70% of the people who arrive at the Ecuadorian border crossing at Rumichaca are young women with multiple small children, predominantly toddlers and infants. Upon arrival, most of the families who have made this tortuous journey are in rough shape. Families arrive exhausted, starving, their tropical clothing painfully insufficient for the high mountain cold of Southern Colombia. They wait in line for hours at the border and then discover the soul crushing reality: that they will have to wait at the border for days and often even weeks for the various wheels of immigration to turn. There are no tents and there is no food distributed. People build makeshift shelters out of boxes, plastics, and whatever else they can find. Families sleep outside on the pavement in nighttime temperatures around 5º Celsius. It rains on a near daily basis, soaking their belongings and causing widespread hypothermia and illness especially for the young and weak. They are hungry, cold, exhausted and confused, afraid of what will happen next and in urgent need of help.