The Organization also suggests that the preparation of nursing trainers, service staff and other caregivers should be made a priority in community outreach in the area of elder health. Integrating providers of home-based care and other kinds of community-based caregivers who work with older persons into training processes would help to safeguard service quality and avoid risks (PAHO, 2012). As discussed in the chapter on this subject, this is a particularly urgent matter in the case of domestic service. Some countries, such as the Plurinational State of Bolivia, Costa Rica, Pern and Uruguay, have begun to bring the rights of domestic workers either partially or fully into line with those of other woikers and are setting up effective systems for enforcing labour laws and regulations.