Charles MacCormack outlines four core principles which must guide aid reform in Haiti. Achievements of U.S. foreign aid to Haiti have included halving the child mortality rate in less than 2 decades. However, "Haiti has remained impoverished and so it’s clear, we must do much better". This requires increased accountability through transparency, and the empowerment of one U.S. agency to oversee the development in Haiti. MacCormack argues that "USAID should also lead development efforts, so that the fractured efforts of the dozen U.S. agencies engaged with Haiti are better coordinated and cohesive, and so, more effective."
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