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Karen Kasmauski, photographer
Charlene Reynolds, United States Agency for International Development Bureau for Global Health, Maternal and Child Health Integrated Program, client

I visited northern Nigeria in 2014, a few months after Boko Haram kidnapped nearly 300 Chibok schoolgirls. The United States Agency for International Development sent me to Gusau in the Zamfara region of the country. Here, I documented the impact of midwives working at hospitals, including a maternity center where the midwives handled immunizations, family planning, pre- and postnatal care, and births. One day a week, women gathered to update their own vaccinations. Tension in the area was high after the kidnappings, and the program director was highly cautious about my visit. I was only allowed to leave my hotel to visit the hospital and clinic. Despite the stresses, I loved working with the midwives, who did remarkable work with few resources in advancing the health of mothers and their babies.

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