MDI supported the South Karelia Social and Health Care District (Eksote) in the preparation of the health and social services reform by facilitating two workshops during 2021. The first workshop took place in April 2021 with the second in the autumn of 2021. The workshops looked at remote and local services in the region, the roles of the public sector, the private sector and the third sector as organisers and producers of services, the role of the rescue department and innovative new ideas to provide high-quality and accessible health and social services and rescue services to all residents of the region.