Emmanuel Coulibaly shows the tank that holds water on the top of the nearby community health centre. The clinic relies upon a traditional well which is covered over. By pumping the water to the roof, it can then be piped into sinks in the delivery room. Staff must either buy safe drinking water or ask nearby households and patients to bring it in. Mariame Wallett Mohammed, 22, is pregnant with her first child. ‘It costs us 500 to 600 CFA to buy water (just under a dollar), more if we have guests or for washing,’ she says