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MCC began work in Nicaragua after the devastating 1972 earthquake in Managua and worked with partners in with relief responses. Given the presence of Mennonite and Brethren in Christ churches, MCC continued on with increasing attention on development and peacebuilding in the country. In the 1990s, MCC Nicaragua merged with MCC Costa Rica, where there was work with the Mennonite churches in disaster preparation and mitigation and peacebuilding.
More recently MCC Nicaragua and Costa Rica has worked significantly with partners in adapting principles of conservation agriculture, particularly in the drought-prone Dry Corridor region. On the vulnerable east coast, MCC has supported a long-time partner Acción Médica Crisitana in work with HIV/AIDs and violence prevention. Closer to Managua, MCC supports various education initiatives, including libraries, support for at-risk children, and service-study scholarships for university students.