... Consequently,poverty and indigence (or extreme poverty) expandedbeginning in 1990, as shown in Table 2, and levels remainessentially unchanged today. This trend mirrors stagnant and declining real wages, ... practical and viable alternative to planning, implementing, and evaluating actions thatrespond to local needs, especially in partnership with local NGOs and universities [61]. The importance of local control ... either in local, private clinics and hospitals that are indistinguisha-ble from those in industrialized nations, or in facilitiesactually located in the industrialized countries, especiallyin...