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What Do Walmart and USAID Have In Common?

This originally appeared on the U.S. Global Leadership Coalition Blog.

So what do Walmart and USAID have in common? That was a question we at Walmart asked ourselves several years ago.

Well, for starters we both can be found all over the globe, but what else? We both work with farmers and business owners—USAID through sustainable development efforts and Walmart through our supply chain. We both have demonstrated a commitment to community-oriented solutions that solve big problems. And perhaps most importantly, like USAID, Walmart believes that businesses have an important role to play in advancing the economic development of the communities we serve around the world.

(from L-TO-R) Mike Duke, President & CEO, Walmart; Dan Bartlett, Executive VP of Corporate Affairs, Walmart; Rajiv Shah, Administrator, USAID. Photo credit: USGLC

(from L-TO-R) Mike Duke, President & CEO, Walmart; Dan Bartlett, Executive VP of Corporate Affairs, Walmart; Rajiv Shah, Administrator, USAID. Photo credit: USGLC

That’s why today Walmart, the Walmart Foundation, and USAID signed a new global Memorandum of Understanding (MOU) to work even closer together on our common goals. You see, Walmart and USAID share the same approach to doing business, believing in the power of partnerships, leveraging assets, and maximizing resources.

Walmart’s global initiatives often have a development goal, and we are excited to work alongside USAID on Women’s Economic Empowerment, Farmer Training and Sustainable Agriculture, and Vocational and Youth Skill Training. Whether it’s our initiative to train one million farmers or to double our sourcing from women-owned businesses, the goal is to help farmers and women access modern supply chains, increase their income, and in turn, contribute to the economic development of their communities.

By working hand-in-hand with the USAID Forward initiative, Walmart will be able to leverage and scale existing programs while allowing us to maximize one another’s expertise. In Central America, while USAID helps train farmers on agricultural standards and how to produce more in their harvests, Walmart can determine the right assortment and timing for farm products we need in our stores. It’s a win-win as farmers have a sustainable income from their work, Walmart has access to locally grown fruits and vegetables, and consumers in the region have the products they want.

Last year alone, Walmart purchased $75 million in produce from 3,400 small and medium-sized farmers and their families, accounting for 35 percent of fruit, grain, and vegetables sold in our stores across Central America.

We look forward to strengthening our partnerships with U.S. development programs as we continue to invest in emerging markets. We believe there will be new opportunities to leverage the Feed the Future initiative to assist more African farmers in providing for their families, serving as another effective example of just how much a difference public-private partnerships can make.

This is truly doing good by doing well, and it’s important for building our economy here at home, providing opportunity in struggling communities around the world, and in creating a better, safer world.

Sarah Thorn serves as Senior Director of Federal Government Relations for Walmart and as Vice President of the Board of Directors for the U.S. Global Leadership Coalition.

Learn more about the partnership between USAID and Walmart.

The LAC Effect: Addressing Inequalities to Save Lives

Ariel Pablos-Mendez, PhD, is the Assistant Administrator for Global Health

Ariel Pablos-Mendez, MD, MPH, is the Assistant Administrator for Global HealthThis blog is part of a series to coincide with A Promise Renewed in the Americas: ”Reducing Inequalities in Reproductive, Maternal and Child Health Summit“ during September 10-12 in Panama.

This blog is part of a series to coincide with A Promise Renewed in the Americas: ”Reducing Inequalities in Reproductive, Maternal and Child Health Summit“ during September 10-12 in Panama.

I’m in Panama City, Panama for the A Promise Renewed in the Americas: ”Reducing Inequalities in Reproductive, Maternal and Child Health Summit“, where 19 ministers and vice ministers of health from 17 countries throughout the Latin America and Caribbean (LAC) region are gathering together to figure out a game plan on how to further progress in ending preventable child and maternal deaths.

But before I launch in to what I think would be one significant contribution from USAID and others in the donor community, I’d like to brag a bit. Being from Mexico, I’m immensely proud of what the region has been able to accomplish in a relatively short period of time. Almost all LAC countries have reached or are close to reaching their Millennium Development Goals (MDGs) 4 and 5, which address child and maternal health respectively.

The LAC region has led the way with innovative solutions. The concept of Kangaroo Care originated in Colombia in 1982, and is a simple, no-cost intervention that involves skin-to-skin contact between parent and newborn, is responsible for saving newborns by keeping them warm and encourages exclusive breastfeeding. Latin America’s storied success in immunization and polio eradication inspired the rest of the world. Starting in the late 1990’s, Brazil and Mexico began experimenting with conditional cash transfer programs, which has reduced poverty and improved health and other outcomes through the provision of incentive payments for certain behaviors. The approach has since spread throughout the region and now 18 countries have a CCT program with nearly 130 million beneficiaries. The LAC region was also one of the first to adopt the Integrated Management of Childhood Illness (IMCI) approach, which builds on existing efforts to integrate child survival programs at the community level.

Then there is my favorite topic…Universal Health Coverage, which is defined as access for all to appropriate health services without incurring financial hardship. The region has made tremendous strides in UHC with significant health reforms that include the Unified Health System in Brazil, The Social Health Insurance program in Chile, and coverage for 50 million Mexicans under the Popular Health Insurance Program. This fall, Brazil will host the Global Forum on Human Resources for Health dedicated to sharing experiences with the world on how to move towards UHC.

The LAC region should feel deep pride in its health accomplishments, country graduations from assistance and many, many other success stories. But if it were all good news, all these ministers, global health leaders and donors would not be coming together for a summit.  We still have work to do.

In Latin America and the Caribbean, more than 180,000 children under 5 years old and nearly 9,000 mothers still die annually, most of them poor, indigenous and marginalized groups.  Despite two decades of development gains and recent economic growth in LAC countries, a large health disparity remains among and within countries with regard to access and quality of health services. This is especially true for voluntary family planning services which we know dramatically improves maternal and child health and can more broadly contribute to economic and social development and stability.  And on average, countries in the region only spend 3.5 percent of their GDPs on health, and out of pocket expenditures remain high at nearly half of national health expenditure overall.  This is a recipe guaranteed to drive a low- to middle- class family back into poverty with one catastrophic health episode.

But there are things we can do as a global health community, even as we evolve our role as partners in the LAC region.

Here’s the good news. Due to the years of rapid growth, the World Bank estimates that 70 million people in the region have risen out of poverty and 50 million have joined the middle class during the past 10 years. With this transition of economic growth, most low-income countries are reaching middle-income status and it makes sense that international donors would reduce bilateral grants for program implementation and shift toward providing more technical assistance to support government priorities and country ownership. And the LAC region has shown that social inequalities can be generated by economic growth but also tackled with political will.

Governments have led or are currently leading the effort to sharpen and refine their national action plans with costed strategies for maternal, newborn and child survival, and by setting and monitoring five-year milestones. Development partners, in turn, can support national targets by pledging to align their support with government-led action plans and priorities. Private sector partners can spur innovation and help identify new resources for child survival. And through action and advocacy, civil society and faith leaders can support the communities and families whose decisions profoundly influence prospects for maternal and child survival.

Regional solidarity can also play a key role. Region-wide collaboration and exchanges of ideas and knowledge will be a magic ingredient that contributes markedly to the reduction of inequalities. Several countries, including Brazil and Mexico, have already been reaching out with their own know-how and funding, and have begun to forge their own approach to development assistance. This meeting in Panama, like the global Call to Action last June, is but another step in this important effort.

Although USAID LAC will have only two bilateral health programs in Haiti and Guatemala as of 2014, we will continue to provide technical assistance through regional programs aimed at building country capacity on key health issues: health systems, TB control, family planning, and maternal, newborn and child health.  We will continue to coordinate with other U.S. government agencies in-country to maximize the full breadth of our resources and collaborate with country Ministries of Health and other partners “on the ground” to integrate programs and build health systems that support quality care. And we will work to improve information for accountability, and encourage expanded participation in decision-making for better problem solving.

Zero child deaths are hard to attain even in rich countries, but the world as a whole can indeed reach the low mortality levels enjoyed in those countries. And this milestone for our civilization can be attained by our generation. No one government, donor, organization, or campaign will end preventable child and maternal deaths, but together, this IS an attainable goal. I’m looking forward to the outcomes of this Summit over the next few days and look to continue USAID’s deep and successful relationship with the LAC region, understanding full well that success means our eventual departure. As stated in USAID charter by President Kennedy, “We intend during this coming decade of development to achieve a decisive turn-around in the fate of the less-developed world, looking toward the ultimate day when all nations can be self-reliant and when foreign aid will no longer be needed.”  LAC is leading the way.

Resources:

Follow @USAID and @USAIDGH from September 10-12 for live tweets and Facebook content from the conference. Follow the hashtag: #PromiseRenewed or #PromesaRenovada.

Why Strong Land Rights Advance Food Security

This originally appeared on Devex Impact

Under U.S. President Barack Obama’s Feed the Future initiative, we have made incredible strides in increasing crop yields, agricultural surpluses and farmers’ incomes.

We have supported training, the implementation of new technologies and climate-smart management techniques to facilitate economic growth, increase security for the world’s most vulnerable populations, and improve child nutrition and life expectancy. We have targeted assistance to women smallholder farmers, who contribute the great majority of smallholder agricultural labor, resulting in greater investments in children’s health and education.

A woman on a cassava farm at Cauca, Colombia. Clear and defined property rights empower farmers to make better economic decisions with their land, avoid land conflicts or illegal land grabs, and enable them to look into long-term resource management and sustainability practices. Photo credit: Neil Palmer/CIAT/CC BY-SA

A woman on a cassava farm at Cauca, Colombia. Clear and defined property rights empower farmers to make better economic decisions with their land, avoid land conflicts or illegal land grabs, and enable them to look into long-term resource management and sustainability practices. Photo credit: Neil Palmer/CIAT/CC BY-SA

In order to continue this momentum and make hunger, undernutrition and extreme poverty permanently a thing of our past, we must do more. This includes working with governments around the world to help them develop secure property rights for farmers — both large and small-scale.

We hear from smallholder farmers around the world that they want to increase their productivity and earn greater income to feed their families, send their children to school, and pay for medicine and other life necessities — in short, they want a better life. But in many parts of the world, farmers lack the tools, technology and rights to achieve these aspirations.

To take advantage of new tools and technologies, farmers in all countries need strong property rights to be certain that they will have their land long enough to realize the benefits of their investments. They need to have confidence that their land and crops will not be seized by more powerful interests — particularly if they make productivity-enhancing investments, for example in soil and water conservation — without due process and compensation. Strengthening property rights is even more important for women, who often have fewer and weaker property rights than men, yet play a larger role in agriculture in many countries where we work.

When property rights are clear and secure, all farmers are empowered to make better economic decisions, including whether to sell or lease their land, expand their production, recruit non-family labor, and plant long-term crops for local consumption and for the market. With clear rights to land, farmers are more likely to make investments that increase crop yields, practice sustainable farming methods that improve soil quality, and better manage their resources. At the same time, transparent land rights provide those interested with the option to move out of agriculture — and encourage responsible investment for those who choose to stay…

Read the rest of the article.

Learn more about USAID’s work in securing land tenure and resource rights

From the Field in Vietnam: Small Loans Mean Big Changes for People Living with HIV

Vietnam’s mountainous Dien Bien Province, 500 km (about 310 miles) west of Hanoi, is home to the well-known battleground of Dien Bien Phu, where Vietnamese soldiers fought and won a decisive 55-day battle in 1954 against the French Union that brought an end to that war. Today, Vietnam is now engaged in another battle — against HIV/AIDS. And Dien Bien is one of Vietnam’s two provinces with the highest HIV prevalence.

Ms. Ca Thi Hinh, 32, a member of the Thai ethnic minority group in northern Vietnam, grew up in the province’s Tuan Giao district, an HIV hotspot. Born into a poor family, Hinh married in her early twenties. Her husband was also poor, and all they had was a temporary shelter. They both worked hard as hired laborers, saving as much as they could and looking forward to the moment when they could afford a decent house.

In her traditional costume typical of the Thai ethnic minority group in northern Vietnam, Hinh tells her story to a reporter from Vietnam Television with confidence, shining eyes and a radiant smile. Photo Credit: Richard Nyberg/USAID

In her traditional costume typical of the Thai ethnic minority group in northern Vietnam, Hinh tells her story to a reporter from Vietnam Television with confidence, shining eyes and a radiant smile. Photo Credit: Richard Nyberg/USAID

In 2007, Hinh’s husband was diagnosed with HIV when he was treated for a high fever, and died shortly after. Hinh then found out that she had contracted HIV from her husband, and the sky seemed to fall down on her. She could only gather her courage when she thought about her two small children. “I must live,” she thought. “My children need me to take care of them.”

As stigma and discrimination against people living with HIV/AIDS are still problems in Vietnam, people like Hinh have difficulty finding jobs, face unfair treatment in accessing social services and experience discrimination in healthcare and other settings.

Hinh looked to animal breeding as one option to earn an income, but she was turned down for a loan from a state-owned bank. Then she learned about M7/CFRC, a microfinance service provider supported by the USAID HIV Workplace Project. M7/CFRC staff trained her in financial management and gave her a microloan of $150. Adding $50 from her own savings, she bought two goats, one of which was pregnant. Three months later, her herd had grown to eight and she sold two goats for $215. With this money, she is able to support her children and her sister.

“I am very grateful for the support and care from the project. My children are now well-fed and educated, and I, myself, am more confident,” Hinh said. She hopes to have more goats soon, so that she can sustain her income.

Since 2008, the project, funded under the U.S. President’s Emergency Plan for AIDS relief (PEPFAR), has helped 1,400 people living with or affected by HIV in Vietnam. With microloans from the project, people like Hinh have found jobs and realized their dreams of running their own businesses. The success of the microfinance model for people living with HIV has encouraged local microloan providers to commit $1 million in loans to this target group.

The Government of Vietnam has also adopted the project’s microfinance models and is developing a new policy to provide loans to populations at highest risk of HIV in Vietnam.

Learn more about USAID’s work in Vietnam.

Like USAID Vietnam on Facebook and follow @USAIDVietnam on Twitter  for ongoing updates in the region. 

Photos of the Week: AID in Action: Delivering on Results

Driving human progress is at the core of USAID’s mission, but what do development results look like?

USAID is measuring our leadership in results — not dollars spent — implementing innovative, cost-effective strategies to save lives. Through investments in science, technology and innovation, USAID is harnessing new partners and young minds to transform more lives than ever before. Our new model for development embraces game-changing partnerships that leverage resources, expertise, and science and technology to maximize our impact and deliver real results.

Take a look at the Agency’s top recent and historical achievements in promoting better health; food security; democracy and good governance; education; economic growth, and in providing a helping hand to communities in need around the globe.

Read the stories behind the results in the special edition of FrontLines: Aid in Action: Delivering on Results.

Follow @USAID and @USAIDpubs for ongoing updates on the best of our results!

Video of the Week: Empowering Women Through Horticultural Innovations

The USAID Horticulture Project in Bangladesh aims to educate and train local farmers on innovative agricultural technologies that help diversify crops to increase nutritional value. With our partners the International Potato Center, AVRDC – The World Vegetable Center, BRAC and Bangladesh Agricultural Research Institute (BARI), we are working with local farmers to diversify diets and agricultural production systems with potato, orange-fleshed sweet potato, summer tomato, and nutritious indigenous vegetables. Meet some of the women farmers that have benefited from training in grafting tomato and producing sweet potato seedlings.

Learn more about our Mission of the Month: USAID Bangladesh.

Like USAID Bangladesh on Facebook and follow @USAID_BD and #MissionofMonth on Twitter for ongoing updates!

Preparing Youth for Employment

When it comes to preparing youth for employment, what strategies work best? As USAID’s recently-released State of the Field papers conclude, there is a need for more research and evidence on what types of interventions make a difference in strengthening youth livelihoods and employment. In Mali, Education Development Center’s (EDC) youth program  – PAJE-Nièta (Projet d’Appui aux Jeunes Entrepreneurs or Support to Youth Entrepreneurs Project) – is tracking several factors that affect youth livelihoods while highlighting issues and challenges that need to be better understood.

PAJE-Nièta has shown that young people are most eager for the business technical skills training and less for literacy and numeracy, so program delivery was adjusted to offer more business training earlier on. We also hope to learn which literacy and numeracy skills are most important for young people to have successful businesses in places where there is very little written local language.

Women in Mali using "Stepping Stone." Photo credit: EDC

Women in Mali improve literacy and numeracy skills through “Stepping Stone.” Photo credit: EDC

The PAJE-Nièta Project aims to increase access to local value chains by offering agro-enterprise development for 12,000 out-of-school rural youth. The project works in rural, often remote and difficult-to-access villages in Mali, where more than half of enrolled project youth have never been to school, while 80 percent are illiterate. Because of the major literacy gap, the project is offering literacy and numeracy training integrated with agri-business support services, business training, and audio instruction using a mobile phone platform created by EDC called “Stepping Stone.”

Results to date from the PAJE-Nièta Project show that 56 percent of youth who completed technical training have gone on to successfully start a micro-enterprise, with the proportion expected to rise as more data is received. Women outnumber male youth by 2 to 1 as participants, and in starting agriculture-based income generation activities. Young women, however, report lower profits with their businesses. Existing research on gender and agriculture suggests that results vary based on the resources available to men vs. women and inputs used. We are now studying these factors to learn more about gender differences within youth livelihoods, since this topic is not consistently analyzed under youth programs.

Another issue that has emerged in this youth work in Mali and elsewhere is the role of youth in family structures and how it may impact the benefits they gain. Our programs generally target youth with trainings and support based on the assumption that they are autonomous individuals and make decisions for themselves about what activities they engage in, or on whether they spend or save money. And yet, young people are a part of large and small family structures that influence their decisions  (particularly young women) about what work they do and when, as well as what they do with their earnings. This is important to consider when evaluating results from livelihood programs with youth; it is central to shaping the questions we ask and what we are measuring.

EDC is also tracking improvements in technical competence with respect to production techniques and business management; input costs; products sold; commencement, duration, and increase in the volume of both production and sales. We track literacy and math skills through exit interviews and performance tests and data on sales, production, and business management indicators. We are also assessing the use of mobile phones to increase literacy and numeracy.

The project seeks to prove the hypothesis that longer-term self-employment requires not just technical competence, but a commitment to entrepreneurial culture nurtured through mentoring. Toward that end, we conduct appraisals of youth microenterprises that are successfully managed for at least six months to determine the benefits realized by out-of-school youth and their families in the long term.

EDC’s work in Mali and around the world is contributing to a broader evidence base on youth livelihoods and employment with the goal of expanding opportunities for young people to support themselves and their families.

Nancy Taggart is a youth development specialist at Education Development Center, Inc. (EDC). She has worked in the field for 20 years, and is currently the Team Leader for EDC’s Youth Technical Team. EDC manages more than 200 projects in 30 countries. Visit www.edc.org.

New Mobile Clinics Take to the Road in Lesotho

This originally appeared on the Elizabeth Glaser Pediatric AIDS Foundation Blog.

Last month, the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) teamed up with the Lesotho Ministry of Health (MOH) to launch two mobile health care clinics that will provide HIV/AIDS and other health care services to residents in Lesotho’s rural communities. On July 11, EGPAF’s Chief Operating Officer (COO) Brad Kiley joined representatives from the Lesotho MOH and other high-level government officials at a ceremony to celebrate the new mobile units and how they will improve access to health care services to people throughout the country. The clinics are made possible thanks to generous support from the President’s Emergency Plan for AIDS Relief (PEPFAR) and the U.S. Agency for International Development (USAID).

Representatives from the Lesotho Ministry of Health, USAID, and EGPAF – including EGPAF COO Brad Kiley (in orange tie) – at a launch for two mobile clinics in Lesotho. Photo credit: EGPAF

Kiley noted that he is particularly proud of EGPAF’s success in Lesotho and is grateful for the kindness and support of the Government of Lesotho and the Ministry of Health. He also acknowledged and thanked USAID on behalf of the Foundation for its generous contributions to the key project of Strengthening Clinical Services in Lesotho.

Speaking at the same ceremony on behalf of the Health Minister, Principal Secretary to the Ministry of Health, Lefu Manyokole, said the mobile clinics come at the right time, when the Ministry is revitalizing primary health care and trying to strengthen the health system. He also commended the partnership and continued support EGPAF is giving to the Government of Lesotho.

He continued by emphasizing the MOH’s commitment to properly maintain and carefully coordinate the use of these mobile clinics so that they are effectively used for strengthening linkages and helping malnourished people in the region.

EGPAF will work with the MOH to provide integrated health services to patients in the remote areas of the mountainous districts of Thaba-Tseka and Mohale’s Hoek, where there is a high prevalence of HIV among pregnant women along with high rates of malnutrition among children and overall limited access to maternal, neonatal, and pediatric care. Each mobile clinic is equipped with two consulting rooms with collapsible examination couches, a metal stairway and emergency/wheelchair pathway, air conditioning, and built-in generators. Initially, services will include HIV/AIDS testing and treatment, prevention of the mother-to-child transmission (PMTCT) services, nutrition counseling, and other maternal and child health services.

These services are part of a larger effort by EGPAF and the Partnership for HIV-Free Survival (PHFS) and Nutrition Assessment Counseling Support (NACS) program to reduce malnutrition in the region, especially in HIV-positive women and children.

EGPAF has been active in promoting the use of mobile clinics throughout Africa. To learn more, click here.

To learn more about our work in Lesotho, click here.

Mapalesa Lemeke is Communications Officer for the Foundation, based in Lesotho.

Photo of the Week: Market Linkages in Bangladesh

Bangladesh

USAID creates market linkages to sustain traditional weaving of indigenous women. USAID’s environment activity, the Climate-Resilient Ecosystems and Livelihoods (CREL), improves diversified livelihoods that are environmentally sustainable and resilient to climate change. USAID has worked with the Government of Bangladesh and local communities to better manage and conserve Bangladesh’s natural resources and biodiversity since 1998. More resilient livelihoods and ecosystems will help Bangladesh meet development goals and move along the path to becoming a healthy, prosperous country. CREL is implemented by Winrock International.

Learn more about our Mission of the Month: USAID Bangladesh.

Like USAID Bangladesh on Facebook and follow @USAID_BD and #MissionofMonth on Twitter for ongoing updates!

HIV+ and Pregnant: A Deadly Combination?

Since 1990, the global number of maternal deaths has declined by almost half to 287,000 per year. Increased access to family planning and improved maternity care, including emergency care when needed, have played a significant part in this reduction. At the same time, the number of people dying from AIDS-related deaths has been declining since the 2000s because of access to life-saving antiretroviral therapy (ARVs) and a decline in HIV prevalence. Nonetheless, these positive trends are masking a troubling reality for many women in Sub-Saharan Africa. According to new estimates, HIV-positive pregnant women had 8 times the risk of death during pregnancy than HIV-negative pregnant women.

A couple from Nigeria holds their 5-month-old HIV-negative baby. Photo credit: Deidre Schoo, International Center for AIDS Care and Treatment Programs, Columbia University School of Public Health

A couple from Nigeria holds their 5-month-old HIV-negative baby. Photo credit: Deidre Schoo, International Center for AIDS Care and Treatment Programs, Columbia University School of Public Health

It’s a sobering statistic, and it calls both the HIV and maternal health communities to joint action. But what can be done? How can we improve HIV and maternal health programs to save the lives of these women? Unfortunately, the answer is unsatisfying. We just don’t know the solution…yet. Certainly the provision of ARVs to HIV-positive pregnant women for her health and the health of her child is a vital piece of the puzzle. Many countries are shifting their strategies to reach these women by providing lifelong treatment for pregnant women living with HIV. However, ARVs are probably not the entire answer as HIV-positive pregnant women also have an increased risk for complications relating to other co-infections like tuberculosis, sepsis, and pneumonia. Questions remain, and more research on the nexus of HIV and pregnancy is necessary.

In an effort to move the HIV and maternal health communities to action, USAID, CDC, and the Maternal Health Task Force convened a meeting in early June on “Maternal Health, HIV and AIDS: Examining Research through a Programmatic Lens.” We brought together technical experts from around the world who have been investigating the intersection of HIV and maternal health. We were electrified by the dynamic group and the data presented on topics ranging from causes of maternal deaths, stigma and discrimination in health services, and tough considerations around Option B+. A smaller group committed to develop a formal research agenda to outline the priority questions that remain.

This meeting was just the beginning of the dialogue, and we’d like to invite you to participate in the conversation and add to the evidence base as we move forward. The full content of the meeting is available online at the Maternal Health Task Force’s website. We continue to seek the latest resources, research findings, and publications from around the world on this topic. To read more on the subject, find relevant news and publications, and suggest additional resources, see here. Finally, watch for more news from USAID as we continue these important discussions and learn more from sub-Saharan African countries that are tackling this issue.

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