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CIOMAL runs programmes in South-East Asia and South America. CIOMAL is a charitable organisation under Swiss law. It is made up of a Foundation Board which meets once a year to establish and follow up its projects, an Executive Council, and a permanent secretariat in charge of supervising its programmes. With the exception of the Secretary General and her deputy, the members of the Committee and the Executive Council provide their services free of charge. CIOMAL designs its projects to be as cost effective as possible; in particular, CIOMAL reinforces the self-sufficiency and consistency of the field programmes, with the aim of reducing the psychological distance between patient and medical staff.