Comitancillo is among the poorest municipalities in Guatemala. Life is precarious for residents of this rural, agricultural community. Access to preventive and emergency medical services is extremely difficult. The nearest emergency room is at least 90 minutes away over gravel roads in the back of a pickup truck. The majority of families survive through a combination of subsistence farming, migratory labor (to the coastal coffee and banana plantations), and insecure, menial jobs in Guatemala, Mexico and the US. Despite this, the people you meet in the street, the clinic, the schools and on the trails that form a sprawling network through the hills and valleys of Comitancillo are generally positive and hardworking -- a tribute to their innate warmth, intelligence and survival skills. It has been our privilege to partner with and learn from many Comitecos over the past 14 years.