Mano a Mano International Partners works in impoverished rural Bolivia to improve health and increase economic well-being through partnerships. It collects medical surplus from US hospitals, shipping over 3 million pounds to 127 clinics in Bolivia serving 700,000 people. It also builds infrastructure like schools, water reservoirs, and roads. Through aviation support, it transports staff and volunteers, and airlifts patients to hospitals, saving travel hours and lives. Overall, it aims to sustainably improve living standards for rural Bolivians.

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

2. Population: 9,900,000

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
• 8,716 requests for
donations have been
filled in Bolivia since
1995

8. Medical Surplus Collected
Pounds Shipped (cumulative)
2,500,000
2,000,000
1,500,000
1,000,000
500,000
0
3,000,000 pounds shipped to Bolivia
Value of this surplus: over $14 million

9. 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

10. Mano a Mano – Bolivia: Clinics

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

12. Patient Visits by Year: 2000 through 2011
2011
2010
4,000,000 2009
3,500,000 2008
3,000,000 2007
2,500,000 2006
2,000,000 2005
1,500,000 2004
1,000,000 2003
500,000 2002
0 2001
Nearly 4 million patient visits in total

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

14. Maternal and Infant Survival
In MaM Clinics since • Rural Bolivia Maternal
2000: Mortality Rate :
• 16,094 Total Deliveries – 50/10,000
• 16,005 Total Infants – 0.5% (.05% in Mano
clinics)
Survived
• Rural Bolivia Infant
• 89 Infants did not Mortality Rate :
Survive
– 80/1,000 or 8%
• Huge Reduction • Mano Infant Mortality
Compared to Average Rate :
for Rural Bolivia (1,288
would be expected to – 89/16,094 or 0.5%
die) – US rate is 0.71%

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

21. Sanitation Facilities
New
Old
Opening Day

22. RESULTS
•Constructed sanitation facilities, teacher housing,
•schools in 44 communities

23. 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

24. Agricultural Water Reservoir Projects
Completed Four Reservoirs and 153 Farm Ponds
Raise two crops yearly
Improve Diet
Prevent erosion
Serve 13,200 Families
Ucuchi Water Reservoir

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

26. 28,800 Hours Contributed
by Choquechampi Volunteers

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

28. 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

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

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

31. Jusku Moll’e Water Project

32. Jusku Moll’e Water Project

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

34. Air Rescue Results
Airlifted over 1,300
Patients
to Hospital Care
Delivered 42,000 pounds
of food to flood victims

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