Pamana Ka Sa Pilipinas (Pamana) is a grassroots fisherfolk alliance of Philippine Marine Protected Areas with more than 6,000 individual fisherfolk and their 30,000 family members. Access to food, education, and health services for Philippine fisherfolk families is directly dependant upon the fish harvest and related health of the marine environment. Pamana represents a unique "ecohealth" strategy, linking the health of coastal people and that of their surrounding marine ecosystem. Pamana's activities are viewed by both their membership and barangay (village) health workers as a contribution to nutritional and community health. The alliance has developed an approach to the empowerment of fisherfolk that has led to improvement in health, food security, and nutritional status of their communities. The development of Pamana provides a model for building capacity in other fishing- and resource-based cultures, through engagement and empowerment. In less developed countries, grassroots initiatives, such as Pamana, may be the only solution for sustainable fisheries contributions to food security, given the challenges of fisherfolk poverty, environmental degradation, and limited finances.