Vaccination day is a busy day at the "Case de Sante" (health hut) in Affem Kabye, Togo. The health hut did not have refrigeration so we did not stock vaccinations. Instead, the health workers from the hopsital in Tchamba (20 km away) would send us an appointment for a vaccination day. They would come on motorcycles, carrying coolers full of vaccines. We would round up all the elementary school kids and all the kids not yet in school and tell them to come to the health hut with their vaccination cards. The kids would come with their class, as pictured.