We wake up at 6am and after a quick shower (warm water from a bucket) set off on the back of John's Boda-Boda to the local district hospital where he is in charge.

3 year old Jeff also rides on the back of the motorbike and about halfway to the hospital, gets off, runs across the road and takes off down the path which takes him to his pre-school (about 200m away). Somehow he seems far more competent than and 3 year old I have met back in the UK.

Busokelo District hospital is halfway through being build and has easily the best views of and hospital I have ever seen.