CARE Bangladesh has implemented several largescale programming initiatives in the Haor region over the past 10 years. These initiatives have included the Strengthening Household Ability to Respond to Development Opportunities (SHOUHARDO) II programme and the Food Security for the Ultra-Poor project which focussed primarily on improving food security. Several initiatives designed to promote improved maternal and child nutrition and health have also been implemented by CARE Bangladesh in the Haor region, some such as the Adolescent and Reproductive Sexual Health Initiative (ARSHI) with a particular focus on women’s empowerment. CARE Bangladesh currently has several ongoing projects in the region, including the CARE-Glaxo Smith Kline Community Healthworker Initiative, which is a public private partnership designed to improve the health outcomes of women and children in underserved, remote and poor communities of Sunamganj upazila in the Haor region, and the Tipping Point intervention, which aims to promote changes in social norms and behaviours relating to early marriage through a process of participatory community analyses with a particular focus on adolescent peer groups.