Lack of access to quality healthcare is a severe issue in Nicaragua. With only four doctors and half a dentist for every ten thousand inhabitants, many Nicaraguans simply do not receive consistent or quality medical services. For rural community members, a visit to the doctor often means many hours and lots of money spent on unreliable transportation, as well as time away from work. Some of the most serious health concerns Nicaraguans face include respiratory illness, dengue, malaria, tuberculosis, HIV/AIDS and influenza. To address this, PSE sends medical brigades to the northern parts of Nicaragua, setting up free clinics for a day. The medical brigades enhance participants global awareness through hands on experience, as they assist doctors and nurses with free medical consultations, taking vitals, distributing medication and much more.