On February 5 October 2011 Amanda participated and won the Vodafone Foundation's World of Difference competition for her anticipated project in Malawi. During her internship at the Nkhoma hospital in Malawi Amanda noticed the urgent need for a seperate space for children who were severely sick ; an intensive care unit. Amanda: "In the rainy season we often had over a 100 children entering the hospital each day . Over 200 ernstig zieke kinderen hadden we per shift met 2 verpleegkundige de verantwoordelijkheid. Er lagen 4 to 6 children horizontal on a bed and all over the room were buckets to catch the water leaking from the roof. The space was enormously unhygienic, there was mold on the roof and there was a big lack of space. We barely had time to check the children on time, because of the long queue of waiting people. When a mother started to cry, we knew another child had died. I kept thinking: if we had a separate room where we could put the sickest children on a seperate bed, we would be able to monitore them better, and they amount off dying children would decrease. Soms wanneer een moeder haar kindje van de rug haalde voor onderzoek, bleek dat het kindje al was overleden. Door de vele opnames moesten moeders vaak lang wachten voordat het kindje de juiste zorg kreeg, mothers had to wait too long and childen were dying before they even entered the hospital. Once back home this situation kept crossing Amanda's mind and on the advise as well as the encouragement of her sister Nicole van Elteren, Amanda signed up for the World of Difference competition and she won.  By 2012 with the help of many sponsors and a local team from Malawi, Amanda worked for 10 months to build-up the new children's ward. There was a lot of work to do, from making construction drawings to buying locally made bricks etc. But with the help of those involved, problems were overcome and the new ward became reality.. Amanda heeft naast het regelen van de bouw bijna full-time als verpleegkundige op de kinderafdeling gewerkt. The new ward division is a world of difference compared to the old ward. There are now 2 hygiënische ruimtes gecreëerd waar kinderen opgenomen worden en waar de ernstig zieke kinderen in de gaten gehouden worden. There is also a new system with a red and yellow seats. De meest zieke kinderen ontvangen bij de spoed opname een rode kaart en komen vooraan op de rode bank te zitten zodat ze als eerste hulp ontvangen. Er zijn nieuwe bedden gekocht en er is nieuwe noodzakelijke apparatuur aangeschaft, There are 2 big basins, where burnt children can get help immidiately and there are new cabinets in order to seperate materials and medicines. The ward has got a new floor and a new roof is placed in.. According to statistics, in 2013, 20% minder kinderen overleden dan in het jaar 2011. We hopen dat dit percentage blijft afnemen en zijn dankbaar dat de nieuwe afdeling hier een rol in heeft kunnen spelen. We thank all the people who helped! voda  rotarykicord