I am a nurse working in children’s ward in one of the hospitals in Malawi. At the facility we manage children with different conditions including diabetes. Children with diabetes are managed with soluble insulin and lente drugs and as you might be aware these drugs need to be kept in the refrigerator. Unfortunately when the patient is discharged, they are given the drug and yet the majority of these patients are villagers who don’t have refrigerators, as such storage of these drugs became a challenge. However, the patients try other means of ensuring that the drugs are kept at a cool place for instance one guardian narrated that they dug a hole underground and bury the medication there and everyday (3 times a day) they pour water on the ground just to ensure that the place is cool. The other guardian said, they put the drug in a clay pot with water in it and the pot is placed under wet river sand. These are some of the traditional ways how guardians store insulin in the village. I am just keen to hear from you guys especially those from low income countries how people keep drugs like insulin in the community. Your comments are highly appreciated.