MACOHA recognises that livelihood training is an essential part of supporting adults with disabilities to be self-sufficient. They have 2 vocational training centres in Lilongwe and Chiradzulu but did not previously have any capacity to provide vocational training to adults living in rural areas. In 2008 we piloted rural vocational training, finding local craftsmen to train people in carpentry and tailoring. Trainees are trained in groups of 4 or 5 by a local carpenter, tailor or cane furniture maker who train with them as apprentices. With this style of training they are able to learn how to run all aspects of an active business, as well as the necessary technical skills.