Real progressWith the support of Plan, children and adults inBolivia are working together to develop theircommunities and claim their right to a betterfuture. And real progress is being made. Among other successes, last year we:

• Trained 247 community-basedcommittees, giving them the skills andresponsibility to manage, spend andaccount for funds from Plan

• Helped 673 teachers in 47 schools to educate their pupils about sexually transmitted diseases and their prevention

• Rebuilt, repaired or refurnished 76 classrooms, and we have built fiveplaygrounds and three sports pitches

• Over two years, we have trained 870 people on managing a small businessand 700 people on improved farming techniques. Over the same period,4,130 families have increased their incomes.

For Plan, success almost always comes from a jointeffort combining the hard work and determination ofcommunities, children, volunteers, staff, and partnerorganisations. But the ongoing support of our sponsorsis a vital ingredient, too. It’s their generosity andcommitment that allows us to continue to help childrenin 49 of the poorest countries in the world.

So on behalf of the children and communities we work with, thank you to all our sponsors!

Plan UK Registered Charity No: 276035

BOL

Plan is supporting women’s business groups whoproduce jam and baked goods to boost theirfamilies’ incomes

p

Challenge and change in Bolivia2007 has been a year of challenges for Bolivia. There has been political violence in theAndean city of Cochabamba, and severe floods in eastern and Amazonian parts of thecountry, caused by the El Nino phenomenon. In response, Plan stepped up itsemergency support to affected communities.

Plan is working to help children in 1,081 communities lead happier, healthier lives and reach their full potential. We are concentrating on maternal and child health,education and fighting disease by improving the environment.

According to Filipe Sanchez, Plan’s Country Director in Bolivia: “This year, togetherwith the help of our sponsors, we have continued to work to improve the quality of

life for the children of Bolivia. We wish to thank you, the sponsor, for yourcommitment.”

This Country Progress Report focuseson just one successful project amongmany that you have helped makepossible.

Bolivia country factsCapital: La Paz

Population: 9 million

UN Human Development Indexranking: 115th out of 177 countries

Life expectancy: 65 years

Children under-five who die each year: 17,000

People in rural areas without decentsanitation: 78%

Secondary-age children not in school: 44%

(Sources: the UN, the Foreign & Commonwealth Office, UNICEF)

Plan is training teachers to make lessons more stimulatingand relevant to children

p

Country ProgressReport 2007

Bolivia

Admagic No:Bright No:

Client name:File name:

Date:Size:

Studio proof:

0407100647PLAN0407_Bolivia02.11.07210x443.5mm FOLD TO A54 Client proof: 3

Any enquiries please contact:Nick Burton. e: nick@bright-uk.comm: 07884 367567. d: 020 7620 8150

Size (Prod) Colours(Prod) Art (A/D) Copy (C/W) Content (Acc.)

146.5mm FLAP 148.5mm BACK 148.5mm FRONT

Real progressWith the support of Plan, children and adults inBolivia are working together to develop theircommunities and claim their right to a betterfuture. And real progress is being made. Among other successes, last year we:

• Trained 247 community-basedcommittees, giving them the skills andresponsibility to manage, spend andaccount for funds from Plan

• Helped 673 teachers in 47 schools to educate their pupils about sexually transmitted diseases and their prevention

• Rebuilt, repaired or refurnished 76 classrooms, and we have built fiveplaygrounds and three sports pitches

• Over two years, we have trained 870 people on managing a small businessand 700 people on improved farming techniques. Over the same period,4,130 families have increased their incomes.

For Plan, success almost always comes from a jointeffort combining the hard work and determination ofcommunities, children, volunteers, staff, and partnerorganisations. But the ongoing support of our sponsorsis a vital ingredient, too. It’s their generosity andcommitment that allows us to continue to help childrenin 49 of the poorest countries in the world.

So on behalf of the children and communities we work with, thank you to all our sponsors!

Plan UK Registered Charity No: 276035

BOL

Plan is supporting women’s business groups whoproduce jam and baked goods to boost theirfamilies’ incomes

p

Challenge and change in Bolivia2007 has been a year of challenges for Bolivia. There has been political violence in theAndean city of Cochabamba, and severe floods in eastern and Amazonian parts of thecountry, caused by the El Nino phenomenon. In response, Plan stepped up itsemergency support to affected communities.

Plan is working to help children in 1,081 communities lead happier, healthier lives and reach their full potential. We are concentrating on maternal and child health,education and fighting disease by improving the environment.

According to Filipe Sanchez, Plan’s Country Director in Bolivia: “This year, togetherwith the help of our sponsors, we have continued to work to improve the quality of

life for the children of Bolivia. We wish to thank you, the sponsor, for yourcommitment.”

This Country Progress Report focuseson just one successful project amongmany that you have helped makepossible.

Bolivia country factsCapital: La Paz

Population: 9 million

UN Human Development Indexranking: 115th out of 177 countries

Life expectancy: 65 years

Children under-five who die each year: 17,000

People in rural areas without decentsanitation: 78%

Secondary-age children not in school: 44%

(Sources: the UN, the Foreign & Commonwealth Office, UNICEF)

Plan is training teachers to make lessons more stimulatingand relevant to children

p

Country ProgressReport 2007

Bolivia

Admagic No:Bright No:

Client name:File name:

Date:Size:

Studio proof:

0407100647PLAN0407_Bolivia02.11.07210x443.5mm FOLD TO A54 Client proof: 3

Any enquiries please contact:Nick Burton. e: nick@bright-uk.comm: 07884 367567. d: 020 7620 8150

Size (Prod) Colours(Prod) Art (A/D) Copy (C/W) Content (Acc.)

146.5mm FLAP 148.5mm BACK 148.5mm FRONT

According to recent statistics, theproject has increased the number ofpre-natal check-ups by more than athird, and the number of childbirthstaking place in hospital has increased by almost half. When the communitypresented information on increasedcoverage to a meeting of outsideofficials and community members,attendees from other municipalitieswere doubtful of the results, becausethis area has traditionally had thelowest coverage rates.

But doubts turned to congratulationswhen one health worker presented amonitoring notebook that proved theresults and many representatives fromother municipalities talked about thepotential benefits of extending theproject to their areas.

Now pre-natal check-ups are upby more than a third, and thenumber of births in hospital hasincreased by almost half.

Since that meeting, healthcare workershave been busy following up withchecks on the wellbeing of pregnantwomen in Icla. In some cases, theseworkers are men, and they help withmaking baby clothes and otheractivities, like cake baking.

We’re delighted to say that to date thisyear, there have been no maternaldeaths reported in any of thecommunities of Icla.

Some names have been changed for child protection andprivacy reasons

Most of the communities in the regionof Icla are remote and inaccessible,especially during the rainy season, whentorrential downpours cause landslidesand block roads. During the rainyseason of 2006, two pregnant womendied. One, aged 46, was haemorrhagingblood but was unable to get to thenearest health centre in time. It lateremerged that she hadn’t been to herpre-natal check-ups because she wasn’taware how important they could be.Tragically, she left five orphanedchildren.

At around this time, a second mother –just 24 years old and unmarried – diedwhile pregnant. She had also skippedher pre-natal check-ups, and herrelatives had not even been aware ofher pregnancy.

Tragedy prompts actionA municipal meeting was called. It wasattended by all relevant healthcareworkers in the area, community leaders,volunteers, mothers and Plan workers.During the assembly, the region’s ChiefMedical Officer presented data on local

maternal deaths, analysed their causesand asked attendees to reflect on thesituation. At the assembly, onecommunity member said:

“My community is very far from anyhealth centre; it takes a full day’s walkto get to the closest one. Families reallydon’t appreciate healthcare and onlylook for help at the last possiblemoment. On top of everything else, theroad is bad.”

Another added: “Families don’t look forthe community health worker, so theyreally do not value their own health.”

Together, Plan and the communitylooked for solutions and alternatives,trying to find ways to avoid pregnantmothers dying in the future. Plansuggested a strategy of gathering thenames of the pregnant mothers in eachcommunity, and, with help from healthworkers and the entire community,invite them to their local PregnantWomen’s Centre.

“My community is very far fromany health centre; it takes a fullday’s walk to closest one.”

At present, there are eight communityPregnant Women’s Centres, withmonthly meetings for all the localpregnant women, and even somewomen who have already had theirbabies. Healthcare workers share theirknowledge and give guidance on theimportance of pre-natal check-ups,institutional childbirth, post-natal check-ups, newborn care, and danger signsduring pregnancy and childbirth. Inaddition, nutrition for pregnant womenis covered, dental check-ups areprovided, and the mothers are shownhow to make clothes for their babies.

Learning and preparation One pregnant woman came to theCentre with her husband and decided tohave the baby in hospital. She says: “I’mvery happy that I came to thePregnancy Centre. I learned a lot about

pre-natal check-ups, and with help frommy husband and the nurse I planned to have the birth in hospital. I alsolearned to make clothes for my baby,and now I feel prepared for the littleone to come.”

Her husband says: “This is the first timemy wife will have had a baby inhospital; the three others were born at home with help from my mother. But now I think it’s better to do it inhospital, and so when my wife haspains, I’ll come to the hospital to get anambulance to take her there from thecommunity.”

He’s not the only one. More and morehusbands are becoming convinced ofthe benefits of the pregnancy centres.Now they want their wives to attendmonthly meetings, educational sessionsand nutrition seminars, all in a placewhere mothers can talk about theirproblems with other mothers. Manywomen from the group have alreadyhad their babies and keep coming tothe activities at the Centre because they want to keep learning about health issues.

At the Pregnant Women’s Centres, mothers learn about childbirthand how to care for their babies

p

Mothers are shown how to make clothes for their babiesp

Happy, healthy mothers In the final months of 2006, the deaths of two pregnant women sparked off a community movement to find ways to improve care during pregnancy.One solution was the creation of eight pregnant women’s centres, wheremothers-to-be can find better ways to look after themselves and their babies.

148.5mm INSIDE 148.5mm INSIDE 146.5mm INSIDE

According to recent statistics, theproject has increased the number ofpre-natal check-ups by more than athird, and the number of childbirthstaking place in hospital has increased by almost half. When the communitypresented information on increasedcoverage to a meeting of outsideofficials and community members,attendees from other municipalitieswere doubtful of the results, becausethis area has traditionally had thelowest coverage rates.

But doubts turned to congratulationswhen one health worker presented amonitoring notebook that proved theresults and many representatives fromother municipalities talked about thepotential benefits of extending theproject to their areas.

Now pre-natal check-ups are upby more than a third, and thenumber of births in hospital hasincreased by almost half.

Since that meeting, healthcare workershave been busy following up withchecks on the wellbeing of pregnantwomen in Icla. In some cases, theseworkers are men, and they help withmaking baby clothes and otheractivities, like cake baking.

We’re delighted to say that to date thisyear, there have been no maternaldeaths reported in any of thecommunities of Icla.

Some names have been changed for child protection andprivacy reasons

Most of the communities in the regionof Icla are remote and inaccessible,especially during the rainy season, whentorrential downpours cause landslidesand block roads. During the rainyseason of 2006, two pregnant womendied. One, aged 46, was haemorrhagingblood but was unable to get to thenearest health centre in time. It lateremerged that she hadn’t been to herpre-natal check-ups because she wasn’taware how important they could be.Tragically, she left five orphanedchildren.

At around this time, a second mother –just 24 years old and unmarried – diedwhile pregnant. She had also skippedher pre-natal check-ups, and herrelatives had not even been aware ofher pregnancy.

Tragedy prompts actionA municipal meeting was called. It wasattended by all relevant healthcareworkers in the area, community leaders,volunteers, mothers and Plan workers.During the assembly, the region’s ChiefMedical Officer presented data on local

maternal deaths, analysed their causesand asked attendees to reflect on thesituation. At the assembly, onecommunity member said:

“My community is very far from anyhealth centre; it takes a full day’s walkto get to the closest one. Families reallydon’t appreciate healthcare and onlylook for help at the last possiblemoment. On top of everything else, theroad is bad.”

Another added: “Families don’t look forthe community health worker, so theyreally do not value their own health.”

Together, Plan and the communitylooked for solutions and alternatives,trying to find ways to avoid pregnantmothers dying in the future. Plansuggested a strategy of gathering thenames of the pregnant mothers in eachcommunity, and, with help from healthworkers and the entire community,invite them to their local PregnantWomen’s Centre.

“My community is very far fromany health centre; it takes a fullday’s walk to closest one.”

At present, there are eight communityPregnant Women’s Centres, withmonthly meetings for all the localpregnant women, and even somewomen who have already had theirbabies. Healthcare workers share theirknowledge and give guidance on theimportance of pre-natal check-ups,institutional childbirth, post-natal check-ups, newborn care, and danger signsduring pregnancy and childbirth. Inaddition, nutrition for pregnant womenis covered, dental check-ups areprovided, and the mothers are shownhow to make clothes for their babies.

Learning and preparation One pregnant woman came to theCentre with her husband and decided tohave the baby in hospital. She says: “I’mvery happy that I came to thePregnancy Centre. I learned a lot about

pre-natal check-ups, and with help frommy husband and the nurse I planned to have the birth in hospital. I alsolearned to make clothes for my baby,and now I feel prepared for the littleone to come.”

Her husband says: “This is the first timemy wife will have had a baby inhospital; the three others were born at home with help from my mother. But now I think it’s better to do it inhospital, and so when my wife haspains, I’ll come to the hospital to get anambulance to take her there from thecommunity.”

He’s not the only one. More and morehusbands are becoming convinced ofthe benefits of the pregnancy centres.Now they want their wives to attendmonthly meetings, educational sessionsand nutrition seminars, all in a placewhere mothers can talk about theirproblems with other mothers. Manywomen from the group have alreadyhad their babies and keep coming tothe activities at the Centre because they want to keep learning about health issues.

At the Pregnant Women’s Centres, mothers learn about childbirthand how to care for their babies

p

Mothers are shown how to make clothes for their babiesp

Happy, healthy mothers In the final months of 2006, the deaths of two pregnant women sparked off a community movement to find ways to improve care during pregnancy.One solution was the creation of eight pregnant women’s centres, wheremothers-to-be can find better ways to look after themselves and their babies.

148.5mm INSIDE 148.5mm INSIDE 146.5mm INSIDE

According to recent statistics, theproject has increased the number ofpre-natal check-ups by more than athird, and the number of childbirthstaking place in hospital has increased by almost half. When the communitypresented information on increasedcoverage to a meeting of outsideofficials and community members,attendees from other municipalitieswere doubtful of the results, becausethis area has traditionally had thelowest coverage rates.

But doubts turned to congratulationswhen one health worker presented amonitoring notebook that proved theresults and many representatives fromother municipalities talked about thepotential benefits of extending theproject to their areas.

Now pre-natal check-ups are upby more than a third, and thenumber of births in hospital hasincreased by almost half.

Since that meeting, healthcare workershave been busy following up withchecks on the wellbeing of pregnantwomen in Icla. In some cases, theseworkers are men, and they help withmaking baby clothes and otheractivities, like cake baking.

We’re delighted to say that to date thisyear, there have been no maternaldeaths reported in any of thecommunities of Icla.

Some names have been changed for child protection andprivacy reasons

Most of the communities in the regionof Icla are remote and inaccessible,especially during the rainy season, whentorrential downpours cause landslidesand block roads. During the rainyseason of 2006, two pregnant womendied. One, aged 46, was haemorrhagingblood but was unable to get to thenearest health centre in time. It lateremerged that she hadn’t been to herpre-natal check-ups because she wasn’taware how important they could be.Tragically, she left five orphanedchildren.

At around this time, a second mother –just 24 years old and unmarried – diedwhile pregnant. She had also skippedher pre-natal check-ups, and herrelatives had not even been aware ofher pregnancy.

Tragedy prompts actionA municipal meeting was called. It wasattended by all relevant healthcareworkers in the area, community leaders,volunteers, mothers and Plan workers.During the assembly, the region’s ChiefMedical Officer presented data on local

maternal deaths, analysed their causesand asked attendees to reflect on thesituation. At the assembly, onecommunity member said:

“My community is very far from anyhealth centre; it takes a full day’s walkto get to the closest one. Families reallydon’t appreciate healthcare and onlylook for help at the last possiblemoment. On top of everything else, theroad is bad.”

Another added: “Families don’t look forthe community health worker, so theyreally do not value their own health.”

Together, Plan and the communitylooked for solutions and alternatives,trying to find ways to avoid pregnantmothers dying in the future. Plansuggested a strategy of gathering thenames of the pregnant mothers in eachcommunity, and, with help from healthworkers and the entire community,invite them to their local PregnantWomen’s Centre.

“My community is very far fromany health centre; it takes a fullday’s walk to closest one.”

At present, there are eight communityPregnant Women’s Centres, withmonthly meetings for all the localpregnant women, and even somewomen who have already had theirbabies. Healthcare workers share theirknowledge and give guidance on theimportance of pre-natal check-ups,institutional childbirth, post-natal check-ups, newborn care, and danger signsduring pregnancy and childbirth. Inaddition, nutrition for pregnant womenis covered, dental check-ups areprovided, and the mothers are shownhow to make clothes for their babies.

Learning and preparation One pregnant woman came to theCentre with her husband and decided tohave the baby in hospital. She says: “I’mvery happy that I came to thePregnancy Centre. I learned a lot about

pre-natal check-ups, and with help frommy husband and the nurse I planned to have the birth in hospital. I alsolearned to make clothes for my baby,and now I feel prepared for the littleone to come.”

Her husband says: “This is the first timemy wife will have had a baby inhospital; the three others were born at home with help from my mother. But now I think it’s better to do it inhospital, and so when my wife haspains, I’ll come to the hospital to get anambulance to take her there from thecommunity.”

He’s not the only one. More and morehusbands are becoming convinced ofthe benefits of the pregnancy centres.Now they want their wives to attendmonthly meetings, educational sessionsand nutrition seminars, all in a placewhere mothers can talk about theirproblems with other mothers. Manywomen from the group have alreadyhad their babies and keep coming tothe activities at the Centre because they want to keep learning about health issues.

At the Pregnant Women’s Centres, mothers learn about childbirthand how to care for their babies

p

Mothers are shown how to make clothes for their babiesp

Happy, healthy mothers In the final months of 2006, the deaths of two pregnant women sparked off a community movement to find ways to improve care during pregnancy.One solution was the creation of eight pregnant women’s centres, wheremothers-to-be can find better ways to look after themselves and their babies.

148.5mm INSIDE 148.5mm INSIDE 146.5mm INSIDE

Real progressWith the support of Plan, children and adults inBolivia are working together to develop theircommunities and claim their right to a betterfuture. And real progress is being made. Among other successes, last year we:

• Trained 247 community-basedcommittees, giving them the skills andresponsibility to manage, spend andaccount for funds from Plan

• Helped 673 teachers in 47 schools to educate their pupils about sexually transmitted diseases and their prevention

• Rebuilt, repaired or refurnished 76 classrooms, and we have built fiveplaygrounds and three sports pitches

• Over two years, we have trained 870 people on managing a small businessand 700 people on improved farming techniques. Over the same period,4,130 families have increased their incomes.

For Plan, success almost always comes from a jointeffort combining the hard work and determination ofcommunities, children, volunteers, staff, and partnerorganisations. But the ongoing support of our sponsorsis a vital ingredient, too. It’s their generosity andcommitment that allows us to continue to help childrenin 49 of the poorest countries in the world.

So on behalf of the children and communities we work with, thank you to all our sponsors!

Plan UK Registered Charity No: 276035

BOL

Plan is supporting women’s business groups whoproduce jam and baked goods to boost theirfamilies’ incomes

p

Challenge and change in Bolivia2007 has been a year of challenges for Bolivia. There has been political violence in theAndean city of Cochabamba, and severe floods in eastern and Amazonian parts of thecountry, caused by the El Nino phenomenon. In response, Plan stepped up itsemergency support to affected communities.

Plan is working to help children in 1,081 communities lead happier, healthier lives and reach their full potential. We are concentrating on maternal and child health,education and fighting disease by improving the environment.

According to Filipe Sanchez, Plan’s Country Director in Bolivia: “This year, togetherwith the help of our sponsors, we have continued to work to improve the quality of

life for the children of Bolivia. We wish to thank you, the sponsor, for yourcommitment.”

This Country Progress Report focuseson just one successful project amongmany that you have helped makepossible.

Bolivia country factsCapital: La Paz

Population: 9 million

UN Human Development Indexranking: 115th out of 177 countries

Life expectancy: 65 years

Children under-five who die each year: 17,000

People in rural areas without decentsanitation: 78%

Secondary-age children not in school: 44%

(Sources: the UN, the Foreign & Commonwealth Office, UNICEF)

Plan is training teachers to make lessons more stimulatingand relevant to children

p

Country ProgressReport 2007

Bolivia

Admagic No:Bright No:

Client name:File name:

Date:Size:

Studio proof:

0407100647PLAN0407_Bolivia02.11.07210x443.5mm FOLD TO A54 Client proof: 3

Any enquiries please contact:Nick Burton. e: nick@bright-uk.comm: 07884 367567. d: 020 7620 8150

Size (Prod) Colours(Prod) Art (A/D) Copy (C/W) Content (Acc.)

146.5mm FLAP 148.5mm BACK 148.5mm FRONT