During the 1980s and early 1990s, the Kenyan government struggled with economic decline, high inflation, and rapid population growth. The nation's growing health needs, including those related to HIV/AIDS, placed additional demands on limited government resources. As a result, increasing numbers of Kenyans, especially the poor, were without access to basic health care. To address these problems, the government spearheaded an initiative to improve the quality and scale of its health programs while controlling costs.

PROCOSI network participants. {Photo by MSH staff.}Photo by MSH staff.

Home to over 8.3 million people, Bolivia is one of the poorest countries in Latin America. According to the World Bank, approximately 67 percent of the population is poor, with low levels of education, health and nutrition. For the many NGO's working to improve the health of Bolivia's rural poor, maintaining support for their initiatives is a perpetual challenge.PROCOSI, a Bolivian consortium of 24 member non-governmental organizations, is no exception.

Finding ways to maintain hope amid the realities of township life in Mdantsane, South Africa's second largest township, is daunting, but young leaders there have taken a bold step towards progress and change. Built as a homeland township by the apartheid government, Mdantsane now houses 600,000 black South Africans who grapple daily with the challenges of unemployment, poverty, crime, and rampant diseases like tuberculosis and AIDS.