The Blue Skies Foundation first supported the Nsawam Clinic in 2010 when it renovated the medical training centre. As part of the Foundation’s evaluation process, the Board revisited the project in December 2014 and met with the Director and staff at the project. During the visit it became apparent that there was an urgent need for a toilet facility for the clinic for use by staff and patients as there was nowhere for people to go other than using facilities across the street. The Board therefore agreed it would consider an application by the clinic for a toilet block as long as it was screened and approved by the Foundation Council according to the proper process. By January 2015 the project had been approved by the Council and was given the go ahead by the Board for work to start with immediate effect. It was officially opened in June.