NPH USA, formerly Friends of the Orphans, breaks the devastating cycle of poverty by providing nearly 7,000 vulnerable children in Bolivia, the Dominican Republic, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, and Peru with the essentials they need to survive and thrive. In 2021, Nuestros Pequeños Hermanos (Spanish for “Our Little Brothers and Sisters”) provided shelter, nutritious food, education, health care, workforce development and life skills training through more than 83,000 services. Children served by NPH grow up to become caring, self-sufficient leaders in their communities. NPH also fills a vital, lifesaving role with its operation of St. Damien Pediatric Hospital, the only hospital wholly dedicated to pediatric and prenatal care in Haiti.