On the banks of the River Congo, a thousand kilometres upstream from the Congolese capital, Kinshasa, a young woman lay in a dugout canoe, writhing in pain and bleeding profusely.
Julie was having a miscarriage. Villagers had waved our boat down, pleading for help.
We had a doctor on board, Dr Pascal Ngoy.
Julie lost her baby, but Dr Ngoy gave the young woman first aid and antibiotics that probably saved her life.
It sounds harsh, but in the Congolese context Julie is one of the lucky ones.