Pramila Devi's shrouded body lay on a bier, resting on a rock on the banks of a muddy Ganges.
The 36-year-old mother-of-three had died the previous night in a village in the mountainous northern state of Uttarakhand a day after testing positive for COVID-19.
Left: Suraj Kumar, 16, watches his mother get ready to go to a local government dispensary. Right: Ankita Kumari, 10, watches her mother Pramila Devi, get ready to go to a local government dispensary.
Devi tested positive for COVID-19 with very low blood oxygen levels. Anand advised Kumar to take her to a bigger hospital, but costs were a deterrent.
The couple returned home, where their two other children - a 16-year-old boy and 10-year-old girl - were waiting.
Left: A healthcare worker collects a swab sample from a man to test him for COVID-19 in the village of Tangroli. Right: A healthcare worker prepares to conduct test residents of the village of Tangroli.
Only nine of around 200 inhabitants in the nearby village of Tangroli - declared a COVID-19 containment zone with more than a dozen positive patients - showed up for testing the same day that a medical team camped outside their village.
"My neighbour did not want to get tested," said Deepak Singh, who works for a company in New Delhi but returned to his village this month. "He asked me if I was willing to take care of his household expenses if he tested positive."
PHOTO EDITING MARIKA KOCHIASHVILI; TEXT EDITING MIKE COLLETT-WHITE, LAYOUT JULIA DALRYMPLE