Development, relief, and emergency efforts are politically and technically linked areas that involve intervention and uncertainty. They can both positively and negatively impact the same vulnerable populations at different stages. After Hurricane Mitch in 1998, which killed over 9,000 people across Central America, local NGO partnerships helped communities like in El Salvador's lower Lempa region survive through early warning systems, evacuation plans, and post-disaster rebuilding of infrastructure. Integrating disaster risk reduction into development efforts, like adjusting crop cycles, building grain silos, and clearing rivers of debris, helped increase communities' resilience. Managers should avoid "watertight box" thinking and instead consider tradeoffs across relief, development, and complex political issues to find holistic