The study in South Asia found that community participation cannot be supported in health systems alone without other support programs ( Rifkin, 2009, Hossain et al., 2004). For example, community participation among disadvantaged groups should be greater due to the need to strengthen their capacities and capacities to meet specific health needs as well as improve their autonomy linked to quality improvement of life. Community development programs might be needed to improve skills and knowledge through several trainings aimed at empowering disadvantaged people to make decisions and take control of their own lives (Rifkin,