People who empty out sewage tanks and scrub down latrines doubtless perform a vital, thankless and even undesirable task. A new report, however, shows that doing such jobs could also cost workers their lives.

While women find it hard to talk about their painful experiences, some have found a way of expressing themselves through art. Women, trained as artists, from Nairobi’s informal settlements Kibera and Kangemi, have produced a beautiful quilt that tells stories about their daily challenges.