Mali has one of the highest pregnancy mortality rates in the world, with 1 out of 12 women dying during childbirth and a very high child mortality rate, both during and after birth. Sanitary necessities considered common in Western medicine-running water, electricity, or hospitals-are lacking in Nampossela, and an incredulous Holloway reflects on these differences during and after the childbirth.
Holloway begins by recounting the first birth she ever witnessed, thoroughly describing the dilapidated condition of the birthing house, including the destroyed corner of the tin roof that prevents women from giving birth there during the rainy season. Holloway shares Monique’s story alongside her own narrative of joining the Peace Corps and becoming Monique’s assistant, bearing witness to many tales of bravery and tragedy. The book follows Monique, a midwife who strives to educate women, provide medical advancements, and improve mortality rates in her small village of Nampossela in Mali, Africa.
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