One hour northeast of Bujumbura, high in the hills among vast banana plantations, liess Muramvya. We drove 4x4 trucks along potholed dirt roads to mobile health clinics that provide outreach to the community. Using illustrated poster boards, IMC community health workers explain critical topics such as malaria prevention, sanitation and nutrition. Due to the high illiteracy rate, drawings and face-to-face interaction are the most effective ways to convey this information. A small mud hut houses a clinic where people can receive consultation and vaccinations. A line of brightly dressed mothers and infants extends far along the road; it will take most of the day for patients to be seen, so everyone waits patiently.