IDF is an organization of associations in over 160 countries around the world. As such, it is organized from the ground up. Local associations deliver the programmes of the Federation. While offering counsel and advice as well as access to best practices, IDF seeks to empower the local association. Rotary International is a similar organization. The world’s largest and oldest service club, it has over 1.2 million members in more than 33,000 clubs in 160 countries. While the Rotary International headquarters in the USA offers direction, day-to-day activities are carried out by individual clubs and the over 500 Rotary Districts around the globe. The authors report on Rotary activities in the fight against diabetes and the club’s matching grants initiative, designed to encourage international collaboration.