Lwala is a village of approximately 1,500 people near Lake Victoria in western Kenya. Within an hour’s walk, approximately 3,000 additional people live in nearby villages accessible by dirt roads. The majority of the area residents are subsistence farmers. Poor physical infrastructure, including impassable roads during the rainy season, lack of electricity and lack of reliable drinking water, have helped to create a critical healthcare challenge in Lwala. 
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The Lwala Community Clinic opened on April 2, 2007. Over 100 patients showed up on the first day. The clinic has been seeing, on average, about 30 to 40 patients per day in April and March. The numbers in June were already up to 60 patients/day – ¾ of them children. A clinical officer, nurse, manager, secretary, nurse aid, room attendant, groundskeeper, and night watchman have been hired. With support from UNICEF and Kenya Expanded Programs on Immunization, the clinic hosted a Mother-Child Week from June 9 to 16, for pregnant women and children under five. Immunizations and Vitamin A will be administered. Real Medicine Foundation is supporting the logistics and sustainability of the clinic and is helping to establish an HIV testing, counseling and treatment project.
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