Tenneh Mansaray breastfeeds her nine-day-old son, Manso Turay, in the Kono district of Sierra Leone. Four of Mansaray’s five children were born in a health facility. ‘Nancy [the community health worker in her village] made me understand the benefits of going for clinic sessions when I am pregnant and also giving birth there,’ says Mansaray. ‘I don’t mind walking four miles to get to the health facility because I know that the care I receive there I can’t get in my village.’ Sierra Leone has one of the highest maternal and under-five mortality rates in the world
Photograph: Phelps/Unicef