Absolutely, beyond a doubt.
From a programming perspective, my impact is different when I have significant resources to contribute. To be clear, I am not referring to volume; it's not the amount of money that is important. Geographic focus is important. To be sure, financial needs are probably more circumscribed in the Americas than in Africa. That said, in order to intervene in the area of maternal and child health, if you have access to more significant resources, clearly you can accomplish more. This has been demonstrated in the area of maternal and child health, especially in Haiti, where we have made good progress. We have also worked in Honduras and Bolivia, where we have had very good results.
Also, with geographic focus, it is much easier to interact with the government. The scope of our presence generates credibility, which allows us to develop a number of things.