"Executive Summary The chapter one explainsthe importance of community Support Group (CSG) and linkage with primary health care (PHC), universal health coverage (UHC) and the Sustainable Development Goals (SDGs). United Nations Children’s Fund (UNICEF) and World Health Organization (WHO)set up a vision for PHC in the 21st century: towards UHC and the SDGs in 2018. CSG is the one of the three key essential components of the PHC which provide the foundation and impetus for achievement of UHC and health related SDGs. PHC is “a whole-of-society approach to health that aims at ensuring the highest possible level of health and well-being and their equitable distribution by focusing on people’s needs and as early as possible along the continuum from health promotion and disease prevention to treatment, rehabilitation and palliative care, and as close as feasible to people’s everyday environment.” (WHO and UNICEF) (2018) UHC means that all individuals and communities receive the health services they need withoutsuffering financial hardship. It includesthe fullspectrum of essential, quality health services, from health promotion to prevention, treatment, rehabilitation, and palliative care across the life course. The 2023 Agenda of Sustainable Development provides a shared blueprint for peace and prosperity for people and the planet. There are 17 SDGs which can provide impetus to the Alma Ata and Astana principles (PHC) as follows. end poverty (SDG 1), equity (SDG 10), community participation (SDG 16), and intersectoral collaboration (SDG 17) There is growing global consensusthat effortsto bridge health system and community through collaboration and partnership will be key contributor to the achievement of SDG and UHC. Basic health staff (BHS) have over-workload to cover many villages and with a lot of tasks. It is hard to reach to all villages regularly. Accessibility of the community to health center is also difficult in some areas because of geographical terrain and other conditions. Even the BHS arrive in the village, they could not meet with caregivers at all visits with many reasons. Therefore, CSG composed of villagers and voluntary health workers is essential to fill up the gap to achieve UHC and SDG. The chapter two outlines guidance to operationalize the community Support effectively and efficiently. There are 6 Steps for setting up and operationalize the CSG in the village. SOG 1: Advocate and Communicate SOG 2: Form CSG SOG 3: Build Capacity SOG 4: Select and Implement Appropriate Interventions SOG 5: Monitor and Provide Supportive Supervision SOG 6: Ensure Functioning and Sustainability of CSG There are seven action points from the above SOGs. UNICEF develops the advocacy messages, and it can be adapted as per local situation. Project/ Responsible Person conduct advocacy meeting. Community form CSG by themselves with one month after advocacy meeting. Project staff visit to village and conduct meeting with CSG ensuring formation is as per set criteria and explain the roles and responsibilities of CSG. The staff discuss with CSG members and set the date for capacity building and prepare and conduct accordingly. CSG and CBHWs implement all or selected interventions according to the needs. The respective project staffs provide supportive supervision, support and observe the progress of CSG. They facilitate and serve as a technical advisor and not include in decision making. They have to ensure the establishment of effective community feedback and complaints mechanism. Project has to provide necessary supports for functioning and sustaining of CSG and ensure that CSG has ability to stand independently in long term. The chapter three outlines and guides the detail implementation of each intervention. There are 13 interventions and CSG and Community Based Health Workers (CBHW) will implement all or selected interventions based on the needs of the respective community. The interventions are as follow. Community Mobilization IYCF counselling Active Case Finding and Prevention and Treatment of Acute Malnutrition Establish Referral System Support Nutrition Promotion Month Campaign and Regular Nutrition Activities such as Group monitoring and Promotion (GMP), Micronutrient Supplementation and Deworming Anti-Natal Care Community Based Newborn Care Community Case Management of pneumonia and diarrhoea WASH Early Childhood Development Income Generation Activities Data Management and Others based on local needs..."