Mano a Mano's mission is to create partnerships with impoverished Bolivian communities to improve health and increase economic well-being. Mano a Mano has been guided by the simple yet powerful premise that groups of committed volunteers can reach across national boundaries to make a dramatic difference in the lives of others. The power of this premise has been demonstrated by the extent to which the organization’s scope and accomplishments have in such a short time expanded to exceed even our most ambitious dreams.