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 seriously ill children we had a shift in 2 nurse's responsibility. There were 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. Sometimes when a mother took her baby on the back of research, showed that the baby was already deceased. The many recordings mothers often had to wait long before the child received the proper care, 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 addition to controlling the building nearly full-time as a nurse working in the pediatric ward. The new ward division is a world of difference compared to the old ward. There are now 2 hygienic spaces created where children are included and where seriously ill children are being watched. There is also a new system with a red and yellow seats. Most sick children receive in the emergency recording to sit and get a red card in front on the red couch so she received first aid. There are purchased new beds and has purchased new equipment necessary, 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% deceased children less than in the year 2011. We hope that this percentage continues to decline and be grateful that the new department can play here has a role. We thank all the people who helped!