In anticipation of welcoming her eighth child, a heavily pregnant Ernestine had to make a two-day journey to the nearest hospital in the district of Mandritsara, Madagascar. She sat in a canoe and then walked for miles, eager to see her baby, but her joy was short-lived. Ernestine lost her baby during labor and had to travel back home in pain, walking with a health condition she had never heard of – obstetric fistula. Caused by prolonged and obstructed labor, obstetric fistula is a hole between the genital tract and the urinary tract or rectum, resulting in the leaking of urine, feces, or both.

Naserry was always a happy child, the kind of girl who brings joy to a room just by entering it. To describe her personality, her aunt, Salamatu, simply laughed and responded: “She likes to talk!” Salamatu has held onto high hopes for her niece, who dreams of becoming a lawyer one day. She refused to stop dreaming big for Naserry, even after a childhood accident, during which Naserry fell into a cooking fire, left her with severe burns and limited use of her right elbow, wrist, and pinky.

Papa has a photo of a motorcycle engine on the wall of his bedroom. At just 21 years old, he has already established himself as an exceptional mechanic, dedicating his days to mending and reviving motorbikes. “Fixing bikes has always been a passion for me since I was a child,” he says.  When a large tumor began growing from the left side of his face, not only did it put his health in jeopardy, but he feared that it would dash his prospects as a professional mechanic. “This work has a lot of physical demands; it is harder to do with a tumor in the way,” he explained.