Situated between the coastal and highland regions of Ecuador, Santo Domingo is home to over 500,000 residents in the country’s agricultural and transportation hub. Poverty in the area has led to poor health outcomes, including an acute increase in food insecurity, malnutrition, and drug use. In the face of these inequities, Hombro a Hombro is a nonprofit healthcare clinic that stands firm as the first and only line of defense for the majority of residents. They’re not just physicians prescribing medicine; they’re a pillar of support, combating domestic abuse, conducting home visits to impaired patients, supporting families experiencing overcrowding, and everything in between. Yet there’s still work to be done. There are approximately 50,000 potential patients in the surrounding area, but Hombro a Hombro can only see a fraction of that, around 10,000 patients annually. The neighborhood has outgrown local resources, with a major bottleneck being a lack of infrastructure. And that’s where Engineers Without Borders-Georgia Tech (EWB-GT) comes in. Our project aims to bridge this gap by constructing a kitchen to lead nutrition classes and a children's waiting space for children to stay while their parents are seen by clinic staff.