We select grassroot women community members to provide health services in last mile communities. Our model brings grassroot members, empowering women community and gender mainstreaming that represents transformational change in communities of extreme poverty. Through skills development and training program they earn livelihood and become an inspiration for their community driving catalyst change in sustainable rural development. We establish synergies with Self-Help Groups and Anganwadi worker to build community responsive inclusive program. Involvement of local communities are more likely to involve families in better care seeking behaviour for sustainable health outcomes.