The Rapid Access Expansion Program (RAcE) is a health project implemented by World Vision Niger in partnership with WHO and Government. The program’s main goal is to reduce mortality rates in children under five and stimulate health policy as well as catalyze scale-up. Through this program, lay community health workers have been trained to deliver quality case management of childhood illnesses in the most vulnerable communities. Through the implementation of this program over 700,000 cases of malaria, pneumonia, and diarrhea have been treated. By so doing,this catalytic initiative has realized approximately a 4% annual reduction rate of under-five mortality rates in the catchment areas.