In Sindh maternal health facilities and proper reproductive care is not available at the required scale. Many women, especially in rural localities, find themselves at risk due to poor provision and lack of access to knowledge and health professionals. Low levels of maternal health and nutrition coupled with high fertility rates lead to high mortality and morbidity among mothers and also children, particularly in the rural areas. The lack of such healthcare endangers the life of the mother and the child. In Sindh the fertility rates average at 6.0 births by women by the age 45-49 and more than 4,000 mothers die every year due to pregnancy related issues. Consequently, poor women’s health in Sindh is as much a medical as social problem. Underlying factors here are the lack of awareness of and attention to, women’s health needs; women’s lower education and social status; and social constraints on women and girls, including the practice of seclusion. Thus, GRDO has adopted a holistic approach to women’s health which includes both nutrition and health services and special attention to be given to the needs of women and the girls at all stages of the life cycle. In view of the high risk of malnutrition and disease that women face at all the three critical stages viz., infancy and childhood, adolescent and reproductive phase, focused attention will be paid to meeting the nutritional needs of women at all stages of the life cycle.