SEVA'S PROGRAMS This year, the Seva Foundation, will celebrate 20 years of service for people struggling for health, cultural survival and sustainable communities. Seva has successfully challenged old models of charity and narrow political formulas, and moved on to create lasting practical solutions and spiritual connections in its work. A small, nonprofit, non-governmental foundation, Seva has built partnerships in international health in India, Nepal, Tibet, Guatemala, Mexico and the United States. It is conscious that whether it is involved in programs to restore sight, promote sustainable agriculture, helping communities sustain themselves economically or fight disease it must do so in a way that promotes an authentic dialogue between profoundly contrasting world views. Programs are developed in a way that builds self-reliance and are based on a vision of the connection between spirit, culture and health. Seva initially focused on the plight of the millions of needlessly blind in India and Nepal. By making a long-term commitment to working with local partners, by organizing professional training in cataract surgery by hundreds of American and Canadian ophthalmologists, by helping create a model of self sustaining eye care programs, by arranging for the transfer of the latest technology to support the highest quality cataract surgery Seva has helped millions in the developing world have their sight restored. Its work in India, Nepal and now Tibet is widely replicated in other parts of the world. In response the pervasive human rights violations and suffering in Guatemala and Chiapas, Seva initiated a refugee protection and accompaniment program and programs that supported indigenous culture, sustainable agriculture and micro enterprise. Its work with Mayans and other Indians in these areas has been matched with over a decade’s work with Native American communities in the Unites States. Seva's most recent Native American project in tackling the epidemic of diabetes on reservations, combines an interest in the relationship between spirit, culture, mind, body and health. Its expanded concept of holistic care has already attracted the attention of several tribes and groups working on Native American health issues. Seva has always been interested in the process of service: seva itself is a sanskrit word meaning service. The organization’s leaders wrote books about service and compassion in action and have been invited to lecture extensively on these topics. The organization began to offer retreats for social and environmental justice activists to help focus attention on the need for a process of inner renewal; to help them in sustaining their compassionate action in the world.