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  • Financial

    • Securing predictable and sustainable funding during an uncertain economic climate.

    • Maintaining and improving the quality of our programs, especially those that also rely on international funding from large global institutions for such things as drugs, vaccines, and emergency food aid.

    • Having the necessary reserves to allow us to respond to new emergencies as they occur.

  • Human Resources

    • Securing experienced and committed field staff and retaining them, especially those who can work as coordinators.

    • Finding qualified medical staff that can work on a range of medical issues including emergency surgery and rehabilitation, maternal and pediatric care, tropical diseases, chronic care, and mental health.

  • Operations

    • Security – We work in areas of conflict where many actors are often involved. We need to constantly reinforce our neutrality to all parties in order to keep our teams safe. In the past 10 years, there has been a blurring of humanitarian aid and military interventions, where humanitarian aid workers have been directly targeted making it more difficult for us to work in certain high risk areas.

    • Balancing speaking out with gaining access to populations; gaining access to people cut off from assistance in armed conflicts due to insecurity, government bureaucracies, and other blockages is not always easy to negotiate.

    • Access to appropriate medications, vaccines, and therapeutic foods to treat malnutrition. Policies, pricing, and politics can pose barriers for procuring vital medical supplies. Outdated diagnostics and treatments make medical assistance in resource challenged settings difficult and expensive. Improved research and development for neglected diseases would not only help us save more lives, but would allow us to treat patients with a better and more efficient use of our resources.

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