My first patient on outreach clinic Wednesday was brought to the front of the line by her community and was directed to me. This was a 3 month old girl presenting for difficulty breathing. You could hear her wheezing and coughing before ever looking at her. She was breathing more than 100 times a minute and was struggling. I immediately gave her some medications from pharmacy, and told the mother we needed to bring her to the hospital. The mother was immediately concerned and told my translator that she didn't have any money to bring her child to the hospital. This was heartbreaking. Thankfully staff at MKMC was able to arrange her a boda ride to the hospital. She struggled and needed a lot of attention at night but seemed improved in the morning and even wanted to breastfeed. At the end of outreach clinic on the second day I went to the ward to check on her. She had unfortunately had gotten a lot worse and shortly after passed away despite me and my coworkers best efforts. In Uganda the under five mortality rate is 45 deaths per 1,000 live births in 2019. This is compared to the United States at 7 per 1,000 in 2020. It’s difficult to see any child die but when the healthcare is not equal across the United States and rural Uganda, you are left with thinking about a lot of “what if’s?” Although each loss is tough, this baby motivates us for improving access to quality healthcare and provider education so these tragic events are less of a reality for Ugandans. I'm reminded that without One World Health this child would not have received any medical care, and that they have saved many other babies over their 10 years in Masindi.