Background on Idjwi: Population – Around 250k; Average Children Per Family – 8.5; Average Daily Wage – US$0.15; Average Life Expectancy – 25 years. Idjwi Island in Lake Kivu is a remote and neglected island in one of Africa’s most turbulent regions of the Democratic Republic of Congo (DRC). It is home to an estimated 250,000 people and has garnered a reputation as a safe-haven for refugees fleeing conflict like the Rwandan genocide of 1994 and the DRC M23 rebellion of 2013. While isolation has led to its peace, it has also led to its neglect by the broader health system in the DRC. Idjwi suffers from minimal civil infrastructure. Infectious disease is a public health problem on the island with malaria, diarrheal diseases, and neglected tropical diseases (NTDs) plaguing much of the population.