Rebecca Awut, 23, is six months pregnant with her third child. She receives quinine intravenously as treatment for malaria at the government-run community health center in Aquem, Aweil Center county. She arrived yesterday morning from Yargot village, after completing the 3-hour journey on foot with her husband accompanying her. The center had just received a small supply of ACT, and has rapid detection tests (RDTs) and quinine in stock. These should be given for free to patients. However, all patients said that they had been asked to pay 10 SSP for the RDT and to purchase quinine or ACT from the local pharmacy in the market. If they couldn't afford it, they received only glucose IV. Fortunately, Rebecca's husband had the money needed to purchase the medication.