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The main focus of this report is to understand how positive change can happen from the perspectives of people living in greatest poverty and marginalisation and what can be done to promote this change.  It is based on findings from participatory research, conducted by the Participate Participatory Research Group (PRG), that was undertaken by grassroots organisations, activists and citizens in 29 countries across the world. The views, stories, and experiences of the participants were collected and shared through diverse mediums including participatory film-making, digital storytelling, public forums, public theatre and art. 

The report highlights how the poorest and most marginalised communities' experience of poverty is multidimensional, often characterised by low incomes, insecure livelihoods, limited or no assets, harsh living environments, violence and environmental degradation. These factors combine with multiple and interconnected inequalities, and close down the opportunities that people have to change their situation themselves.  Most of all this research showed the depth of insight and intelligence of people who face extremely difficult circumstances and is a call to pay attention to what this ability offers to those who seek to promote development.

The report's authors argue that development should focus on the very poorest and work with them to make the decisions that matter most in their lives. The research shows that development interventions are targeted at those who are easiest to reach. They are often based on strong assumptions about the experiences of the poorest, rather than a real understanding of how they experience poverty and inequality.  The results of this research will contribute ongoing international discussions about a new set of poverty reduction and environmental sustainability targets to replace the current Millennium Development Goals (MDGs) in 2015.