She's from Africa but they're from Peru. They're ceramic. They're handpainted. The hole is ear to ear. Approximately 1.25 inches tall. It would take me years to make one of these. PCB's - Peruvian Ceramic Beads. Some of the PCB holes will take a 2mm cord, some just close to a 2mm cord. Sold in units of 5 so to buy 10 choose 2 units, to buy 100 choose 20 units. The supplier to the universe for this item JP Imported, has called it quits so as of 9/17/20 I may be selling the last of what is available to me.