Map of Burundi

I had to come to hospital because I needed a caesarean delivery. When I got the bill, the doctor said to me, "Since you have not paid, we will keep you here." Life here is difficult. I don't have permission to leave with my baby. We are often hungry here. I cannot stand this situation any longer.

-Eighteen-year-old woman held with her baby at Louis Rwagasore Clinic, Bujumbura

One day, I tried to get out of the hospital and I was stopped because I had not paid my bill yet. When I see a doctor, I always ask to leave, since I am not getting any medical treatment. The guards threaten me. Whenever I come near the exit, they tell me that I cannot leave because I have not settled the bill.

-Twenty-two-year-old man who had a car accident, held at Prince RegentCharlesHospital, Bujumbura

Hospital managers have to ensure financial stability. If the directors don't pay attention, they have to shut down the hospital.

-Dr. Julien Kamyo, chef de cabinet in the Ministry of Health