The global aid industry is experiencing an unparalleled era of evolution and transformation. Globalization of media has increasingly brought the plight of the world’s poor, disadvantaged, and disabled before our eyes. A growing awareness of the chasm between the privileged and the poor has spawned a tremendous burst of creativity in efforts to end poverty. At the same time there has been an increasing demand for heightened scrutiny over the impact of poverty programs. Do any of them really work?