
KIGOMA, Tanzania, and BALTIMORE, Md. — At the Nyarugusu refugee camp in western Tanzania, a 39-year-old Congolese refugee and mother of nine came into our lives at what was almost the end of hers. She was bleeding to death from complications of childbirth.
We met this patient in April as part of a collaboration with the Tanzania Red Cross Society. As trainees in medicine and public health at Johns Hopkins University, we were visiting the camp to understand and improve the quality of its health care and surgical services.