There is a brief bustle and then a woman wails as the small body is wrapped in cloth and set on a cot by the door of the paediatric ward. Nurses in pristine white uniforms continue to pad quietly around the large room at Ola During Children's Hospital in Freetown, Sierra Leone's capital city.
Bubble-wrapped pills are scattered across the crude table in a busy market beside crumpled boxes of lubricant, paracetamol and anti-fungal powder.