prolapse prior to planned surgical treatment of her stage III prolapse. Hanna was a 45-year-old married woman from the rural lowland area, located far from accessible roads. As there was no access to a school in the lowland area where she resided, Hanna had never gone to school. She got married when she was 12 years old but strongly disliked her husband and managed to run away and get a divorce. Three years later she remarried and had nine children, seven of whom were still alive. She gave birth to all of her children at home. She explained to us that the prolapse had appeared around 20 years ago, after giving birth to her third child: '*I was shocked; it just came out spontaneously and 'blocked me' whilein my waist*. *I had to sit down and take periods of rest until it \[the prolapse\] went back inside and I could walk again*. *That's how I used to live'*. After living with the condition for almost 10 years, Hanna decided to tell her older sister about her condition and ask for advice. She knew that she had suffered from a similar condition some years earlier. Her sister told her that she had herself received treatment for her prolapse at a hospital in a nearby city and got cured. Unlike her sister, who was much wealthier than her, Hanna realised that she could not afford the travel to the hospital, let alone the rest of the expenses related to the stay. '*When I thought about it*, *all