Melanie and Medicines for the People are essentially leading strategic change every time they enter a developing country or region and begin instilling awareness and best practice knowledge in regards to HIV and AIDS awareness. When relations began to sour, much of the reasoning was believed to have been the failure to realize that everything here in the former Soviet Union is made via informal networks amongst other miscommunications between the organization and related, local entities. What would the consequences be for not considering local circumstances in the implementation of a relevant strategic plan?