As a senior case writer and researcher at Harvard’s Global Health Delivery Project, I have had the opportunity to study the strategy and effectiveness of numerous programs operating in resource limited settings around the world. Last year, my work enabled me to get to know Pathfinder International intimately, as I and my team developed a case study of Mukta, one of Pathfinder’s HIV prevention programs in India. Throughout my experience researching the program and working with Pathfinder’s staff there, I came to appreciate the strength of Pathfinder’s human rights framework and its implications for their work on the ground. Mukta works with marginalized female sex workers and men who have sex with men, key populations whose vulnerability to HIV is exacerbated by structural and social factors that create formidable barriers not only to their ability to access HIV prevention and treatment services, but to their day-to-day safety. Pathfinder’s staff united excellent management practices with their human rights framework to build the capacity not only of the local NGOs they deliver services through, but of the communities themselves to set agendas, develop strategies to effect the change they deem most necessary and, ultimately, improve health outcomes. I was consistently impressed by Pathfinder’s commitment to excellence in management and data use practices, as well as their focus on sustainable change both for communities and for the governments who represent them.