Keyla Realpe is four years old. She lives in her grandmother's house with her mother, two siblings, and her aunts, uncles and grandparents. There are 13 people living in the house and they have two bathrooms neither has doors. There is a septic tank system for the toilets which was installed ten years ago. There is no running water in the town, just one well that the family carry the water from. To wash their hands they use water from a bucket. Maria Cagua, Keyla's grandmother, built this bathroom herself and feels very proud of it. Keyla calls her grandmother Mama Maria. Keyla loves her dolls, she wishes she could go to school already, she likes to dance and to dress up in many different clothes. Water & Sanitation for the Urban Poor (WSUP) and Panos Pictures have documented women and girls and their toilet facilities in 20 countries across every continent to build a visual representation of the day-to-day reality and the effect this has on their lives, both positive and negative. Having access to a safe toilet facility can equal dignity, safety, education, employment and status. My Toilet: Global Stories from Women and Girls will be exhibited at the Royal Opera Arcade Gallery, London from 17th to 22nd November 2014.