Medical care is scarce in much of the developing world. Mission physicians and nurses often travel 20-30 miles off-road to treat sick people - as many as 150 in a morning. Many of these patients hiked 10 miles to seek care. The baby being treated for pneumonia nearly died before the physician reached him.

A toothbrush and toothpaste, provided by mission donations and purchases, give children some hope of keeping their teeth.

Medicine to treat water-borne illnesses keeps these children alive.

School supplies and reading materials are in such short supply that siblings must often share them.

Ice cream is a treat in any culture, but in Panama it is critical as a source of desperately needed calcium and milk-fat.

Medicine must be hand packaged into individual doses and instructions must be written in Spanish and often the native language. Many of the children have never taken a pill.