In Lusaka, the capital of Zambia, the Chelstone Clinic provides vital programmes to treat HIV-positive pregnant women and to prevent mother-to-child transmission of HIV (PMTCT). This essay tells the story of Tasila and her son, Felix, through the first 18 months of his life until his HIV status is confirmed.
UNICEF commissioned me, Christine Nesbitt, to document Zambia’s efforts to eliminate new HIV infections in infants, as experienced by women living with HIV and their children. For two years, I followed these women from pregnancy through the first 18 months of their babies’ lives. This is the resulting advocacy exhibition.
During my time working as a photographer in sub-Saharan Africa, a recurring theme has been the documentation of HIV/AIDS. Initially, much of this work told the stories of the virus’ devastation in communities and its effects on their societies. Many of these stories told of the challenges of accepting one’s HIV-positive status and the implications of denial. As the reality of HIV/AIDS in sub-Saharan Africa began to change, I became aware that the nature of my documentation needed to change too.
The early years of life are of crucial importance for every child’s development. And have a profound impact on a child’s future. At no other time in life does a person learn and develop as fast and intensely as in the early years. In St. Kitts and Nevis, the Government’s Reaching the Unreached programme supports home-based early childhood interventions for young children.
In South Africa, maternal mortality has more than quadrupled over the past decade. Women in rural areas bear the brunt of these statistics due to lack of transport, and inaccessible facilities. Situated in the community, the Busfare Babies Birth Centre offers safe brith for rural women.
Children’s rights are human rights, but children are not always recognised as citizens with such rights. It’s important to think about the representation of children in photography. Do the photographs used uphold children’s rights to accurate representation, respect, privacy and protection? What if the child depicted were your child? How would you feel about the visual representation if you were the child depicted?
‘Through my Window: a visual travelogue’ is a personal work-in-progress, started in 1997. Seen in the video is a part of that work exhibited at the National Arts Festival in Grahamstown, South Africa, 2007. Video courtesy of Paula Chowles.
©2026 Christine Nesbitt Hills. All rights reserved.