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Emmanuela is commonly called Joy by her father. She lives in a small remote village surrounded by rocky hills in the north of Sierra Leone, with her parents and siblings. Her parents share a single room with all the children and they sleeps on a local mattress with poor beddings.They are united and loving family though struggling to make ends meet. Her mother manages to prepare two meals a day. Emmanuela parents are subsistence farmers. They grow their crops mainly for home consumption and sell little to augment their other basic needs. Their annual income of US$363 is not adequate to meet the basic needs of the family. She is in good health.