We work through partnerships with community-based organizations, municipal governments, national government social protection programs, large international organizations, and corporations. Trickle Up refines and adapts the Graduation Approach for various contexts and populations in partnership with local organizations and municipal governments. We help integrate Graduation into social protection and poverty alleviation programs in order to enhance livelihood outcomes for extremely poor households. We deliver technical assistance in program strategy, design, and execution to institutions and governments seeking to include people living in extreme poverty in their development initiatives. We also support practice and policy changes among other organizations and governments to more effectively serve the extreme poor.