For real change to take root in Kenya, we must target ample resources at the early development of its most vulnerable citizens. Our MTOTO (Mother-Toddler-One-To-One) program links a trained nurse to newly pregnant mothers, helping to shepherd them successfully through this period via routine home visits until the baby is 2. This nurse provides valuable counsel and resources for prenatal care, normal birthing, healthy breastfeeding, infant nutrition, child developmental stages, optimal parenting, and the importance of a language-rich environment. We also include a 12-week training for new parents that covers other key childcare topics in a community group setting. Finally, our home early reading program brings literacy training and age- appropriate books to families. In short, we believe that building leaders starts on day one, by empowering mothers with the knowledge and resources to raise healthy babies and toddlers.