Chitral is a landlocked and mountainous region of northern Pakistan located in the Hindu Kush mountains, with a total population of around 400,000 in 50,000 households. The inhabitants of Chitral face a variety of problems associated with climatic hazards throughout the year, such as heavy snowfall in winter, flash floods in summer, glacial outbursts, soil erosion, landslides, occasional earthquakes, and subsequent outbreaks of disease. In such a fragile environment, the collective action of local communities through grassroots institutions—Village and Women's Organizations (V/WOs) and the second generation of these institutions, Local Support Organizations (LSOs)—has been instrumental in effectively tackling these problems. LSOs play the role of a laboratory for engagement by civil society and developing institutional mechanisms to address development challenges, including natural hazards and disasters in the area.