One of the most positivedevelopments of the Igombe Family Support Project was negotiating a health insurance scheme for participating families. With a second FSP due to start at Chole, John visited the dispensary at the Bukumbi Leprosy Camp to chat with the ever so helpful Clinic Officer, Mary Chenia. Mary explained that a government health card, costing just less than £4 annually, would give up to seven family members cover for infectious diseases and accidents. This seemed like a good investment, that the Chole women would have a chance of continuing with, after the first year’s payment by Busega Scotland. The next step is to explore what can be offered at the government referral hospital or the local mission hospital, to provide a bolt-on and more comprehensive health care.