In a chilly postnatal ward at the Ambohidroa District Hospital, Mamy Rasoahariniaina wrapped her day-old son in a cotton cloth. She added a woolen hat, swaddled her newborn in a blanket and held him close in a warm embrace.
Melekoza, Ethiopia—Adugna Ayele and her husband Endrias Samuel have buried more children than they have living with them now. Of the six children Adugna delivered at home with the help of a traditional birth attendant, four died within the first month of life.
At 16, Garneth Sebial was like any other teenager. Her life was all about attending school, finishing homework and spending time with friends. She had also started exploring her sexuality.