Healthcare in Guinea: a life or death lottery. Women who work in a mining area walk towards a community meeting near Siguiri, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait to see a nurse in a health clinic in KanKan Siguiri, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait to see a nurse in a health clinic in KanKan Siguiri, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A petrol pump is protected from the sun by an old sun umbrella in KanKan Siguiri, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A young girl carries nuts to sell in a metal tray on her head in Niandankoro, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Djiba Diakite a doctor in a private clinic who contracted Ebola from a patient but then survived poses for a photograph at his clinic in Siguiri, Guinea Wednesday, Aug. 3, 2016. Over twelve thousand people died from Ebola in West Africa; Guinea suffered nearly two thousand deaths and thousands more were infected. Dr Diakite says"If Ebola were to come back to Guinea we still would not have the resources to cope. "The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A young girl holds her baby sister while women prepare the evening meal at their home in Niandankoro, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A mother, father and their two children who are both suffering from Malaria, receive treatment at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. The family have travelled for 70 kms to reach this clnic for support as there is no health facility in their village. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics including this one throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Nantenin who is 17 years old, helped by her mother, gets ready to leave the delivery room after giving birth to a baby that died at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. This is Nantenins second pregnany, her first baby also died in childbirth but was born at home. Guinea has one of the highest maternal mortality rates in the world. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Nantenin who is 17 years old, stands next to the shrouded body of her dead baby at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. This is Nantenins second pregnany, her first baby also died in childbirth but was born at home. Guinea has one of the highest maternal mortality rates in the world. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Nantenin who is 17 years old, waits to deliver her baby at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. Guinea has one of the highest maternal mortality rates in the world. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait to see a nurse in a health clinic in KanKan Siguiri, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A woman waits to give birth with the body of a baby who died while being born lying behind her in a kanga, t at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. Guinea has one of the highest maternal mortality rates in the world. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Sira Kond, who is 18 years old and pregnant with her third child, holds her three year old son at her home in Niandankoro, Guinea, on Wednesday, Aug. 3, 2016. Sira Kond had her first child when she was 12 years old. Early pregnancy and marriage is extremely common in Guinea and many girls in rural areas do not go to school. @unicef is working throughout Guinea to provide support for pregnant women. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A young girl holds her baby sister while women prepare the evening meal at their home in Niandankoro, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Sita Aidara, sits next to her grandson Lounceny, who contracted polio when he was a baby due to lack of vaccination in Siguiri, Guinea Wednesday, Aug. 3, 2016. Many children in Guinea are still not vaccinated against polio, due to lack of access to basic health facilities and difficulty of accessing children in remote areas. Louncenie's twin brother died shortly after birth and his mother pans for gold daily. The healthcare system in Guinea was crippled by the Ebola epidemic that ravaged the region, leaving over 12,000 people dead. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Sita Aidara, sits next to her grandson Lounceny, who contracted polio when he was a baby due to lack of vaccination in Siguiri, Guinea Wednesday, Aug. 3, 2016. Many children in Guinea are still not vaccinated against polio, due to lack of access to basic health facilities and difficulty of accessing children in remote areas. Louncenie's twin brother died shortly after birth and his mother pans for gold daily. The healthcare system in Guinea was crippled by the Ebola epidemic that ravaged the region, leaving over 12,000 people dead. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Djiba Diakite a doctor in a private clinic who contracted Ebola from a patient but then survived poses for a photograph at his clinic in Siguiri, Guinea Wednesday, Aug. 3, 2016. Over twelve thousand people died from Ebola in West Africa; Guinea suffered nearly two thousand deaths and thousands more were infected. Dr Diakite says"If Ebola were to come back to Guinea we still would not have the resources to cope. "The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A woman pans for gold in the mining area of Siguiri, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A woman receives an injection at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics including this one throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A young girl carries nuts to sell in a metal tray in Niandankoro, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A woman poses for a portrait outside her house in Niandankoro, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Nantenin s mother carries away the shrouded body of her granddson at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. This is Nantenins second pregnany, her first baby also died in childbirth but was born at home. Guinea has one of the highest maternal mortality rates in the world. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A woman who has just given birth breast feeds her newborn baby on the floor because there is no bed avaiable in the delivery room at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. Guinea has one of the highest maternal mortality rates in the world. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait to see a nurse in a health clinic in KanKan Siguiri, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Bernadette, a midwife, wipes down a newborn baby girl at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. Guinea has one of the highest maternal mortality rates in the world. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A mother, father and their two children who are both suffering from Malaria, receive treatment at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. The family have travelled for 70 kms to reach this clnic for support as there is no health facility in their village. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics including this one throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A woman waits to give birth with the body of a baby who died while being born lying behind her in a kanga, t at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. Guinea has one of the highest maternal mortality rates in the world. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait with thier children to see a health assitant at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics including this one throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A mother, father and their two children who are both suffering from Malaria, receive treatment at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. The family have travelled for 70 kms to reach this clnic for support as there is no health facility in their village. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics including this one throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Sira Kond, who is 18 years old and pregnant with her third child, holds her three year old son at her home in Niandankoro, Guinea, on Wednesday, Aug. 3, 2016. Sira Kond had her first child when she was 12 years old. Early pregnancy and marriage is extremely common in Guinea and many girls in rural areas do not go to school. @unicef is working throughout Guinea to provide support for pregnant women. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A grandfather carries his grandson who is suffering from Malaria,AT the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics including this one throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Bernadette, a midwife, wipes down a newborn baby girl at the Doko clinic Siguiri, Guinea Wednesday, Aug. 3, 2016. Guinea has one of the highest maternal mortality rates in the world. Behind her another midwife helps the mother who has had to give birth on the floor because the only delivery bed was being used by a mother who had just lost her child in labour. The body of the dead baby can be seen wrapped in a kanga on the table behind. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Children, who have just been vaccinated for polio sit outside of a clinic in a community near Doko, Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region. UNICEF has just been running a routine polio vaccination campaign throughout Guinea. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Children, who have just been vaccinated for polio sit outside of a clinic in a community near Doko, Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region. UNICEF has just been running a routine polio vaccination campaign throughout Guinea. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Sayon Keita who is pregnant with her seventh child is walked to a moto ambulance that has been supplied by the Spanish Government to allow for women like her to get transport to clinics when they give birth in a health post near Doko, Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A woman carries her wares on her heard in the evening light in a community near Doko, Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A woman carries her wares on her heard in the evening light in a community near Doko, Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Sayon Keita who is pregnant with her seventh child is examined by a mid wife at a health post near Doko, Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A woman pans for gold in the mining area of Siguiri, Guinea Wednesday, Aug. 2 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Sayon Keita who is pregnant with her seventh child is examined by a mid wife at a health post near Doko, Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Sayon Keita who is pregnant with her seventh child is examined by a mid wife at a health post near Doko, Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Mamady Berete, a medic who drives the motorcycle ambulance, for the Doko clinic drives to collect a pregnant woman from a remote health outpost bring her to the Doko health clniic to Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region. They have also supplied 20 moto taxis to remote health centres to allow for pregnant women to deliver their babies safely in clinics. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women pan for gold in the mining area of Siguiri, Guinea Wednesday, Aug. 2 2016. The region is very remoted and there is little access to even basic health services for many women and children. There are no referral hospitals within 300 Kms. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Mamady Berete, a medic who drives the motorcycle ambulance, for the Doko clinic drives to collect a pregnant woman from a remote health outpost bring her to the Doko health clniic to Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region. They have also supplied 20 moto taxis to remote health centres to allow for pregnant women to deliver their babies safely in clinics. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Sayon Keita who is pregnant with her seventh child is examined by a mid wife at a health post near Doko, Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Mamady Berete, a medic who drives the motorcycle ambulance, for the Doko clinic drives to collect a pregnant woman from a remote health outpost bring her to the Doko health clniic to Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region. They have also supplied 20 moto taxis to remote health centres to allow for pregnant women to deliver their babies safely in clinics. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A woman pans for gold in the mining area of Siguiri, Guinea Wednesday, Aug. 2 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Mamady Berete, a medic who drives the motorcycle ambulance, for the Doko clinic drives to collect a pregnant woman from a remote health outpost bring her to the Doko health clniic to Siguiri, Guinea Tuesday, Aug. 2, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region. They have also supplied 20 moto taxis to remote health centres to allow for pregnant women to deliver their babies safely in clinics. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Nurse Iffono Tenin shows a pregnant patient Harriet Somadouno family planning option in a basket at the clnic in Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Patients sit in front of a home made banner that is advertising the services of traditional healers at a meeting of traditional healers in Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A traditional healers demonstrates how he records the treatments he administers in a log book at a meeting of traditional healers in Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Traditional midwives attend a hygiene training at the Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Mory Kaba a traditional healer poses for photograhs in his shop in Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Patients wait to see a health assistant at the clnic in Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women attend a community meeting in Kondiadou? near Kisidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Female elders pose for photographs after attending a community meeting in Kondiadou? near Kisidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait with their babies to see a nurse at the Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Nurse Iffono Tenin examines a pregnant patient Harriet Somadouno at the clnic in Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait with their babies to see a nurse at the Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A young girl carries a plastic container on her her head containing flower in Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Nurse Iffono Tenin examines a pregnant patient Harriet Somadouno at the clnic in Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Mory Kaba a traditional healer poses for photograhs in his shop in Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Mory Kaba a traditional healer exchanges some herbs for money at his shop in Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Mory Kaba a traditional healer is interviewed by Ruth MacClaen, the Guardian West Africa Correspondent at his shop in Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A young girl carries a plastic container on her her head containing flower in Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women attend a community meeting in Kondiadou? near Kisidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Sira, who is 18 years old and holdiing her first baby, poses for a photograph after attending a community meeting in Kondiadou? near Kisidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Female elders pose for photographs after attending a community meeting in Kondiadou? near Kisidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait with their babies to see a nurse at the Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Government officials attend a community meeting in Kondiadou? near Kisidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Nurse Iffono Tenin shows a pregnant patient Harriet Somadouno family planning option in a basket at the clnic in Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Nurse Iffono Tenin examines a pregnant patient Harriet Somadouno at the clnic in Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Patients sit in front of a home made banner that is advertising the services of traditional healers at a meeting of traditional healers in Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics throughout the region.The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait with their babies to see a nurse at the Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait with their babies to see a nurse at the Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Nurse Iffono Tenin examines a pregnant patient Harriet Somadouno at the clnic in Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A pregnant woman waits to see a nurse at the clinic in Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. Women wait with their babies to see a nurse at the Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine

Healthcare in Guinea: a life or death lottery. A medical assistant takes a rest at the clinic in Kondiadou? Kissidougou, Guinea Monday, Aug. 1, 2016. UNICEF, supported with donations from the Spanish Government have been supplying training and medical supplies to clinics like this throughout the region in the wake of the Ebola epidemic which ravaged the region. The situation for newborn babies and their mothers in this west African country is dire. Of every 1,000 babies born in Guinea, 123 die before their fifth birthday. For every 100,000 live births, 724 women die. Guinea has the world's second-highest rate of female genital mutilation (FGM), after Somalia - 97% of women between 15 and 49 have been cut. Women who have had FGM are twice as likely to haemorrhage during childbirth, and haemorrhage is the leading cause of mothers dying in Africa. Inaccessible clinics, untrained and overstretched midwives and lack of medicine are among the challenges facing mothers and newborn babies in Guinea. ? Kate Holt / eyevine ? Kate Holt / eyevine