(Health Services since 2002) In Guatemala many rural cities and in particular the surrounding villages have limited or no health services. In Santa Catarina Mita, Rotarians have collaborated with the Municipality and the non-profit Fraternidad Catarineca over many years to establish a Medical Center, where out-of-town doctors provide services in general-medicine, gynecology, optometry, and pediatric, dental, and ears/nose/throat (ENT) care. In addition the Center conducts outreach programs into surrounding villages and continues yearly health fairs. The Center is set-up to be a self-sustained operation by charging an affordable service fee, while offering free services for needy people in return for community services.