In 2005, the Maari Ma Chronic Disease Strategy of the Maari Ma Health Aboriginal Corporation in far west NSW identified the importance of addressing the fetal, infant and child origins of chronic disease in adults. In 2008a process for developing a strategic framework to improve the development and wellbeing of children was initiated. The process incorporated all organisations involved with children. A multisectoral working group was established to facilitate the development of the strategic framework which was published in 2009 and a Project Officer was employed by Maari Ma to implement it. This included working with agencies that have the potential to affect the social determinants of health. It is anticipated that, in the medium to long term, this approach will contribute to reducing the rate of chronic disease in adulthood, and reduce the gap between Aboriginal and non-Aboriginal health outcomes.