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.