 The nomadic river islands, or chores of silt on the mighty rivers, are host to some of the most remote, inaccessible, climate-impacted communities on this planet. Home to millions. Yet these islands break, shift, re-emerge, monthly, yearly, at the whim of the floods and the storms. This impermanence means total lack of dependable infrastructure and access to everyday things we take for granted. There are no roads, no bridges, no running water, gas, electricity, schools, hospitals, markets, legal representations, public services are so limited, if not non-existent. Floods, storms, erosion, drought, which were once natural, are now erratic and unpredictable, without warning engulfing homes, sweeping away lives and livelihoods. It is not the time for the people to live in poverty, but for the people to live in poverty. It is not the time for the people to live in poverty, but for the people to live in poverty. The nomadic river islands, or chores of silt on the mighty rivers, are host to some of the most remote, inaccessible, climate-impacted communities. The nomadic river is not a problem at all. When the flood broke out, there was no place to live. There was no place to live, no land, no place to live. It was very difficult to live. I have lived in the nomadic river more than 20 times. When I came to this place, I saw that the river was 3-4 km away from my home. And today, after 16 years, the river has come back to me. It is said once, now it is said three times, or twice. We need to address their needs and provide basic services in a way suitable to their requirements. We have to use local resources, indigenous knowledge, respectfully integrating them in a way to suit their needs, not our goals. Interventions need to be inclusive. Community voices must be at the core and at the periphery. This recognition strengthens their understanding, gives meaning and vision for them of a way forward. I am Pasperi, a health director. I have been to many hospitals. I am here in Rughira, in the first place. I have seen and served there. If I can't serve there, I can't do it. If I can't do it, I can't do it. Then I can do it. If I can do it, I can do it. If I can do it, I can do it. If I can do it, I can do it. I can help those who are sick. And if I can do it, I can do it. We, as an organization doing climate adaptation and development, must want to hand over the baton and make ourselves redundant. We have a responsibility to ensure that people take charge of their lives and their futures. We are inspired by their bravery, tenacity, resilience. Our strive daily is to ensure we leave behind a community who finds opportunity for their lives. Dignity, hope for their future and courage to move ahead with the knowledge which they need. To make for themselves a better future, a better tomorrow.