On a plastic chair, she sat off to the side in a thin white shirt, refusing the needlestick. Fever and weakness were upon her, yet she would not allow the staff to test her for malaria. Only when the volunteer and her new friend—an American graduate student on a volunteer program at the orphanage—came back did Angelica even consider allowing the test. That is how the orphanage survived: through scattered volunteers, zero government assistance, philanthropic Ghanaians, and day by day. For Angelica, 10 years old by calendar but appearing no older than eight, it was no different. The food and financial donations given that day, coordinated by Yale School of Management Executive MBA student Phoenica Fitts and University of Ghana Business School coordinator Yvonne Barnieh, would help for a day or two, hopefully long enough for her test to come back and for her to start feeling better.