Manila - Josie Dequito looks decades older than her actual age. With no teeth, sunken eyes and hollowed cheeks, the 40-year-old mother could easily be mistaken for a 60-year-old.
"Life is really difficult," she said as she prepared assorted goods that she will sell door-to-door all day around San Andres Bukid, a slum village in Manila City. "I have to earn extra because of my big family."
"Sometimes, I get home really, really tired but I still have to take care of my children," she said. "They are still young. My husband helps a lot, but he also has no job right now."
Dequito has 11 children - the eldest, a 19-year-old daughter, the youngest a two-year-old son.