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In the mid-1980s, USAID fully commits itself to a significant effort to improve global childhood immunization coverage.<ref name="Three decades of USAID investments in immunization through the child survival revolution"/>
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| 1990s || "International Aid in the 1990s: Sustainability and DemocracyIn the 1990s, USAID’s top priority became becomes sustainable development, or helping countries improve their own quality of life. During this decade, USAID tailored tailors development assistance programs to a countrythe countries's economic conditionconditions.<ref name="USAID HISTORY"/> During the 1990s, which meant that:  Developing countries received an integrated package of assistanceTransitional countries received help USAID engages in times a process of crisisCountries with limited USAID presence received support through nongovernmental organizations (NGOs)USAID played a lead role structural reform. Programming and funding authority are being shifted dramatically within the Agency to further decentralize responsibilities. The centralized strategic decision making that characterized the Agency in planning and implementing programs following the fall first part of the Berlin Wall in 1989. USAID programs helped establish functioning democracies with open, market-oriented economic systems decade is being shifted to missions and responsive social safety netsthe role of Global projects changes dramatically."<ref name="Three decades of USAID HISTORYinvestments in immunization through the child survival revolution"/>
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| 2000s || "International Aid in the 2000s: War and Rebuilding
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