Guatemala has one of the highest incidences of spina bifida in the world. Hertilia Cano's baby daughter has the condition which causes damage to the spinal cord and nerves.
Dr Graciela Mannucci is a neurosurgeon who runs Central America's only specialised spina bifida clinic.
Some children may need operations to correct problems. Here Dr Mannucci examines Dayana Sofia ahead of surgery.
Maria Ciriaca Marroquin (right) is the local midwife for Buena Vista near Antigua, in Guatemala. Maria took part in a pilot study to train midwives to respond to babies born with the condition
Junior Hernandez also has spina bifida. Here he is being fitted for his first wheelchair at the Transitions workshop in Antigua.
The Transitions Foundation provides rehabilitation, vocational and educational training to disabled people.
Victoria Sandoval is one of the founders of the Guatemalan Association of Spina Bifida.