Gutwein helped build this medical operating theater in Um Dukhum.

It doesn’t look like much, but MSF personnel used this boat to transfer medical supplies during the wet season.

Fording a wadi during the wet season was a slow and dangerous process.

During the wet season, the only dependable transportation was the UN World Food Program helicopter that carried staff members in and out of Um Dukhum.

This is the MSF shower and sink in the Um Dukhum compound.

The showerhead was a can with holes poked in it.

The meat market stall in Um Dukhum, where meat was hung in the open air.

When the MSF truck got stuck in the wadi, everybody would have to pitch in to help get it to the other side with supplies intact.

A wet season storm knocked down the latrine walls at the Um Dukhum hospital.

A universal photo of a baby, stung by a measles shot.

A crowd at an open surrounds Gutwein well.

Occasionally, Gutwein was asked to assist the doctors by dispensing vaccinations.

After a hot day of work in Um Dukhum, a cold drink on a shaded porch was a much-appreciated reward.

Anything with USA printed on it, like this oil can used to draw water, brought smiles to the faces of the people.

These are some of the members of the MSF team in the Garsila dining area.