Five-year-old Jonathan Yala was found on a rusting steel bed in a remote health post in Mbiti village. He'd been ill for nearly two weeks; his body weakened by a cough so severe, it had been making him vomit for the past three days. Benjamin Dambeti, the head health worker at Mbiti, has no formal qualifications. He agreed that Jonathan needed urgent referral and hurriedly carried the little boy to a waiting car. Jonathan died from malaria later in the night.