COFOA’s new organizing efforts in Honduras and Guatemala are growing and reaching a point where local teams are beginning to negotiate improvements in basic public health infrastructure. As in El Salvador, COFOA’s approach is to start with local issues that create momentum and develop people’s leadership skills, but not stop there. COFOA leaders in San Gregorio in Sololá in the Central Highlands of Guatemala and in the rural community of Yoculateca, near the capital of Honduras, met with officials to secure financing for sewer systems in their communities. Another rural community, El Destino (the destiny) in rural Honduras, is organizing to win a bridge. Meanwhile, COFOA teams from eight communities in the Francisco Morazán Department in Central Honduras are working with Catholic Archbishop José Vicente Nácher Tatay to bring a regional hospital to underserved rural areas.