Venezuela's food shortages, inflation and crumbling medical sector have become such a source of anguish that a growing number of young women are reluctantly opting for sterilizations rather than face the hardship of pregnancy and child-rearing. Traditional contraceptives like condoms or birth control pills have virtually vanished from store shelves, pushing women towards the hard-to-reverse surgery. While no recent national statistics on sterilizations are available, doctors and health workers say demand for the procedure is growing. (Photo by Carlos Garcia Rawlins/Reuters)

Delphina Bianchi, 10, sits on the bed of a truck carrying giant pumpkins from her grandfather's John Muller's farm at the Annual Safeway World Championship Pumpkin Weigh-Off Monday, October 12, 2015, in Half Moon Bay, Calif. (Photo by Marcio Jose Sanchez/AP Photo)

A Great White Pelicans eats fish in the Mishmar HaSharon reservoir, Israel, Wednesday, November 4, 2015. Thousands of Pelicans stop in the reservoir for food provided by the Israeli nature reserves authority as they make their way to Africa. (Photo by Ariel Schalit/AP Photo)

A child rescued from Boko Haram in Sambisa forest is seen at the Internally Displaced People's camp in Yola, Nigeria May 3, 2015. Hundreds of traumatised Nigerian women and children rescued from Boko Haram Islamists have been released into the care of authorities at a refugee camp in the eastern town of Yola, an army spokesman said. (Photo by Afolabi Sotunde/Reuters)

A girl bathes to cool off herself with water that is leaking from a broken pipe valve on a hot summer day on the outskirts of Ahmedabad, India, May 18, 2015. (Photo by Amit Dave/Reuters)

Portraits single nominee: Dakar fashion, by Finbarr O’Reilly. Curious residents and a street vendor selling material look on as models Diarra Ndiaye, Ndeye Fatou Mbaye and Malezi Sakho wear outfits by the Senegalese designer Adama Paris in the Medina neighbourhood of Senegal’s capital, Dakar. (Photo by Finbarr O’Reilly/World Press Photo 2019)

Poppy, a female Crowned sifaka, inspects a photographer's camera in the enclosure at the zoo of Mulhouse, eastern France, on March 5, 2019. The Crowned sifaka is a critically endangered species from Madagascar. (Photo by Sebastien Bozon/AFP Photo)

A man helps a woman through a flooded neighbourhood in the aftermath of Cyclone Kenneth, in Pemba, Mozambique, April 28, 2019. (Photo by Mike Hutchings/Reuters)