Mitanins are lifelong friend of the community acting as guide, helper and protector of the communities health rights. The Mitanins mostly belong to poor socio-economic strata of the local community from which they are selected through a consultation process. Mitanins have been serving the community as active community health workers for nearly 21 years. Largely the Mitanins belonged to their own hamlets which ensured their proximity, affinity to their local communities. Mitanins work on many primary care issues including malaria, tuberculosis, maternal and newborn care. They also engage in inter-sector action for social determinants of health (SDOH) including malnutrition and gender-based violence. There were 70,000 Mitanins who are working as a health friend of their community.