When Maimuna, an HIV-positive mother of six, couldn’t pay her $36 bill at Kenya’s Pumwani Maternity Hospital, she was detained there by the staff for 24 days. During that time she was forced to share a bed with other patients. To give her new baby more space, she slept on the floor next to a flooding toilet and contracted pneumonia as a result. Margaret, a 35-year-old mother of five, had a similar experience at Pumwani—twice. The first time, she was 15 years old.