Because of the high adolescent anemia rates, SHIP began a dynamic school-based program The Adolescent Anemia Prevention Program. This is a collaborative effort through the United States Agency for International Development (USAID) bilateral agreement with the Ministry of Health and Population (MOHP), Healthy Mother/Healthy Child Project (HM/HC) and SHIP that seeks to reduce current anemia rates and to prevent anemia in preparatory and secondary schools students. All school, (including public, private, religious, government and technical schools) in five governorates in Upper Egypt (Aswan, Beni Suef, Fayoum, Luxor, and Qena) participate.