April 2012: Sweaty and shivering with exertion, two oxen drag a heavily laden cart the last few metres to Fotadrevo hospital. The passenger, Tiana, has a 40°C fever and is nine months pregnant. For three days the family has been on the road. Anxious for his pregnant daughter, Tiana’s father drove the oxen as fast as they would go, until with a loud crack, the tow bar broke in two. As quickly as possible, he fashioned a replacement from a tree at the roadside to push on through the night.

Upon reaching the clinic in the morning, Tiana’s malaria is treated immediately, saving her life and that of her unborn child. A few days later, she gives birth successfully, and after two weeks in the hospital, the proud grandfather, his daughter and the baby clamber on the repaired oxcart to start their long journey home.