Gleyse Kelly da Silva, 28, holds her two-year-old daughter Maria Giovanna, at their house in Recife, Brazil, August 8, 2018. Gleyse has help from her husband and mother in caring for Maria Giovanna “Gigi” da Silva. But the burden is still great, and she was forced to leave her job as a toll attendant. “She does not sit alone, she does not roll, she does not do anything alone,” Gleyse said. Gigi needs an orthopedist, but there are not enough to go around, and she’s perpetually on waiting lists. Gleyse struggles with navigating her daughter’s wheelchair on public transportation. Few buses have working lifts, and some drivers have refused to help her. Such struggles prompted Gleyse to help create the Union of Mothers of Angels, which provides advice and logistical support for mothers of children with microcephaly. The group now serves more than 250 families in Pernambuco. REUTERS/Ueslei Marcelino