I handed my camera to the daughter of one of the midwives who completed our midwifery course. A Peace Corp nurse developed the course with her Paraguayan nurse counterpart through the Ministry of Health and had success in her town. We then used it in our community, with the support of the local doctor, nurse, and of course, the half a dozen midwives who learned to become sanitary and more educated in their profession. I handed out each certificate at the ceremony.