Mr. Charlie Lamson:

I will respond to the Senator. It is interesting because Sightsavers is directly involved in the programme for the elimination of river blindness. Picking up on some of the comments made by Ms. Carty, the focus has to be on the local if one is to eliminate inequality or the imbalances, which our organisations are doing increasingly through a partner-driven approach. Rather than implementing it externally, it is working very much through those partners. As part of that partnership, we are always looking to work with more and more explicit guidelines to promote equality and so many of the different themes. It is something on which we have been working very closely. By the same token, when we look at the top-down approach which we take in working with Ministers for health and education, if we are talking about disability, gender equality or such issues, the challenges can also be approached from state level. Between the two, from my experience of having travelled in Sierra Leone and having seen it being implemented, it is having a very profound impact, but it takes time to bring about changes. There are cultural norms and things that need to be shifted, as they do in Ireland and other states, but there is positive momentum.