The objectives of this paper are to explore the issues of sustainable public health initiatives based on the Village Concept Project (VCP) model; the strengths and weakness of employing this model in risk reduction activities; and to develop policy recommendations. VCP model was created as a rural development project that focused on long-term interventions in rural village setting to improve the living conditions of villagers. VCP are student-led initiatives and are comprised of multi-disciplinary teams that work with local non-governmental organizations (NGOs) and governments to implement community driven programs. This paper will examine the innovative methods employed using VCP by focus on the Kenya Village Project and the Uganda Village Project as case studies. The Kenya Village Project is based on the one-site model and has been operating in Western Kenya since 1996. The main focus of the project was HIV education but has expanded to include several community driven projects, such as a health clinic and a women’s micro lending program. In 2004, the Uganda Village Project modified the VCP model from a one village site to a multi-site project. Each satellite project was linked with a Ugandan NGO and operated independently from the other satellites under a general mandate of providing public health education and free medical care. This model provided the flexibility for collaboration within and between satellites and local NGOs and stakeholders.