Janriel is an eight year old boy with moderate factor VIII deficiency. He is enrolled in grade one where his favorite subject is English. He enjoys playing basketball and playing with his cousin in his free time. Janriel would like to be a policeman when he is grown. Janriel had three bleeding episodes last year. He visited the clinic two times and received two infusions. Janriel lives with his mother, Rosana, and his father, Joselto. He has two sisters who do not have a bleeding disorder. His father earns $55 a month working as a welder. His mother keeps the family’s home, which they rent.