Béchir Abdouraman is an Integrated Community Case Management (ICCM) Health workerin the village of Karkoury, he was chosen by his community to hold this position. He received training and medicine from MSF to provide first aid to patients in his village, which is nearly 18 kilometers from the nearest health centre. He refers patients with complicated cases of malnutrition to the Massakory health center where MSF runs a pediatric nutritional unit, and once a week he consults with the MSF teams who come to provide healthcare as part of the ICCM activity