This FIELD Report, number 7 in the exploratory series, discusses the primary objectives and key lessons learned by the Save the Children team in adapting its operations to more effective affect sustainable impacts for low-income and food insecure households in Bolivia. Save the Children worked to reduce chronic malnutrition in one of the most malnourished parts of the world., including Bolivia where Save the Children managed and implemented three integrated components—Health, Income Generation, and Natural Resource Management—to tackle the root causes of food insecurity. “The Sustained Market Access for Subsistence Farmers through Value Chain Facilitation” was a pilot activity under FIELD-Support designed to scale down Save the Children’s large food security program to a smaller more market-focused project driven by value chain methodology.