We formally graduated 29 health builders in September. The graduation took place as part of the worship at the church associated with Izulu Orphan Project. Five graduated in blood pressure and are employed by the government funded Community Works Program (CWP)which is administered by the Izulu Orphan Project. Twenty-four women met the course requirements for blood pressure, blood sugar and HIV screening and education and are also employed by the CWP. We were told that none of them have ever had any ceremony marking any graduation so this event had special significance to them. Four hundred people came to witness this special event.