This chapter presents an experimental asset transfer programme, which reaches the poorest of the poor. It shows that a poverty alleviation programme which reduces vulnerabilities (such as employment, food, dwelling and health insecurities) simultaneously enables households to change from being ‘risk prone’ to being ‘risk averse’. Although as a short-term donor-funded project it faces many challenges, the results support calls to incorporate both development (i.e. infrastructure improvement) and adaptation (i.e. damage resilient livelihoods) into NGO, donor and government policy, planning and practice.