Friendship, an international Social Purpose Organization*, has been working for the last 20 years to help address the needs of remote and marginalised communities in Bangladesh—mostly those living in the northern river islands and southern coastal belt. Friendship delivers on its four commitments—Saving Lives, Poverty Alleviation, Climate Adaptation, and Empowerment—by providing effective and integrated services in six sectors interacting with each other: Health, Education, Climate Action, Inclusive Citizenship, Sustainable Economic Development, and Cultural Preservation. The organisation, which started in 2002 with a floating hospital serving only 10,000 patients, is now providing healthcare and other development solutions to more than 3.5 million people a year and is within reach of approximately seven million patients. Nearly two-thirds of its almost 5000 employees are recruited from within communities and trained as medic-aides, teachers, paralegals, etc.