 At their General Assemblies, all participants unanimously approved a directive to investigate options for a closer working relationship in the future.These organizations then joined with UNESCO to bring together doctors, industrial and graphic designers, and assistants to develop basic furniture for rural health centers, packaging, transport, refrigeration, and injection of vaccines and the design of data collecting devices for field use.In 2003, Icsid and Icograda ratified an agreement between both organizations during their respective General Assemblies to form the "International Design Alliance", a multidisciplinary partnership that supports design.