The document provides an annual review and report for Lwala Community Alliance in 2015. It discusses their integrated approach to addressing health, education, and economic challenges in the communities they serve. It summarizes their accomplishments in 2015, including expanding community health worker programs, opening a new hospital wing, and launching a 2020 strategy. Metrics are provided on health services delivered, patients served, and education programs conducted in 2015. The report discusses the leadership transition and goals for continued growth and impact in 2016.