Paul Rogne traveled to Bolivia with Mano a Mano in March and September, 2019. He documented the people he met, the rural and urban scenes he saw, and the amazing transformative work that Mano a Mano has been doing for nearly 25 years. Mano a Mano has worked to upgrade medical and educational services, improve the water supply, train farmers in more sustainable techniques, and care for seriously ill or injured patients by providing air transportation to hospitals and clinics. Paul and others who have visited Bolivia will describe — using many of his photos — this transformative work and experience.