In Pakistan, for example, the Lady Health Workers (LHW) programme provides door-to-door health services mainly for rural women who are unable to visit health facilities. Established in 1993, the programme has trained more than 100,000 women as community health workers (CHWs) who provide information, basic services and access to further care. The programme has been effective in improving maternal and child health care, including antenatal services and skilled assistance at birth.