Guatemala is sometimes referred to as two countries in one because of its highly stratified society where exclusion, poverty and chronic malnutrition remain at high levels. The prevalence of chronic malnutrition is a particular concern because at approximately 50%, it is higher than any other country in the Americas and higher than most African countries. The Health Communication Capacity Collaborative (HC3) assists the Government of Guatemala with a social and behavior change communication (SBCC) strategy for the Western Highlands Integrated Program (WHIP). The Western Highlands are where poverty and malnutrition are highest in the country at nearly 70%. Its SBCC strategy will be designed to facilitate complete and comprehensive integration of key elements of development including income generation, nutrition, education, local governance, water and agriculture.