In order to bring the vulnerable people above the poverty line it is very important to address their health issues. It is seen from the experience that a significant number of people remain under poverty line, despite their continuous efforts of coming out from the poverty. Whenever they succeeded to cross the poverty line and fight to remain out of the poverty, in many cases, the health problem for the incumbent or a family member pushes them to the poverty again and again.

In its long experience Grameen Bank (GB) realized that without improvement of health care facilities to the rural poor only through Micro-credit, it is not possible to ensure keeping them out of poverty permanently. In order to get a quick result from micro credit and to see their productive life, GB has been initiated an action research project to develop a Rural Health Program (RIAP) in 1993. Grameen Kalyan (GK) was intended to provide quality primary health care services to GB members as well as non-member preventive and promotional health services with special emphasis on family planning, reproductive health, maternal and child health. One of the important objective is to make the program self-sustainable and ensure to reach the qualitative Health care services to the un-reached within affordable cost.