More important than creating change is creating the possibility for more change. We believe that by educating and involving small groups we create an ever-wider circle of influence. Empowerment perpetuates itself, and Causes for Change International will expand through the Americas, eventually serving communities throughout the world. In the more immediate future, projects include completing the Kilometer 26 hospital, developing micro-enterprises and a common marketplace, and rehabbing the Perpetual help orphanage. Causes for Change International also seeks to establish a solid financial foundation for further growth.