This project draws on evidence-based models offering a sustainable, community-based, integrated package to PMTCT mothers and babies in rural Swaziland (Lubulini), who are among the most vulnerable populations in Africa. An innovative package will provide the requisite skills and knowledge on Early Childhood Stimulation and Nutrition (ECS), while empowering vulnerable mothers with economic strengthening and access to nutritional supplementation for babies through Income, Savings and Loan Associations and drought-resistant permaculture gardens. Access to ECS trainings and information through Interactive Voice Response-based mobile technology will deliver a menu of voice messaging to mothers. The program offers a sustainable path for better health outcomes for children.