The land has been made available by the Church of Uganda under a 25 year lease without premium or annual rent. The plot covers 30m by 20m (6,000 sq ft) and is adjacent to a major local road for ease of patient access.

In February 2004, the slope was removed and foundations dug. As the new facilities will have internal toilets, plumbing and showers the drainage had to be assembled at this stage.

Viewed again looking South, the foundation slab was laid during March with support from Hima-Bamburi cement.

The rocks and stones used in the foundation 'footings' and the concrete slab was from a smallholder quarry in the village of Lukuli. This helps ensure that as well as labour earnings going to the residents, so does the value of materials bought for the construction

Looking North, towards Lake Victoria, the cement area marks out the rooms, with the area yet to be sealed corresponding to the atrium training area. This was April's work.

The left side of the picture will have counselling and drug dispensing areas in the foreground with clinical consultation rooms and the lab in the background. The right side is maternity ward, delivery rooms, children's ward and the youth consultation room.

In May, John and Swanee marked out the floorplan on the foundations and with Fred, the chief brickie, laid the first row of bricks throughout the building.

A week later we had reached this stage. A week after that the ring beams are being poured and the lintels cast for the doorways.