ADRA has trained rural health providers and selected and trained community health promoters. Midwife and TBA partnerships are formed focusing on delivering babies by skilled professionals and providing rural mothers with the support and advice they need during and after pregnancy. Capacity of community promoters is being built to enable them not only to disseminate health information, but to facilitate participatory learning discussion planning and action in health and other integrated areas within groups of 10-20 individuals formed into groups called Reflect Circles.