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The Kireka slum clings to a stony hillside above Kampala, Uganda, home to at least 5,000 impoverished refugees who live in hand-fashioned shelters bordered by outdoor latrines. The hillside is not only home, but work: Strip quarries line its face. Men dig out its larger rocks, while hundreds of women spend their days in stooped manual labor, pounding the rocks by hand into walnut-sized stones for sale as construction material. They earn about $1.20 per day.

So American aid worker Amy Cunningham could scarcely believe it when she was summoned to Kireka last month for a festive celebration in which dozens of women handed over nearly $900 in wages: their gift to victims of Hurricane Katrina in New Orleans.