Late last June, when it was the region hardest hit by Covid-19, Meshkal/Nawaat went to Kairouan. The tragic situation there foreshadowed what the rest of the nation has since been living through: a sharp spike in cases made much worse by a lack of basic State services, personnel, and supplies. Without enough doctors, ambulances, vaccines or vaccination teams, protective gear or nurses, many in Kairouan faced their spike by relying on family for care, exacerbating the spread of the virus. Meanwhile, medical personnel themselves were unable to get vaccines and many worked without receiving salaries promised in their contracts.