-lsb- gore -rsb- -lsb- words indistinct -rsb- intensive discussion of the need for development on a sustainable basis in the region with assistance from multilateral development banks and other international financial institutions and increased investment flows and trade flows to improve standards of living throughout central america , and in the bilateral meetings i had with president reina prior to the meeting with all of the central american presidents , we talked in specific detail about the relationship between honduras and the imf and ways in which the united states can offer constructive help in that dialogue .