Keeping warm: A cave in the mountainside serves as shelter for the night as the family gathers around a fire in the freezing cold night
Tim said: ‘One day we met then this family with the little son and newborn, I was amazed what it is normal for someone to go through to get a child!
‘For me its just incredible, how easy and how much help we get in the western world to give birth in comparison - when you saw this little child and baby, how cold they have been, what they have to do.’
‘The Zanskar River is big and fast flowing. For most if its length between Chillimg and the Zanskar Valley the River is confined within a steep canyon.
‘Walking over the frozen river and very cold rushing water just a few inches below your feet is terrifying.
‘Travelling from Leh, the capital of Ladakh to Lingshed takes four to five days under the best conditions and the long winter snow closes the roads and passes entirely for six months annually.
‘The local people use the river to carry goods for their livelihood and sometimes people die during the dangerous trip.’

Travelling from Leh, the capital of Ladakh to Lingshed, where the hospital is takes around five days in the summer, but during the winder, snow closes the roads and mountain passes and the frozen river is the only way out