In an interview with NPR, Bach says it felt like a calling from God.
"It was a very, very profound feeling and experience. It's kind of hard to even describe in words," she says. "Like there was something that I was supposed to do."
At first Bach wasn't sure what that was, beyond a sense that it should address some need that wasn't already being met by existing charities.
Funded by money raised through church circles back home, Bach rented a large house in one of Jinja's poorer districts, called Masese, and began testing out options, including starting a program to serve a free hot meal to neighborhood children. Twice a week about 1,000 of them would line up by Bach's house to receive a bowl of food. Bach named her charity "Serving His Children."
According to Bach, word of her feeding program spread through Jinja. In the fall of 2009, she says, she got a call from a staffer at the local children's hospital asking if she could help out with several severely malnourished children.
Bach says the staffer told her that from a medical standpoint, these kids had been stabilized. They just needed to be fed back to health. Could Bach take them in?
Bach says seeing a child in this state — impossibly thin arms, ribs poking out, sunken eyes — "was almost an out-of-body experience. And a sense of, 'Oh my goodness, this isn't right. This needs to stop.' "
She says she agreed to help the children. And before long she came to feel that this was God's plan for her: turn the house into a center where malnourished children and their mothers could live while the youngsters recuperated — complete with free rations of the special foods they would need, the medicines doctors had prescribed and lessons for the mothers on nutrition ... and the Bible.