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2013 Annual Letter: How We Measure Impact to Improve Lives

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This year in my Annual Letter, I concentrate on the power of clear goals and accurate measurement to improve the lives of the poorest people around the globe.

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Annual Letter Millennium Development Goals Health 2013 each year year end yearlong report annual calendar chronicle ephemeris journal record register registry yearbook blossom bud cluster efflorescence floret floweret head herb inflorescence perennial pompon posy shoot spike spray vine account almanac annals chronology comic book daily daybook diary gazette ledger log magazine memento memoir minutes monthly newspaper note observation organ paper periodical publication rag reminder reminiscence review scandal sheet statement tabloid weekly bimonthly biweekly booklet broadside brochure circular digest glossy joint manual newsletter pamphlet pulp quarterly semiweekly sheet slick throwaway abiding ceaseless chronic constant continual continuing deathless durable eternal everlasting immortal imperishable incessant inveterate lasting lifelong long-lasting long-lived longstanding never-ending old perdurable permanent persistent recurrent seasonal sustained unceasing unchanging undying unfailing uninterrupted yearly alternate at various times centennial cyclic cyclical epochal every once in a while every so often fluctuating hourly infrequent intermittent isochronal isochronous occasional on certain occasions on-again-off-again orbital recurring regular repeated rhythmic routine serial spasmodic sporadic flower periodic whereby whence wherewith cause how motive mystery proof by which through which at which point in what respect where why wherein H.O.W. 'how' HOW How shock brunt pound rap bump ram slap quake shake crash blow jar jolt crush thump kick hit clash knock punch bang smash rock loss burden weight power mark thrust unimportance praise lose after-effects causatum chain reaction consequences end eventuality flak impact issue outcome payoff remainder residual residuum results upshot waves bash bat belt biff blindside bop buffet clip clout clump collision concussion crack cut ding jab knockout knuckle sandwich lick percussion poke slam slug smack sock strike stroke swat swing swipe thwack uppercut wallop whack whomp zap force full force pressure strain stress tension violence affray argument battle brawl break broil brush conflict confrontation difference of opinion discord discordance disharmony dispute donnybrook embroilment encounter engagement fracas fray have a go at each other jam jump melee misunderstanding mix up opposition rift riot row rumpus run-in rupture scrap scrimmage set-to showdown skirmish butt contact demolishment destruction dilapidation fender bender head-on pileup ruin sideswipe thud wreck aftermath Impact advance upgrade develop help reform rise recover revamp lift better enhance promote boost correct revise raise polish augment rectify amend edit purify update rally elevate emend refine mend sharpen look up perk up pick up recede lessen hinder worsen demote ruin damage dirty weaken harm injure halt stop hurt lower drop lose reduce blow dull align balance bring into line calibrate connect fine-tune fit fix focus grind improve improve accommodate overhaul put in working order readjust regulate renovate repair service set square tighten troubleshoot tune up break the bank enlarge get fat get rich grade grow hit pay dirt hit the jackpot magnify make a killing make out multiply pan out prefer prosper strike gold strike it rich thrive uplift alleviate lighten meliorate mitigate relieve step up gain inflate raise the value of adorn array bedeck deck decorate dress up embellish garnish gild glamorize grace make up ornament prettify set off trim advantage aid ameliorate assist avail be good for build contribute to do for one do the trick favor fill the bill further make it pay pay off profit serve succor work for adjust appreciate beautify benefit heart soul being dash zing brio vigor zest oomph verve élan apathy death time orbit epoch era span cycle days end body living woman person growth man essence entity human flesh breath animal mortal plant career story journal memoir bio development lifestyle behavior world personality knowledge enjoyment conduct attainment suffering journey realization happiness way of life woe last lead move pass abide cease lose stop halt quit leave die reside locate settle crash occupy perch nest lodge dwell bide bunk roost flourish love thrive delight savor prosper relish be happy fail feed get along maintain profit fare support subsist get by make it activity agility alacrity alertness animation bag ballgame big idea bit business bustle commotion deal energy enterprise flurry force functioning game going happening haste hoopla hopper in the works industry life liveliness motion movement occupation operation plan power process proposition racket reaction response rush scene spirit stir stunt trip turmoil vim vitality vivacity action activeness exercise exertion hustle labor adolescence adulthood boyhood childhood dotage elderliness girlhood infancy lifetime majority maturity middle age milestone old age senility seniority wear and tear youth aeon blue moon century date day duration generation interim interval millennium ardor bounce briskness buoyancy dynamism ebullience elation enthusiasm esprit excitement exhilaration fervor gaiety high spirits passion pep sparkle sprightliness vibrancy zap zeal zip adventures biography confession diary experience letter letters life story personal history reminiscences self-portrayal age autobiography Life sign cap type ABCs rune uncial number speech memo note answer report reply message billet epistle line missive kite acclamation addressing apology applause appreciation bestowal bow card confession contract credit gift gratitude greeting guarantee hail hailing letter nod notice reaction receipt response return salutation salute signature statement support thanks token appeal blank claim demand draft entreaty form inquiry paper petition requisition solicitation suit adventures bio biography diary experience journal letters life life story memoir personal history reminiscences self-portrayal cipher device emblem figure hieroglyph logo mark monogram numeral account bulletin communiqué document instruction item news piece story application chart data sheet questionnaire sheet acknowledgment autobiography character dispatch Letter Letters utopia hell aeon blue moon century date day duration epoch era generation interim interval life lifetime millennium span aftertime afterward by and by destiny eternity expectation fate futurity hereafter infinity life to come morrow offing outlook posterity prospect subsequent time to be tomorrow world to come chiliad millenary millennial age future thousand Millennium Millennia hike advance boost buildup spread ongoing upping halt decline retreat outcome issue result change upshot event source cause origin advancement amelioration betterment break breakthrough development enrichment furtherance gain go-ahead growth headway increase progress promotion rise step upgrade addition augmentation boosting deepening elaboration enlargement exaggeration expansion expatiation extension fleshing out heightening intensification lengthening magnification padding raising strengthening stretching supplementing widening accession accretion amplification beefing up enhancement increment inflation multiplication raise reinforcement swelling improvement jump prosperousness push rush spurt upsurge upswing upturn discovery find finding invention leap quantum leap step forward ancestry civility conduct courtesy culture gentility grace lineage manners nurture polish rearing refinement schooling training upbringing urbanity boom breeding Development duty use end limit mark zero start ethics goals principles standards values aim aspiration desire dream enterprise goal hope intent objective purpose target wish attempt conviction creed faith ideal intention movement object plan action angle animus big picture brainchild child conation conspiracy deliberation game plan gimmick intendment intrigue lay of the land machination meaning notion picture pitch play plot point project proposition purport recipe reflection scenario scene schema scheme setup story thinking thought trick undertaking view volition what's cooking will design drift reason where one's heading activity affair behavior business charge concern employment exercise faculty mission occupation office operation part post power province raison d'être responsibility role service situation task utility work ideals ambition cause function Goals energy fitness verdure tone shape pink fettle stamina state vigor form bloom prime disease illness appearance aspect build constitution health kilter mint order phase repair status trim bliss dreamland ecstasy elation exaltation exhilaration exultation frenzy glee high spirits intoxication joy joyousness jubilation madness rapture relaxation transport good health robustness strength anatomy being condition figure frame object outline person phenomenon physique silhouette thing torso advantage big break blessing break fluke fortunateness godsend good luck happiness in the cards karma kismet luckiness lucky break occasion opportunity profit prosperity run of luck serendipity smile streak of luck stroke success triumph victory weal wealth win windfall agreement assurance covenant guarantee oath promise toast undertaking vow warrant word euphoria luck pledge Health HEALTH
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