 The study is being conducted in the rural areas of the Kasungu District of central Malawi. Among Malawian adults aged 15-49, approximately 11 live with HIV. In Malawi, 74 of people live below the international poverty line of US1.25 per day. The Malawi economy is dominated by the agriculture sector, which employs 80 of the population, accounts for 42 of national GDP, supplies 81 of foreign exchange earnings and contributes significantly to national and household food security. Aside from agriculture, Malawis economy is also highly influenced by foreign aid. Based on the World Bank Africa Development Indicators 2011 Report, the foreign aid accounted for 16.3 of Malawis GDP in 2009. Given that Malawis economy receives substantial amounts of assistance, there is great interest from both donors and the Malawian government to understand the types of interventions that effectively create sustainable change in both the health and economic sectors. 