 The CPIO-plus approach has been successfully implemented in Guatemala and rural communities, with positive results in terms of increased community engagement and improved maternal and child health outcomes. Local staff and government officials alike expressed enthusiasm for continuation of the project, citing the benefits of involving the community in program planning and implementation. However, there are still some challenges to be addressed, such as maintaining community participation and overcoming resistance from men to women's participation in care groups. In order to ensure sustainability of the project, it will be important to address these issues and provide incentives for community members to remain involved. This article was authored by Jason Lamden, Cheyenne Martin, Mario Valdez, and others.