An overview of Mano a Mano's programsthe US and Bolivia.

1. Mano a Mano International Partners
Mission: To create partnerships with
impoverished Bolivian communities that improve
health and increase economic well-being.

2. Population: 9,400,000

3. Daily Income of World Population
US Daily Income = $44
>$10
20%
$5 to $10
(20%)
$2 to $5
(20%)
$1 to $2
(20%)
< $1
1.3 billion (20%)
Total Population: 6.1 billion

4. RURAL BOLIVIA
94% of rural Bolivians
live below subsistence
level – the highest rural
poverty rate in the world
The average yearly
income of a rural
family is $200 - $300
60% have no access
to health care

5. Medical Surplus Program
• US hospitals throw
away 2 million tons of
medical waste each
year
• Mano a Mano
volunteers save
nearly 200,000
pounds of supplies
from US landfills each
year and ship them to
Bolivia

6. Supplies are distributed to Mano a Mano’s network
of clinics and to other organizations in Bolivia
• 7,527 requests for
donations have been
filled in Bolivia since
1995

8. US Volunteers since 1994
Hours Contributed by Year
18,000
16,000
14,000
12,000
10,000
8,000
6,000
4,000
2,000
0
110,563 hours contributed
Value of these hours: $2,339,513

9. Medical Surplus Collected
Pounds Shipped (cumulative)
2,500,000
2,000,000
1,500,000
1,000,000
500,000
0
2,163,427 pounds shipped to Bolivia
Value of this surplus: $9.6 million

10. Mano a Mano International Partners
Our Bolivian Counterparts___ __
Mano a Mano – Bolivia:
•Health and Education
Mano a Mano – Nuevo Mundo:
•Economic Development
Mano a Mano – Apoyo Aereo:
•Transport Staff
•Emergency Rescue

11. Mano a Mano – Bolivia: Clinics

12. Residents Involved in Every Step
Agreements Define
Responsibilities
Residents Provide
all Unskilled Labor

13. Volunteer Hours in Bolivia
90,000
80,000
70,000
60,000 Weekend Health Clinics
50,000
Cochabamba
40,000 Volunteers
30,000 Community Volunteer
Hours
20,000
10,000
0
2005 2006 2007 2008 2009

14. Patient Visits by Year: 2000 through 2010
2010
3,000,000 2009
2008
2,500,000
2007
2,000,000 2006
1,500,000 2005
1,000,000 2004
2003
500,000
2002
0
2001
17,332
Almost 3 million patient visits in total

15. Clinic Program Results
•127 Clinics in Operation
•121 Clinics Financially Independent of MaM
•700,000 have Access to Health Care

16. Maternal and Infant Survival
In MaM Clinics since • Rural Bolivia Maternal
2000: Mortality Rate :
• 11,181 Total Deliveries – 50/10,000
• 11,131 Total Infants – 0.5% (0% in Mano
clinics)
Survived
• Rural Bolivia Infant
• 50 Infants did not Mortality Rate :
Survive
– 800/10,000
• ALL Mothers Survived – 8%
• Huge Reduction • Mano Infant Mortality
Compared to Average Rate :
for Rural Bolivia – 50/11,181
– 0.4%

17. Schools and Housing for Teachers
Old Facilities New Mano a Mano Facilities

18. Sanitation Facilities
New
Old
Opening Day

19. RESULTS
•Constructed sanitation facilities in 44 communities
•Built teacher housing in 44 communities
•Built schools in 44 communities

20. Nuevo Mundo: Economic Development
Need For Infrastructure
Lack of means to retain rain Lack of roads limits
water leads to crop failure transport of food

21. Agricultural Water Reservoir Projects
Completed Three Reservoirs and 148 Farm Ponds
Raise two crops yearly
Improve Diet
Prevent erosion
Serve 13,200 Families
Ucuchi Water Reservoir

22. Choquechampi Reservoir:
Drinking water for 800 families (4,800 people)
Agricultural water for 400 families (2,400 people)

23. 28,800 Hours Contributed
by Choquechampi Volunteers

24. Choquechampi Reservoir filling
with water

25. Results: Farmer’s income doubled
after the first harvest
of crops watered from their reservoir
Corn on left received
Bumper bean crop reservoir water;
Corn on right did not

26. Road Projects: Built or Improved 1,400 Km
Selecting the Road Site Construction of 86.9km road in
Cotagaita. Ascends from 8,500ft
to 13,000ft.
Dedication Ceremony for New Road

27. Results:
Reduced Market
Drive from 2 Days
to 1 Hour
Farmers Have Begun Planting
Peaches and other Fruits

28. Farmers work alongside machines
Community volunteers
contributed over 80,000
hours last year

29. Apoyo Aereo:
Aviation Support Saves Hundreds of Staff &
Volunteer Travel Hours
Volunteer health professionals provide
specialist care on weekends

30. Air Rescue Results
Airlifted 982 Patients
to Hospital Care
Delivered 42,000 pounds
of food to flood victims

31. Mano a Mano International Partners
www.manoamano.org