Before you download, please note that each picture must be credited in the following manner: ‘WaterAid/Photographer’s Name’. A picture may only be reproduced with or in the spirit of the accompanying caption.

Source file:

Alternative sizes:

Credit:WaterAid/ Jenny Lewis
Usage Rights:Images may be used for all purposes, globally, in perpetuity.
Images may be supplied to third parties.
5760 x 3840px
Case Study:Ellen

Ellen is 23 and from Malawi. She gave birth in Simulemba Health Centre, which serves over 70,000 people and delivers more than 90 babies a month. It has no clean running water, only four toilets for 400 people, showers that are a crumbling block with no doors or roof and no sterilisation equipment. Water is collected from a water pump shared with the local community of 2000 people. This water is not clean and queues to access it are very long.

What’s in the bag?
- Torch, as there is no electricity supply
- Black plastic sheet, to put on the delivery bed as, with no clean water, it’s hard to keep the delivery room and beds clean.
- Razor blade to cut the umbilical cord
- String, to tie the umbilical cord
- 200 Malawian Kwacha note for food
- Three large sarongs for the mother to wear for their stay (which could be as long as four weeks) and to wrap the baby in.