For Catherine Conteh, there’s a moment from the birth of her daughter that still plays over and over in her mind, 30 years later. She had been lying in her hospital bed in Sierra Leone, in labor, writhing in untreated pain, for four days straight. The doctors told her that due to complications with her labor, she needed a Caesarean section surgery – one that 18-year-old Catherine and her husband, Augustine, couldn’t afford. Without payment up front, she would not be given the surgery.