Operation Hand-in-Hand is a community of 70 children with severe physical and mental disabilities. Some of the children are orphans, others have been abandoned by their families and some come to live at Hand-in-Hand because their families are no longer able to manage their complex needs. All of them have been welcomed into small ‘families’, each with their own house and carer at the Hand-in-Hand village. Hand-in-Hand is run by a Ghanaian / Dutch doctor (who also works at St Theresa’s Hospital nearby, another of Inter Care’s beneficiary health units), her American husband and several trained carers with the support of a local physiotherapist and occupational therapist. With the responsibility of the future security of these children, the staff are working towards self-sufficiency and have recently established a small farm which produces enough food for the children with some surplus to be sold at market, a satellite internet café, and a sheltered workshop which provides training to some of the older children in handicrafts such as sewing and bead-making which are then sold for income of the centre. Hand-in-Hand is adjacent to a specialist school for disabled children which were set up by the centre. Following its huge success, the school has now been taken over by the government but children from Hand-in-Hand still attend the school. InterCare supports Hand-in-Hand by providing them with some of the specialist medicines that the children need to control their conditions—most suffer from epilepsy– few of which are available at an affordable price in Ghana. In addition, basic medicines for their general health needs, such as painkillers and antibiotics are sent.