Month in Review: November 2025

A few updates from Mano a Mano for the month of November 2025 on what we have been working on, together:

Limited Hours Around Thanksgiving

The Mano a Mano US Office will be closed on Thursday, November 27th and Friday, November 28th, with limited availability on Wednesday, November 26th.

We are preparing for our final shipment of 2025 in early December – 5 containers of supplies and equipment for Bolivia sent from our Minnesota warehouse, to complement the 7 containers with 191,653 pounds sent so far this year.

These are just a few photos from distributions in 2025:

A Staffing Update From Mano a Mano

From Nate Knatterud-Hubinger:

“My time working with Mano a Mano is coming to a close at the end of this month. I have been part of the organization for more than 20 years, including a decade as Executive Director, and I am looking forward to starting a new chapter in my career (after taking a long overdue break first!).

I am proud of everything Mano a Mano has been able to accomplish, thanks to many dedicated people working together to accomplish things that none of us could do on our own. The organization has grown so much: when I started as a part-time admin assistant (my first interview after college, in 2005), my office was in the co-founders’ home in Mendota Heights and our warehouse had no heat; Mano a Mano now has a 15,000 square-foot warehouse in St. Paul, and our staff and counterpart organizations in Bolivia have their own office and warehouse spaces – including an airport currently under construction that will be the future home of Mano a Mano’s aviation program. We have shipped millions of pounds of surplus supplies from Minnesota to Bolivia for distribution throughout the country, completed hundreds of community-based-and-owned infrastructure projects in Bolivia, and established and managed programs that support hundreds of thousands of Bolivians. There have been plenty of challenges along the way, but I have honestly never had to doubt that Mano a Mano would be able to find a way forward. I am grateful to everyone that has been a part of Mano a Mano – in the past, present, and future – and I will continue to follow along and support Mano a Mano’s continued success.”

Drone Tour: Making Progress on Mano a Mano Airport in Laguna Sulty, Bolivia (November 2025)

Take a drone tour of the progress being made on the Mano a Mano airport project in Laguna Sulty, Bolivia – the future home of Mano a Mano’s aviation program that provides emergency flights, weekend health clinics, and transport for people and cargo to isolated rural communities throughout the country for nearly 2 decades.

Below are a few additional progress pictures from November, as we work on laying the runway:

Mano a Mano’s Cessna Caravan in the Bolivian Amazon (where the majority of our flights are to), where we provide emergency flights, weekend health clinics, and transport of cargo and people.

What Stands Out the Most at the Mano a Mano CEA? Asking Visitors

Visitors to the Mano a Mano CEA in El Abra, Cochabamba, Bolivia share what stands out the most at our demonstration farm and training center:

Medical Educators for Latin America Acute Care Conference with Mano a Mano Bolivia

We were happy to see another successful partnership between Medical Educators for Latin America and our counterpart organization Mano a Mano Bolivia on their International Acute Care Conference in Bolivia earlier this month.

MELA travelers and Mano a Mano Bolivia staff having dinner, November 2025 (from MELA’s Facebook page; more photos from their conference posted here on their page).

Learn More

We typically post a few updates a week on our website and social media; we also share a monthly update, which you can check out below. You can stay connected to our work on your platform of choice – all links are on our Linktree page here.