The price of fluoride toothpaste is believed to be too high in some developing countries. Advocacy process by the United Mission to Nepal Oral Health Programme in 1997 to increase the availability and utilization. Locally produced fluoride toothpastes were less expensive then the imported fluoridated brands. The women also expressed concern about the use and affordability of toothbrushes and interdental cleaning aids.The women trained in 2006, each reported to have trained at least four groups of other women, with approximately 25 participants.From 2006 to 2008, in 22 districts, the trained rural women have informed approximately 2200 additional women. At least 4000 children in the represented districts were reached by the oral health promotion activities of these rural women.