LAD implements what we call “community-driven” and family-centered health and development programming.  What does that mean?  It means that the person, family and community are at the center of our focus and we work together to address the threats, vulnerabilities and challenges that they face rather than focus on a particular disease or specialty subject area.  Working at community level involves engaging people in a process of discovery, helping them understand and measure the challenges they face and how best to implement solutions.  This process may take longer, but ultimately it will be more effective and more sustainable because the people who live in those communities are co-authors of the programs that make sense to them and that are practical and needs-based.  These active participants can then serve as ongoing custodians of the programs and their results into the future.