He is married with two children and works hard to support his family, but Martial Ramartin has spent three decades fighting the stigma of his partial paralysis, left from a bout of measles when he was just four.

As a child, his parents treated him the same as his siblings, encouraging him to learn to walk again despite his paralysed left leg, and requiring him to help with the daily rhythm of life in rural Madagascar – lighting the morning fire, pounding rice to prepare it for meals, and fetching water from an open pond at the foot of the village.