In the fall of 2008, I completed a 2-month international elective and traveled from Toronto, Canada to Zambia. Zambia is a peaceful, land-locked country in sub-Saharan Africa, neighboring Zimbabwe,Angola, and the Democratic Republic of Congo. Zambia ranks number 164 out of 182 in the United Nation's Human Development Index (2009), with 64.3% of the nation's population living below the World Bank poverty threshold of $1 a day. The estimated adult prevalence of human immunodeficiency virus (HIV) is 15%, with greater than 50% of the population less than 18 years old, and an average lifeexpectancy of 42 years (Unicef, 2007).