TSMP is currently operating in Soroti and Serere districts. The choice of this area is informed by the fact that, these two districts have the highest concentration of poor people per square meter in the Teso region as reported in the spatial trends report of the Uganda Bureau of Statistics. Soroti District has a poverty density of 53% and has registered little progress in terms of poverty reduction in the last 15 years. However, due to rising demand for specialized reproductive health services, TSM plans to increase its coverage to the entire sub region of Teso, comprising a total of 9 districts. Most of TSMP’s clients are the vulnerable rural poor who by virtue of their deprived status resulting from historical and geographical disadvantages have a difficulty accessing quality basic health care and safe motherhood services.