ratu (block), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Adults: Malti Laguri (left) and Rajni Lakra (right); children: multiple people.
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  • CAPTION: Flooding is a huge problem for communities living close to Marikina River. Moreover, many of the householders based in vulnerable areas do not have formal housing rights, so they stand to lose everything. LOCATION: Ampalaya Street, Barangay Tumana, Marikina City, Philippines. INDIVIDUAL(S) PHOTOGRAPHED: Unknown.
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  • CAPTION: One of Mobility India’s field staff alerted Rajesh to the fact that he could approach the office of the District Collector (DC) for a motorised tricycle. Here, he is showing a copy of the letter he wrote to the DC. Rajesh is keen to inspire other young people with disabilities to push for their rights in a similar way. LOCATION: Marialla (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Rajesh G.
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  • CAPTION: On the right is Damodar Shit, a retired teacher, and a new and instrumental member of Community COPE. He has been very helpful in the education domain, even before joining, working in schools and bridging the gap between schools and the health system. In the center is Daya Nidhi Shit, a retired government worker who is very active in the community. He says he is especially keen on COPE because it is ensuring access to much in healthcare that was previously unavailable in this block. Here, he is raising the issue of non-availability of appropriate medicines for snake and dog bites. On the right is Shiv Shankar Chandra, Community COPE's storekeeper. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Daya Nidhi Shit, Damodar Shit and Shiv Shankar Chandra.
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  • CAPTION: Nirmala Shukla, wearing white, is another member of the panchayati raj system. She is also very active in Community COPE as a part of the information system, bringing its work to the public's attention and serving as a bridge to the press. Shruti Deogam, to her left in orange, is the pramud, the elected head of Ghatshila Block (meaning the highest rank in the panchayati raj system), and is also an important representative of the community to the outside in that she links the block to those higher up at the district level. She is the leader of the Community COPE exercise, and helps to bring in high-level officials to address issues being experienced at the block level. In this line of women (from right to left) we see the pramud (working at the block level), mukhya (village level), Vandana Maitry who is a ward member (village level), and a new Community COPE member. They are discussing what the work plan has addressed so far and what is still to be addressed. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Bisu Murmu, Vandana Maitry, Parwati Murmu, Shruti Deogam, Nirmala Shukla and Shyam Bahadur Sonar.
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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 the Adolescent Reproductive and Sexual Health (ARSH) clinic at Ghatshila Community Health Centre (CHC). Atosi Shit (right) is an adolescent client, and Sarita Kumari Panna (left) is an ARSH Counselor. Here, Kumari is giving information on hygienic practices during the menstrual cycle in order to guard against infection and possible infertility. The ARSH clinics have been designed to provide health-related services to young people aged between 10 and 19 at a time when they are going through a lot of changes, both physically and mentally. This can mean anything from getting a small wound dressed to getting an abortion. 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: Namusisi (left) and Damyano (right) are a hearing impaired couple who have two children. They met at a SignHealth Uganda event and married soon after. Despite the fact that they have had no formal education and cannot read or write and, they live fulfilling lives thanks to the help that SignHealth provides. LOCATION: Kankamba Village, Lwengo District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Left: Namusisi Kato; right: Damyano Kato.
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  • CAPTION: Damyano (left) and Namusisi (right) are a hearing impaired couple who have two children. They met at a SignHealth Uganda event and married soon after. Despite the fact that they have had no formal education and cannot read or write and, they live fulfilling lives thanks to the help that SignHealth provides, mostly though the dedication of volunteers in the village. They are seen here tending the fire in their kitchen. LOCATION: Kankamba Village, Lwengo District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Left: Damyano Kato; right: Namusisi Kato.
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  • CAPTION: Damyano (far left) and Namusisi (far right) are a hearing impaired couple who have two children. They met at a SignHealth Uganda event and married soon after. Despite the fact that they have had no formal education and cannot read or write and, they live fulfilling lives thanks to the help that SignHealth provides, mostly though the dedication of volunteers in the village. LOCATION: Kankamba Village, Lwengo District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Damyano Kato, Louis Wanyana, Bwogi Kato and Namusisi Kato.
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  • 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).
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  • 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).
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  • INDIVIDUAL(S) PHOTOGRAPHED: Mary Simon (left) and Moses Chikaonekam (right). LOCATION: 14Trees Manufacturing Site, Lilongwe, Malawi. CAPTION: 14Trees workers Mary Simon (left) and Moses Chikaonekam (right) help make the Durabrics used in the company's construction projects.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Dr. Yabsera Desta (left) and Dr. Eskedar Sileshi (right). LOCATION: Mecha Health Center, Bahir Dar, Ethiopia. CAPTION: Residents of Internal Medicine, Dr. Yabsera Desta (left) and Dr. Eskedar Sileshi (right), seeing their respective patients.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Dr. Yabsera Desta (left) and Dr. Eskedar Sileshi (right). LOCATION: Mecha Health Center, Bahir Dar, Ethiopia. CAPTION: Residents of Internal Medicine, Dr. Yabsera Desta (left) and Dr. Eskedar Sileshi (right), exchange words as they see their respective patients.
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  • CAPTION: Every self-help group (SHG) has various office-bearing positions, including chairperson (right) and treasurer (left). LOCATION: Doddarayapete (village), Kasaba (hobli), Chamrajnagar (district), Karnataka (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Left: Suvarna; right: Shobha.
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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: 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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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Unknown, unknown, unknown, Inyang Eyo, and Lucy Offiong. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: Nurses carry out standard checks to evaluate a child's health, noting his weight and other measurements.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Adetona Olubunmi, Chew, and Nkechi Jerome. LOCATION: Ikeja Primary Health Care Center, Lagos, Nigeria. CAPTION: After examining Nkechi Jerome's baby, Chew, nurse Adetona Olubunmi writes out a prescription for the infant at the Ikeja Health Center.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: N/A, unknown, unknown, and Wale Ogudimu. LOCATION: Financing Workshop, Lagos, Nigeria. CAPTION: Breaking participants into small groups towards the end of the workshop resulted in lively discussions on how to improve approaches to financing health care in Nigeria.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Marie-Nadège Cariotte (left) and Jean René Florestal (right). LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: Two laboratory employees, Marie-Nadège Cariotte and Jean René Florestal, prepare medicines at a laminar flow workstation. This workstation protects the medicine from contamination.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Marie-Nadège Cariotte (left) and Jean René Florestal (right). LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: Two laboratory employees, Marie-Nadège Cariotte and Jean René Florestal, use a laminar flow cabinet to prepare medicine at St. Damien Hospital.
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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.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Assaye Haile Leoul (left) and Atsede Mariam Assaye (right). LOCATION: Mecha Health Center, Bahir Dar, Ethiopia. CAPTION: Child patient Atsede Mariam Assaye, and her father Assaye Haile Leoul, wait for their turn to be seen.
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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).
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  • CAPTION: The final group is listing out the various mental and social changes experienced by adolescents. One of these is the development of attraction to the opposite sex. It is impressed upon participants that this is something natural that happens to everyone, and that it should not be condemned as something 'bad'. Another is that girls start wanting to make themselves appear as beautiful as possible to others. Boys, meanwhile, might like to drive very fast in front of others, or smoke and take drugs. The group is considering the consequences of these things and how they may be addressed. After discussing these things, the groups join together and discuss what they have each found. This then leads to the enactment of role-plays. LOCATION: Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Kalpana Mahato, Savita Horo, Dr Jagannath Hembrom, Krishna Chakrabarty and Shobha Kumari Nirali.
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  • CAPTION: Shanti Toppo is married. She would like there to be a gap before she has her second child. Health worker Dr Kusum Kumari Bara suggests two options for her, firstly the Copper T, which allows the user to delay pregnancy for a longer period, and secondly the condom, which must be used by her husband. It is stressed that the condom is the only thing that also prevents spread of reproductive tract infections (RTIs) and sexually transmitted infections (STIs). The service provider then suggests that it is a good idea to come back along with her husband, so that he can also understand these things. LOCATION: Adolescent Reproductive and Sexual Health (ARSH) clinic, Ratu Community Health Centre (CHC), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Dr Kusum Kumari Bara (left) and Shanti Toppo (right).
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  • CAPTION: Edward Okiror of World Renew Uganda is seen here having his feet washed by a fellow graduand. The graduands’ act of washing each other’s feet is similar to what Christ did for the Disciples on Passover night, in order to demonstrate how a true leader will humble himself for those who follow him or her. In the same way, the graduands were encouraged to be both servants and leaders. LOCATION: Kaberamaido, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Edward Okiror (right) and TLT graduands.
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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.
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  • CAPTION: Catherine Anaso is seen here playing with her last-born child, after his morning bath. Catherine's husband is David Alele, a Pentecostal Assemblies of God (PAG) health champion. The family live together in Kaberamaido, where they are subsistence farmers. LOCATION: Apapai Parish, Otuboi Sub-county, Kalaki County, Kaberamaido District, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Catherine Anaso (left) and Silas Oper (right).
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  • CAPTION: Hilda’s husband Amelio works as a tricycle driver in his local community. His tricycle was washed away during the 2009 floods, and it took him several years to save up for a new one. Now, it is the first thing he takes to a safe place when heavy rains beckon. LOCATION: Ampalaya Street, Barangay Tumana, Marikina City, Philippines. INDIVIDUAL(S) PHOTOGRAPHED: Emilio Ochoa (left) and Brence Ochoa (right).
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  • CAPTION: A view of Makati City. In the background is the central business district of Metro Manila and in the foreground, to the right, is a lower-income, flood-prone community living close to the river. Currently, when it floods, many of those settled here are reluctant to evacuate, preferring to remain in their homes to protect their belongings from opportunistic thieves. The most vulnerable people in these communities are informal settlers, the elderly and young children. Makati City Government has relocated many of those living in flood-prone communities, replacing such settlements with linear parks alongside the river to increase soil absorption. LOCATION: Disaster Risk Reduction and Management Office, Makati, Philippines. INDIVIDUAL(S) PHOTOGRAPHED: N/A.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Bassey Immaculata (left) and Emem E (right). LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: A family planning nurse provides information on how to correctly use a condom to prevent sexually transmitted diseases and protect against unwanted pregnancy.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Lucy Offiong, unknown, Okobo, and Inyang Eyo. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: Nurses carry out standard checks to evaluate a child's health, noting his weight and other measurements.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Abigael Joseph James (left) and N/A (right). LOCATION: Tuberculosis Hospital, Calabar, Cross River, Nigeria. CAPTION: Medical follow-ups are carried out regularly to manage the development of tuberculosis. All contact with patients is safeguarded by wearing obligatory masks, which protect health staff from contagion.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Unknown (left) and unknown (right). LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: Administrative staff at the Epko Abasi Clinic receive the necessary paperwork from a patient.
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  • 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.
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  • 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.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Somto (left) and Adetona Olubunmi (right). LOCATION: Ikeja Primary Health Care Center, Lagos, Nigeria. CAPTION: A nurse takes Somto's blood pressure at the Ikeja Health Center.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Siyanbade Mojisola (left) and Jenifer (right). LOCATION: Onigbongbo Health Care Center, Lagos, Nigeria. CAPTION: A close-up of Siyanbade Mojisola taking patient Jenifer's blood pressure.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Jenifer, unknown, unknown, and Siyanbade Mojisola. LOCATION: Onigbongbo Health Care Center, Lagos, Nigeria. CAPTION: Siyanbade Mojisola takes a patient's blood pressure, accompanied by her 10-year-old daughter, who boosts their mood.
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  • INDIVIDUAL(S) PHOTOGRAPHED: N/A (left) and Dr. Ogundimu Opeyemi (right). LOCATION: Lagos State University Teaching Hospital Dot Clinic, Lagos, Nigeria. CAPTION: A staff member explains to a patient how to prevent tuberculosis using an informative flipbook.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Unknown (left) and unknown (right). LOCATION: Financing Workshop, Lagos, Nigeria. CAPTION: The end of the workshop saw participants form smaller break out groups and exchange ideas on how to improve approaches to financing within Nigeria's health sector.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Donald Michel (left) and Naydoulie Michel (right). LOCATION: St. Damien Hospital, Nos Petits Frères et Sœurs, Tabarre 41 Commune, Haïti. CAPTION: Donald Michael's two-year-old daughter, Naydoulie, holds her prescription for medicine.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Mary Simon, Moses Chikaonekam and Dyson Manyenje. LOCATION: 14Trees Manufacturing Site, Lilongwe, Malawi. CAPTION: 14Trees workers check the finished Durabrics. These eco-friendly bricks are bound for the company's construction sites.
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  • INDIVIDUAL(S) PHOTOGRAPHED: N/A. LOCATION: IHS Telecommunications Tower, Nkondora Village, Near Chongwe, Lusaka Province, Zambia. CAPTION: The IHS Tower is close on the left side of the shot, with the right side showing the surrounding countryside.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Mestawet Yitag (right). LOCATION: Mecha Health Center, Bahir Dar, Ethiopia. CAPTION: Laboratory Technician Mestawet Yitag takes a blood sample from a patient in the lab.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Dagnanesh Muluneh (left) and Dr. Yabsera Desta (right). LOCATION: Mecha Health Center, Bahir Dar, Ethiopia. CAPTION: Patient Dagnanesh Muluneh being seen by Dr. Yabsera Desta, Resident of Internal Medicine.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Abiyu Ambaw (left) and Demis Asene (right). LOCATION: Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia. CAPTION: Abiyu Ambaw speaks about his glaucoma with Demis Asene, Ophthalmic Officer.
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  • 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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  • CAPTION: The media is interested in COPE because the Community is all about bringing positive change. This journalist is from GTN News, a local cable channel which broadcasts across several districts of Jharkhand. LOCATION: Pawra (village), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Left: unknown; right: Shruti Deogam.
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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: 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).
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  • CAPTION: Adolescent client Tulika Shit has a lower respiratory tract infection. Many adolescents in this area have tuberculosis (TB) but don’t realize it. So Dr Ram Chandra Soren is checking whether her symptoms add up to this. ARSH clinics provide services that extend far beyond reproductive and sexual health. They are far more accessible to young people than the outpatient department (OPD) at the hospital is, ensuring they can get the services they need quickly. 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 Sujata Shit (right).
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  • CAPTION: Sahiya Anupma Soren takes a monthly session with the 15-19-year olds. The discussion covers delaying the age of marriage, antenatal care, where the ARSH clinic is and what it does, the methods of family planning that the facility can help with, and what their respective pros and cons are. The Government requires these sessions to be conducted monthly. Sahiyas are given an incentive of ₹ 75 per session they lead. The girls are asked to come on a regular basis, as the knowledge imparted builds over time. LOCATION: Pawra Anganwadi Centre (AWC), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Anupma Soren, Pritilata Giope, Sarshati Hansda, Maya Namata, Kajal Namata and Sunita Murmu .
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  • CAPTION: Sahiya Anupma Soren takes a monthly session with the 15-19-year olds. The discussion covers delaying the age of marriage, antenatal care, where the ARSH clinic is and what it does, the methods of family planning that the facility can help with, and what their respective pros and cons are. The Government requires these sessions to be conducted monthly. Sahiyas are given an incentive of ₹ 75 per session they lead. The girls are asked to come on a regular basis, as the knowledge imparted builds over time. LOCATION: Pawra Anganwadi Centre (AWC), Ghatshila (block), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Anupma Soren, Pritilata Giope, Sarshati Hansda, Maya Namata and Kajal Namata.
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  • CAPTION: This group is considering sexual changes, such as the start of the menstrual cycle. Girls tend not to be aware that this is coming up, as parents and even the health system tend not to orient them on it. Then, when bleeding happens for the first time and it shows through a girl’s clothes, she may feel very embarrassed. So adolescents, schools, parents, and other family members all need to be sensitized. A similar example in the case of boys is night emissions after 'wet dreams'. The first time this happens, the boy may be very startled. In the rural Indian cultural context, boys are unlikely to want to talk about it with parents or healthcare professionals, nor are these people likely to want to talk about what's happening for them. Often, boys will consult 'quacks' or low-cost books available in local markets, and may get information that's far from the truth. Again, ways to tackle this must be considered. LOCATION: Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Sunita Patra, Jayashree Sawayan, Dr Jagannath Hembrom, Suhagini Kisku and Sefali Dandapat.
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  • CAPTION: The final group is listing out the various mental and social changes experienced by adolescents. One of these is the development of attraction to the opposite sex. It is impressed upon participants that this is something natural that happens to everyone, and that it should not be condemned as something 'bad'. Another is that girls start wanting to make themselves appear as beautiful as possible to others. Boys, meanwhile, might like to drive very fast in front of others, or smoke and take drugs. The group is considering the consequences of these things and how they may be addressed. After discussing these things, the groups join together and discuss what they have each found. This then leads to the enactment of role-plays. LOCATION: Ghatshila Community Health Centre (CHC), Purbi Singhbhum (district), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Ratna Das Banerjee, Kalpana Mahato, Savita Horo and Krishna Chakrabarty.
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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: The Mahila Samakhya girls have split up into groups to draw the physical changes that occur in male and female bodies during adolescence. This is done pictorially, because this makes it easier for them to memorize. LOCATION: Mahila Samakhya, Ratu (block), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Shobha Pareya, Ganga Purti, Sakro Hembrom, Hisee Murmu, Malti Laguri and Shobha Pareya.
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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.
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  • CAPTION: Babinye Nalubega is member of a Parent’s Support Group (PSG) in the town of Lukaya. PSGs were set up by SignHealth Uganda to help raise awareness about hearing impairment, overcome the superstitions and stigmas that are attached to the condition and help parents overcome the situation of poverty that many of them have so far endured. They have helped to establish several income generating activities, including mushroom growing and soap production, both of which are sold to other community members. Babinye’s son Bashim has several other disabilities alongside his hearing impairment. SignHealth Uganda has helped her to cope with the associated challenges, and to generate an income for her family by selling the soap we see here, displayed outside their home. LOCATION: Lukaya Town, Kalungu District, Central Region, Uganda. INDIVIDUAL(S) PHOTOGRAPHED: Left: Babinye Nalubega; right: Bashim Ssegame.
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  • CAPTION: 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).
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  • 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.
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  • 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.
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  • 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.
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  • CAPTION: Mukahaynah in her family home with her youngest son, Sahrul. LOCATION: Tapak, Semarang, Indonesia. INDIVIDUAL(S) PHOTOGRAPHED: Mukhayanah Siyam (left) and Sahrul Siyam (right).
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  • CAPTION: Mr Pola and Mr Dirmansyah are both members of the City Core Team, which was established under ACCCRN as a platform to engage key stakeholders in creating and implementing an integrated city resilience strategy. The two men are from government agencies; through the City Core Team, they work in partnership with local NGOs, the University of Lampung and members of the private sector. This enables them to access more knowledge and funding, and to facilitate the participation of more poor and vulnerable communities. LOCATION: City Government Offices, Bandar Lampung, Indonesia. INDIVIDUAL(S) PHOTOGRAPHED: Pola Pardede (left) and Mr Dirmansyah (right).
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  • CAPTION: Students and teachers have been trained on how to use organic waste to make compost. Any excess is sold as fertiliser, and the profits generated go towards building a school garden. LOCATION: SMP N 7 School, Bandar Lampung, Indonesia. INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Muklis Bima In, Dwi Wijayanti, Yoato Arfiru Serua and Putri Aryanti Fadillah.
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  • CAPTION: Students and teachers have been trained on how to use organic waste to make compost. Any excess is sold as fertiliser, and the profits generated go towards building a school garden. LOCATION: SMP N 7 School, Bandar Lampung, Indonesia. INDIVIDUAL(S) PHOTOGRAPHED: Dwi Wijayanti (left), Putri Aryanti Fadillah (centre) and Ms Sunarsih (right).
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  • CAPTION: Initiatives in Indore have succeeded due to strong political will and administrative involvement. Here, Sunil Kumar Garg from Indore Municipal Corporation is seen conversing with the Mayor at the latter's home. LOCATION: Mayor's residence, Indore, Madhya Pradesh, India. INDIVIDUAL(S) PHOTOGRAPHED: Shri Krishnamurari Moghe, Mayor of Indore (extreme left), unknown (centre) and Sunil Kumar Garg from Indore Municipal Corporation (extreme right).
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Okobo, unknown, unknown, Lucy Offiong. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: Nurses carry out standard checks to evaluate a child's health, noting his weight and other measurements.
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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.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Unknown, unknown, Umo Umo Etim, Abusede Babazoza, and Mammy Edem. 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 Abusede Babazoza and her child.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Ayene Ekong (left) and unknown (right). LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: A nurse at the Epko Abasi Clinic takes the blood pressure of a patient with newly received equipment.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Abusede Babazoza (left) and unknown (right). LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: Abusede Babazoza and her baby wait for their medication in the pharmacy section of the Epko Abasi Clinic.
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  • INDIVIDUAL(S) PHOTOGRAPHED: From left to right: Bridget Agede, unknown, unknown, unknown and unknown. LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: In the waiting room, the Epko Abasi Clinic's head doctor distributes information pamphlets about tuberculosis.
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  • INDIVIDUAL(S) PHOTOGRAPHED: Bridget Agede (left) and unknown (right). LOCATION: Epko Abasi Clinic, Calabar, Cross River, Nigeria. CAPTION: The Epko Abasi Clinic's head doctor uses a new ultrasound device on a patient.
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