"We walk with pregnant women in labour. Sometimes they have a miscarriage by the roadside", says Mapendano.
The harsh reality is that in many areas of eastern DR Congo, people die trying to get to a doctor. Living on less than $2 a day, giving birth in hospital is a luxury many can't afford, so instead they miscarry by the roadside.
"To give birth at the hospital costs 10,000 Francs [£6.40]...that's the cost to the patient!", says Moza Swafuro, who sadly lost her baby after attempting a long, perilous journey to the nearest hospital.
In a country where getting medical care is difficult to begin with, there are considerable obstacles for anyone who wants to obtain medical care in the country's conflict-affected rural areas. The majority of health NGOs operate primarily in and around urban centres.
This leaves an incredible burden on small rural clinics run by local staff offering free healthcare. Fortunately, many medical staff chose to return home after graduation so that can support their local communities.
"I chose to be a nurse to help the sick and my community," says Mapenzi Kakuru a nurse from Walikale.
The pervasive cost-recovery system operated by state-run health facilities and private health providers requires patients to pay for medical care, which is a major financial barrier for vulnerable patients trying to access the few facilities available -- especially in an emergency.
Médecins Sans Frontières (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural disasters and exclusion from healthcare.
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