The goal of the health programme is to improve the health and well-being of remote rural communities, with special attention to women and children. Programmes provide community-based services and essential first-level referral care; improve the quality, sustainability and impact of the services offered; and support health-sector reform and organizational development through the promotion of diversity and competition, decentralized financing, management and delivery of care. In Bangladesh, India, Kenya, Kyrgyz Republic, Tajikistan, Tanzania, Pakistan and Uganda, the schools and centers are managed by national service companies. Such activities have also begun in the Afghanistan, Madagascar, Mozambique and Syria.