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This report summarizes activities U.S. Government (USG) agencies are undertaking together to improve programming for highly vulnerable children and the steps they have taken and plan to take to implement Public Law 109-95. It covers the period of July 2007 through July 2008. This report contains many examples of how USG agencies have worked together, as well as with international donors, nongovernmental organizations, and host countries, to learn from each others' experiences and to improve programming. …