Though it is 3am, Carlos Giua cannot sleep. The coordinator of Rubatano Home Based Care (RHBC) in Gondola, Mozambique spends many nights awake. His wife, Pascua, laments her husband’s constant inability to rest. “But how can I?” Carlos responds. “There is so much for which I must pray.”

Eight miles from Carlos’ house in Gondola, a woman named Amelia also wakes early. Her husband passed away nine months ago from AIDS. She knows his killer is returning soon for her. She feels deep pain, but more from the soul agony of knowing she will soon leave four young children behind than from the physical trauma of the virus on her body. Death weighs heavily on her mind. Though she has watched many people die, Amelia often wonders, “What will it be like? Will I die in great pain?” Each week she is visited by an RHBC nurse who helps to ease her pain.

Deeper still inside Gondola, 5-year-old Joalinho wakes to his baby nephew’s cry.