ABSTRACT
This chapter provides organisations and volunteers supporting foreign medical missions in Nicaragua with feedback on the performance of their organisations from the perspective of local "beneficiary" community members, as a means of contributing to reflection and quality improvement in Nicaraguan-directed but also other transnational medical care. It summarises key elements within the positive accounts of short-term medical missions (STMMs). The chapter elaborates the connection of Nicaraguan expressions of gratitude towards STMMs and foreign volunteers to local and transnational norms of unequal access to healthcare resources. Nicaraguan physicians, nurses, patients and community members emphasised the many ways the foreign healthcare missions were "doing good". Positive experiences of STMMs and their volunteers may aggravate points of discontent between users of a publicly funded healthcare system and those in charge of those systems at the national level. Montgomery's seminal paper criticises the delivery model of a short-term medical mission, and whether it is appropriate for healthcare delivery in low income settings.
