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Charlotte Macanally, overweight divorcée, childless abortion counsellor and kind-hearted depressive. has been dispatched by the World Campaign for Small, Healthy and Wealthy Families to report on the birth-control programme of the tropical dictatorship of Sulanasia. It is her chance to help the suffering peoples of the world, and she is determined to be worthy of it. And so, armed with pills, insecticides and good intentions, Charlotte gamely picks up the White Woman's Burden and leaves Kentish Town. But Sulanasia is not quite what she expected - and there, amid the heat, propaganda and totalitarian tactics of the womb police, Charlotte begins to understand that in the Third World, as elsewhere, God and government are always on the side of the men.