In 2006, sanofi-aventis launched pilot programs to help improve diabetes disease management in developing countries, in conjunction with the NGO Handicap International, Sante Diabete Mali and other local NGOs in Africa, Asia and Latin America. Several projects were set up in 2007 in Burundi, India, Kenya, Madagascar, Nicaragua, Philippines and Thailand. The program aims to help local health care systems to manage the disease better, prevent the onset of complications and so avoid the subsequent need for surgical interventions such as amputation.