Mano a Mano has a management structure uses volunteer time in a manner that is productive and fun. The founders, staff and volunteers have an infectious attitude towards their mission and rightly so. It's an honor to be part of an organization that works with the Bolivian government to build 130-plus medical clinics, build miles of roads to help farmers bring crops to market, and other projects which go directly to making the lives of those living in rural Bolivia better.