So a while back, in March I think...I went waaaaaay across the country to Rancho Grande. See if you can find it on the MAP! hint* Its in the department of Matagalpa. Now, go back to the map and find the city of Chinandega and measure the distance between the 2. Its far!
To find out more about the actual medical brigade, read this blog post by a fellow MCH PCV! (maternal- child health peace corps volunteer)