Chichigalpa, Nicaragua News

In this Wednesday, Jan. 18, 2012 photo, Emma Vanegas bathes her husband Segundo Zapata Palacios, who suffers chronic kidney disease, inside their home in Chichigalpa, Nicaragua.

Mary Terrier is a native Texan who spent this past fall teaching English in a sugarcane farming community just outside Chichigalpa, Nicaragua.

Jesus Ignacio Flores started working when he was 16, laboring long hours on construction sites and in the fields of his country's biggest sugar plantation.

Children gather to watch as Javier Pulido Zapata, a sugarcane worker who died of chronic kidney disease at age 35, is lowered into his grave at the cemetery in Chichigalpa, Nicaragua.

We got up before dawn to travel to the Island of Guanacastal, a community 130 km north of Managua, Nicaragua.