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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.

From the Field in Zimbabwe: Unexpectedly HIV-Free

For a pregnant woman, it takes courage to visit Epworth Clinic in Harare, Zimbabwe. Many must travel long distances to get there, but that is not the only reason. They come to the clinic to learn their HIV status or to receive antiretroviral (ARV) medication, and when they first arrive, many of the women have little hope of giving birth to a healthy child. Once they get there, however, they learn that although they have HIV, they do not need to pass it to their children.

I visited the clinic to learn how USAID is supporting the delivery of high-quality HIV/AIDS services in Zimbabwe.

Rosemary proudly holds her HIV-free baby after receiving prenatal treatment from a USAID-sponsored clinic outside Harare, Zimbabwe. Photo credit: Zoe Halpert, USAID intern

In the waiting room, I spoke with Rosemary, a 40-year-old, HIV-positive mother who was holding an 8-month-old baby. Rosemary came to the clinic for the first time several years ago when her husband’s health began to deteriorate and she suspected that they might both be HIV-positive. She was right; she tested positive for HIV and began ARV treatment several weeks later. While I was talking with Rosemary, her baby sleepily opened her eyes and chewed her blanket. She was born healthy and HIV-free.

The prevention of mother-to-child transmission of HIV-AIDS program at Epworth clinic started in 2001. USAID provides infant HIV test kits and ARVs to many clinics throughout Zimbabwe, including Epworth. USAID’s partner, the Organisation for Public Health Interventions and Development (OPHID), provides training and supervision to the health-care workers in the clinic.  With support from USAID, this local organization is quickly increasing its ability to better address the HIV-AIDS epidemic in Zimbabwe.

Epworth clinic sees about 80 pregnant women and nursing mothers each day. When they first arrive at the clinic, they are tested for HIV and educated about family planning. As a result of the support the clinic has received from USAID, through OPHID, the number of HIV-positive babies has gone down significantly. Today, 98 percent of babies that are part of the program test negative.

When I talked with the clinic’s nurses, they told me, “If we didn’t have the USAID program, 98 percent of our patient’s babies would be HIV positive.” They also acknowledged that there would be a significant population decline.

As my visit came to a close, I asked Rosemary what advice she would give to other pregnant women. “Every woman should know her HIV status,” she said. She has found the courage to tell some of her friends her status, and strongly encourages them to get tested for their entire family’s benefit.

Visit OPHID for more information about OPHID.

Learn more about USAID’s work in Zimbabwe

From the Field in South Sudan: Mother of Nine Helps Rural Women Deliver Safely

At age 38, Mary Konyo has nine children, including a set of twins. She has been a traditional birth attendant since 1997, before South Sudan became independent, and has helped 23 women deliver children safely women in the last 16 years. Two years ago, she decided to stop having children so she could focus more on helping other pregnant women in distress.

I was touched by Konyo’s story when I heard it at a public forum in Juba (South Sudan’s capital), and I contacted her to learn more about her work to save the lives of pregnant women in her community.

Mary Konyo (right) testifies on the benefits of using misoprostol to reduce severe bleeding after childbirth.  Photo: Victor Lugala

Mary Konyo (right) testifies on the benefits of using misoprostol to reduce severe bleeding after childbirth. Photo credit: Victor Lugala

Her personal experiences with childbirth have inspired her. “When I delivered my first child, I bled excessively for three days. I was very weak,” Konyo told me.

A majority of rural South Sudanese women deliver at home, mostly without the help of a midwife, and some of them die from complications. Excessive bleeding after childbirth, or postpartum hemorrhage (PPH), is one of the leading causes of maternal death in South Sudan.

In recognition of her community work, Konyo was among a few women nominated from her community to attend a USAID-funded workshop on reducing PPH. Workshop participants gained knowledge and skills to help them talk with their communities about the importance of using misoprostol — a medicine that can prevent severe bleeding — to prevent PPH. They also learned what to do when a woman experiences PPH.

In addition to practical skills, the workshop emphasized the need for community outreach to help people understand the importance of giving birth in a health facility, where it can be easier to address complications. Konyo returned to her community as a home health promoter and started a door-to-door awareness campaign. She advises pregnant women to regularly attend antenatal clinic to help ensure that they have safe deliveries. “I particularly tell them about the dangers of excessive bleeding after birth,” Konyo said.

She is also able to give pregnant women misoprostol to take immediately after giving birth. But, she added, “I always tell women to deliver safely in the clinic.” Aware of rural poverty, Konyo advises pregnant women to save a little money for their transport to the hospital for delivery. In her community, women in labor are often transported to the nearest clinic on motorbike taxis, called boda-bodas.

Konyo told me she also encourages husbands to accompany their wives to the clinic, adding that men are expected to pay the hospital bills when their wives give birth.

She believes misoprostol will help drastically reduce severe bleeding immediately after childbirth in her community, pointing out that women who take misoprostol regain strength on the third day after delivery and can return to their everyday activities more quickly. Konyo says the men whose wives have used misoprostol are also happy: “Now they are asking for a ‘wonder medicine’ that will reduce birth pangs and hasten childbirth.”

Learn more about USAID’s work in South Sudan and follow USAID South Sudan on Facebook and Twitter (@USAIDSouthSudan)!

Video of the Week: USAID Launches “Promote” a New Initiative to Benefit Afghan Women

Last week, Administrator Shah at the United States Insittute for Peace, launched a five-year program targeting the education, promotion, and training of a new generation of Afghan women, aged 18-30.  Named “Promote,” the program’s goal is to increase women’s contributions to Afghanistan’s development by strengthening women’s rights groups, boosting female participation in the economy, increasing the number of women in decision making positions within the Afghan government, and helping women gain business and management skills. Learn more about “Promote”  in this clip from BBC World News.

Demographic and Health Survey Show Positive Results in Haiti

A newly released nationwide health survey of Haiti shows continuing positive trends on key health-care indicators in particular those of Haitian women and children. The latest survey, undertaken by the Haitian Ministry of Public Health and Population, was conducted in 2012 and compares with the prior survey done in 2006. It shows steady improvements among key indicators despite significant health challenges in Haiti due to the 2010 earthquake and cholera outbreak. Of note were improved indicators for child vaccination and malnutrition, infant and child mortality, women’s health and contraception use. The report indicated no increase in HIV prevalence, which remained steady.

Patients get laboratory work done at a USAID-supported health clinic in Ouanaminthe, Haiti on May 15, 2013. Photo credit: Kendra Helmer/USAID

The Morbidity, Mortality, and Service Utilization Survey measures progress and setbacks in health outcomes over the years. The results were announced July 9 by Dr. Florence Guillaume Duperval, Haiti’s Minister of Public Health and Population. The survey has been administered in Haiti five times since 1994.

The previous survey was administered in Haiti between 2005 and 2006; this latest survey was conducted from January 2012 to June 2012. Over 13,000 households participated in the current survey, representing rural and urban areas in all of Haiti’s 10 departments, including camps for people displaced by the January 2010 earthquake. The results were eagerly anticipated by health experts concerned of possible setbacks brought on by the devastating quake, which killed more than 230,000 people and displaced more than 1.5 million.

However, the survey results show that many health outcomes have improved in Haiti. The data collected in the survey show improvements in women’s health, improved nutritional status among the population, and an increase in use of contraceptive methods. Currently, more than two-thirds of pregnant Haitians have made the recommended number of antenatal visits, an increase from 50 percent in 2006; the prevalence of anemia among women has declined from 55 percent in 2000 to 49 percent in 2012; and the use of modern contraceptive methods among married women has increased from 22 percent to 31 percent between 2000 and 2012.

Health data for children also showed positive results. Childhood vaccinations increased from 53 percent in 2006 to 62.5 percent in 2012. With regard to nutrition, the survey showed that 22 percent of children under 5 suffer from chronic malnutrition, a decrease from 29 percent in 2006. The survey also revealed a decrease in acute malnutrition from 10 percent in 2006 to 5 percent in 2012 and a decrease in percent of children underweight from 18 percent to 11 percent.

Childhood mortality has decreased in Haiti over the last 15 years. Survey results show that infant mortality has decreased from 79 to 59 deaths for 1,000 live births. In addition, mortality for children under 5 has also decreased from 112 deaths to 88 deaths per 1,000 live births.

Among other results, the survey revealed that the HIV prevalence among those ages 15-59 have remained the same:  2.7 percent among women and 1.7 percent among men.

USAID is working closely with the Government of Haiti to continue to improve health outcomes for all Haitians. “The information in this survey forces us to continue to work together, to strengthen our interventions and our methods so that progress in the health sector in Haiti is sustained,” said Marc Desjardins, Deputy Chief of Mission of the U.S. Embassy in Port-au-Prince, during the July 9 event.

USAID’s goal is to improve access to health care services and build the Government of Haiti’s capacity to manage and oversee its health programs. Currently, about 50 percent of the population has access to a vast network of USAID-sponsored health facilities throughout the country that provide core health services such as maternal and child health, family planning, and nutrition. In addition, diagnostic and treatment services for tuberculosis and HIV and AIDS services can be accessed at these health facilities. HIV and AIDS services include access to antiretroviral therapy, prevention of mother-to-child transmission, palliative care, and voluntary testing and counseling. USAID programs aim to reduce risky behaviors and maintaining people living with HIV and AIDS on treatment.

Much remains to be done in Haiti. For example, despite high levels of knowledge of family planning, only 35 percent of married women are using any method and 31 percent are using a modern method. However, the positive health trends revealed by this data shows that Haiti continues to move forward despite the earthquake, the ongoing cholera epidemic, and many other challenges that threaten health outcomes. These results are a testament to the hard work and strong commitment of all of those who work to build a better Haiti.

This survey was funded by USAID, the United Nations Children’s Fund (UNICEF), the United Nations Population Fund (UNFPA) and the Global Fund the Global Fund to fight AIDS, Tuberculosis, and Malaria through the United Nations Development Fund (UNDP), and the Canadian International Development Agency (CIDA).

The fifth Morbidity, Mortality, and Service Utilization Survey combined with the Multiple Cluster Indicator Survey (MICS) was conducted by the Haitian Childhood Institute [l’Institut Haïtien de l’Enfance (IHE)] in collaboration with the Haitian Statistical and Information Technology Institute [l’Institut Haïtien de Statistiques et d’Informatique (IHSI)]. This survey was supported by the Ministry of Public Health and Population [Ministère de la Santé Publique et de la Population (MSPP)], benefited from the technical assistance of the Demographic and Health Surveys program (MEASURE DHS), which is implemented by ICF International.

Resources:

  • Read the full DHS report.
  • See photos of USAID’s health-related programs in Haiti.

FP2020: Plans, Partnerships and Progress – One Year On

This originally appeared on The Huffington Post Blog.

Sometimes it’s hard to tell if your work really makes a difference. Three months after the London Summit on Family Planning, I led a delegation of UNFPA supporters to Ghana. We saw a diverse and inspiring range of maternal health programs — from government hospitals to an entrepreneurial midwife who designed and produced birthing stools with the help of a local carpenter.

In Tamale, we visited a brand new Marie Stopes clinic fully stocked with a range of modern contraceptive methods. It was located in the heart of the city, at a vibrant, open air market that stands at the crossroads of three ancient trade routes. For the women and men who work there, the clinic could not be more convenient — they could easily dash off for an appointment or for supplies.

Ghana woman at USAID health event. Photo credit: USAID

From there we flew north to Bolgatanga, then traveled by bus towards the border with Burkina Faso. As we drove, the tarmac gave way to unpaved roads. Cracks became grooves, and grooves became ditches. As the hours passed, the villages became smaller and the distance between them grew. Wherever we were headed, it felt worlds away from the hustle and bustle of Tamale.

Finally we arrived at our destination: a plain, L-shaped building in a small compound. It was a Planned Parenthood of Ghana clinic that provides an integrated mix of family planning and other health education and services.

Despite its remoteness, we were greeted with as much enthusiasm and excitement as we felt in Tamale. About 200 people — village elders, mothers and fathers, grandmothers and grandfathers, children — had come out to show support for their clinic. They told us about the difference the clinic was making in their lives. In this isolated location, it was their only source of medical care.

But as we toured the facility, I happened to notice one person who wasn’t taking part in the excitement. Her name was Afia, and she sat very quietly, in a corner, on a hard wooden bench. A midwife was by her side.

Afia’s face was etched in pain, but her cries were muted. With quiet dignity, and few of the trappings that attend births in countries like my own, I found out she was in labor to deliver her first child.

As a mother myself, I knew how scared she must have felt. I also knew that in Ghana, for every 100,000 women who go into labor, 350 die giving birth or because of pregnancy-related complications. The statistics can be numbing.

Afia remained on my mind and two days later, I learned she had a lovely baby girl, and both mother and child were happy and most importantly, healthy.

I know that in the coming months and years, the clinic will help Afia keep herself and her baby healthy, and will give her the contraceptives she needs to plan her family and her future.

Our work does make a difference. This is what Family Planning 2020 is all about: reaching women, no matter where they live, with the information, services and supplies they need. Program by program, clinic by clinic, and woman by woman.

One year after the London Summit on Family Planning, I am pleased to report that FP2020 continues to build the foundations of a global movement and is accelerating progress towards achieving our goal of reaching an additional 120 million women with lifesaving contraceptive information, services and supplies by 2020.

Countries are championing the cause — over twenty governments have already made commitments and a few more are gearing up to do so. National, costed family planning plans are being drafted and implemented, new health laws are being passed and service delivery barriers are being addressed. Price-reduction agreements on long-acting, reversible contraceptive implants and the scale-up in delivery of discreet, injectable contraceptives ensures that millions of women will be able to access a range of family planning methods. We’ve improved relations with allies, built and strengthened new partnerships, and established our global governance framework. I am proud of what we’ve accomplished together.

And yet, I remain acutely aware that the work of FP2020 has only just begun. We have so much more to do to ensure that family planning remains front and center on the global development agenda. This will require even stronger international partnerships to uphold and guard the unified aspirations of millions of women and girls to chart their own future.

Women like Afia are depending on us to keep the promises we made one year ago at the London Summit. As we move forward into the second year of FP2020, I am convinced and confident that working together, we shall.

Ensuring Access to Reproductive Health for All

Approximately 16 million girls ages 15 to 19 (most of them already married) give birth each year. On July 11, World Population Day, we join the global community in raising awareness on the issue of adolescent pregnancy in the hopes of protecting and empowering millions of girls around the globe.

Adolescent pregnancy has dire health, social and economic consequences for girls, their communities, and nations. Complications from pregnancy and childbirth are a leading cause of death for girls ages 15 to 19 in low-and middle-income countries. Stillbirths and death are 50 per cent more likely for babies born to mothers younger than 20 than for babies born to mothers in their 20s. We know that girls who become pregnant often face discrimination within their communities, drop out of school, and have more children at shorter intervals throughout their lifetime. A World Bank study (PDF) found that the lifetime opportunity cost related to adolescent pregnancy in developing countries ranges from 10 percent of annual GDP in Brazil to 30 percent of annual GDP in Uganda.

World Population Day 2013 aims to draw awareness to the issue of adolescent pregnancy. Photo credit: Netsanet Assaye, Courtesy of Photoshare

I believe meeting the reproductive health needs for today’s young people is vital to ensure future generations are able to lead healthy and dignified lives.  In developing countries overall, 22 per cent of adolescent girls (aged 15-19) who are married or in union use contraceptives, compared to 61 percent of married girls and women aged 15-49 (PDF). Lack of information, fear of side effects, and other barriers—geographic, social, and economic—prevent young people from obtaining and using family planning methods.

It’s appropriate that this World Population Day also marks a year since the historic London Summit on Family Planning, and the launch of Family Planning 2020. This global partnership supports the right of women and girls to decide, freely, and for themselves, whether, when, and how many children they want to have. I am proud to be on the Reference Group of the Family Planning 2020 initiative (PDF) that aims to enable 120 million more women and girls to access family planning information and services by 2020.

As the largest bilateral donor for family planning, USAID is uniquely poised to accelerate progress and improve education and access to reproductive health services for youth.  We support programs and research on adolescent health and development, and we have approaches that work to improve knowledge and change behaviors. Our programs focus on gender equality, because we know that boys and men who have access to reproductive health information and services are better able to protect their own health, support their partners, and participate in planning of their future and that of their families.

USAID is committed to protecting reproductive rights for all people and especially for the world’s adolescents and youth. Young people are the future, and we want and need their valued contributions to and participation in the social, economic, political, and cultural life of their communities.

Follow @USAIDGH on Twitter and join the conversation about World Population Day using the #WorldPopDay hashtag. Share our new infographic on adolescent pregnancy.

Mujeres Adelante: Leading Change Against Violence

This originally appeared on DipNote

“¡Eres maravillosa!” (You’re wonderful!)

Repeating this mantra in unison as they received their certificates, each of the 14 women civil society leaders – lawyers, social workers and psychologists, academics and student leaders – from Central America and the Dominican Republic, affirmed one other’s work to eliminate gender-based violence (GBV) in the region. For the participants of Mujeres Adelante (Women Moving Forward), the past two weeks had been a whirlwind of meetings with local, state, and federal government officials, coalitions and advocacy organizations, as well as NGO service providers. This final affirmation was a reminder of how important the issue and each participant’s individual contribution to its elimination truly is.

“Mujeres Adelante” participants. Photo credit: State Department

The 2013 class of Mujeres Adelante included participants from El Salvador, Costa Rica, Nicaragua, Honduras, Guatemala, Panama, and the Dominican Republic. For each of them, the two weeks in the United States — first in Seattle, and then in Washington, DC. — were both a respite from the daily and very real threat of working on GBV and an occasion to strengthen the women’s ongoing commitment to the issue. Approximately 30 percent of women in the Americas have experienced physical and/or sexual abuse at the hands of a partner, or sexual abuse by a non-partner. Strikingly, and unique to Central America, two out of three women murdered are killed for a gender-related reason. This program provided the participants an opportunity to highlight the scourge of GBV in their home countries, and access new tools they could use upon their return home.

“Working [on GBV] is incredibly difficult,” one participant said. “Sometimes, we don’t get to the victim in time to help her. Sometimes, there is a lack of will [by authorities] to respond, and always, there is a lack of resources.  That is why alliances like these are so important, so we can work together better.”

Launched in October 2012 by the Secretary’s Office of Global Women’s Issues, in collaboration with the Seattle International Foundation and the Bureau of Educational and Cultural Affairs, Mujeres Adelante is a network of Central American and Dominican women leaders who work to:

  1. Raise awareness of the pervasiveness of GBV as well as awareness of women’s rights and available resources;
  2. Increase governments’ accountability for preventing, responding to and addressing GBV;
  3. Share best practices on service provision and advocacy efforts; and
  4. Facilitate ongoing networking, skills and capacity-building of women in their home countries.

The United States has made preventing and responding to gender-based violence a cornerstone of our commitment to advancing gender equality and women’s empowerment. The United States Strategy to Prevent and Respond to Gender-based Violence Globally and the U.S. National Action Plan on Women, Peace and Security recognize that gender-based violence is a human rights abuse and a manifestation of the low status of women and girls around the world. Working together, we can ensure that women and girls live up to their true potential and live lives free of violence – and are able to contribute fully to their families, communities, and economies.

Learn more about USAID’s Mission of the Month: Guatemala and our work in eliminating gender-based violence

A Bright Future for Agriculture in Africa

As my final tour with USAID winds down in the coming months, I can step aside with pride and confidence in the work we’re doing on the African continent to increase food security and nutrition. Having worked in Africa for much of the past 30 years, I am firmly convinced that the Agency’s new focus on modernizing and improving agricultural technologies through Feed the Future, President Obama’s global hunger and food security initiative, is having a demonstrable impact.

Here in Senegal, recent statistics indicate a near-doubling of yields in rain-fed rice, from about 1 ton per hectare to 1.82 tons. In some of the country’s most vulnerable areas, undernutrition has been reduced by a large margin in the last year.

What makes these and other statistics really exciting is an opportunity some USAID Mission Directors don’t get in their entire career: a chance to exhibit some of our major successes to the President of the United States himself, who made Senegal the first stop on his second trip to Africa last week.

While here, President Obama toured the Feed the Future Agricultural Technology Marketplace, where at each stop he was able to see how agricultural research and innovation are helping West African farmers to increase incomes and nutrition for their families.

At one booth, Anna Gaye, an entrepreneur, demonstrated how switching to a small-scale, efficient rice mill and an improved rice variety has tripled yields in her region and freed up her time for alternative activities.

At a Feed the Future agricultural technology marketplace in Senegal last week, President Obama met with farmers, innovators and entrepreneurs whose new methods and technologies are improving the lives of smallholder farmers throughout West Africa. Photo credit: Kate Gage, USAID

At another booth, Pierre Ndiaye, the owner and operator of a factory producing a popular nutritious yogurt-and-millet porridge, explained how USAID helps smallholder producers create his product. We support women’s producer groups around the country to grow quality millet, providing employment to hundreds of women who produce the porridge for local schoolchildren to get a nutritious meal every day.

We were also excited to demonstrate how nutrient fortification of Senegal’s staple foods can result in a radical decrease in undernutrition. Nutrition plays a critically important role in the Feed the Future approach, and fortified food can have a profound effect on the health of children in Senegal and all over Africa.

Yet another stop showed how the technology of today can help farmers as businessmen and women.  A young woman president of a 3,000-strong maize farmers’ union explained how they use the internet and mobile devices to control product quality and organize the marketing of their crops, which allows them to collectively compete with large industrial farms across the globe.

What makes these innovations yet more exciting is the potential for scaling them up and sharing them with other nations. New technology is only as good as our ability to get it into the hands of the millions of smallholder farmers who are the foundation for agriculture-led economic growth. Through Feed the Future, we are working to make successful technologies more and more accessible to the farmers who need them the most.

Looking back on the visit and on our tremendous successes in agriculture thus far, I can’t think of a more exciting, rewarding way to end a career with USAID.

Resources:

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