For this proposed project, I will return to Fianarantsoa, Madagascar (where I lived for eleven years) this summer to help launch a pre-teen health and leadership project that is currently in its start up phase. This project will recruit eight young Malagasies who have experience working as peer educators. These youth will be assigned to four public middle schools in the city where they will implement, over the course of a year, fun and creative after-school activities for middle school students that integrate basic puberty, sexual health, girl’s empowerment, and leadership messages. Mid-year, each middle school will receive a $500 grant. With this grant, the middle school students and their mentors will apply their leadership skills to design and implement a civic engagement or school improvement project. There are currently no such after school programs in Malagasy middle schools; this program will fill this void while building leadership capacity and health awareness.