Medical staff at a clinic in the coastal slum of Kroo Bay, in Sierra Leone's capital, Freetown, are keeping a diary of their working lives for the BBC News website.
Here, Bintu Koroma, who is a midwife at the clinic, talks about traditional beliefs and troubled pregnancies.
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I have a midwife friend who has recently stopped practice here in New york to volunteer time in Sierra Leon at a clinic there.
Those pics are so hard to look at, the raw seawage and pigs everwhere....
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