ADRA’s holistic programming approach to health includes mental, physical and spiritual well-being. This approach includes ensuring that the determinants of health are addressed sufficiently in working with communities so they can survive and thrive. Key to this is ensuring that households and communities, particularly women, have access to clean water and sanitation, adequate and nutritious foods, and adequate and timely health care services. Psychosocial care is also important.  It is equally important to focus on promoting healthy lifestyles by working with people to impart knowledge and create behavior change on in areas such as hygiene, healthy diets, exercise and abstinence from substance abuse.