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Limited funds and/or political will mean that local communities reach out to NGOs to provide services that a government usually would.

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A huge percentage of the population are very young and many are infected in HIV and/or orphans.

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Many put their hope in traditional healers. Sometimes they are harmless and can provide hope. Other times, the treatments are known to be ineffective or actively harmful. This picture shows sandy salt water, which is used as a home remedy for muthi, the traditional medicine.

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Extreme and abject poverty in rural areas without transport. It is difficult for people to access the health care and education they need and want.

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Condoms are provided for free in many places, however the effectiveness of this is questionable, particularly for women who find it difficult to enforce their use, even when they have them.