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Madame Ndiaye in her office, carrying her second daughter. She manages an employment agency, with a permanent staff of about 10 people. Her first child was born in a public hospital, but the conditions were difficult so she went to NEST, a private healthcare provider, to give birth to her second child. NEST offers a complete medical service for women and young children, especially paediatric and maternity services. NEST was established by entrepreneur Khadidiatou Nakoulima and her pediatrician father and is aimed at the country's growing middle class.