With international adoption to the U.S. closed since 2001, Holt concentrates efforts in Cambodia on keeping children in families, and out of institutions. Through ongoing partnership with local organization Pathways to Development, Holt supports family preservation services ranging from nutrition, health and medical aid to school materials for children and income-generating opportunities for parents. 

For a handful of families, Pathways administers grants to cultivate small businesses such as raising livestock, growing vegetables or running a grocery. By generating their own income, families become increasingly self-sufficient and able to provide long-term stability for their children. Holt's partner also provides remedial and English language classes for over 200 children and maintains a community library on site. All together, these resources and services provide the fundamental support that keeps families together and prevents child abandonment.