In 1998, as a result of her personal loss and passionate perspective to fight the battle on AIDS, Marion Bunch, a Rotarian from the Rotary Club of Dunwoody/Atlanta, GA created an AIDS Awareness program between the Georgia Rotary Clubs and AID Atlanta. This project to date has reached over 500,000 students in the middle and high schools of Georgia.

In 2002, Marion was asked by Past RI President, Bhichai Rattakul/Thailand, to create a program to help orphans and vulnerable children in Africa. She responded by creating a multi-sector partnership (called ANCHOR) that provided support at the community level to 122,000 orphaned children in six African countries. Partnerships were created with Rotary leaders in Africa that mobilized hundreds of Rotary clubs into action, including the organizations of HOPE Worldwide, Emory University and The Coca-Cola Africa Foundation. A USAID grant of $8 Million USD was secured for program implementation between 2005 and 2010.

In 2004, the Rotary International Board of Directors subsequently approved an application from Marion Bunch for RFFA (Rotarians for Fighting AIDS) to become an independent non-profit Rotarian Action Group focusing on mobilizing Rotarians in the fight against HIV/AIDS. Since 2012, RFFA has been doing business as RFHA (Rotarians for Family Health & AIDS Prevention) to more accurately reflect its mission of mobilizing partners and communities into implementing disease prevention programs.

In 2011, Rotary leader Stephen Mwanje, a Past District Governor in Uganda, had the vision of all of the Rotary clubs in his country ‘working together on a common cause.’ This was the birthing of Rotary Family Health Days, a massive disease prevention health campaign that provides lifesaving immunizations and health screens across four nations of Africa and part of India.  RFHA created a Public/Private Partnership that involved the volunteer support of over 5,000 Rotarians in order to implement this large scale, national program in each country. The Coca-Cola Africa Foundation was instrumental in ‘birthing’ our program for the first 4 years, along with each country’s Ministry of Health, PEPFAR (U.S. President’s Emergency Plan for AIDS Relief), major media houses and hundreds of NGOs.  From 2011 to 2019, over 2.4 million citizens have been served.  (See "Programs”).  An award-winning documentary was produced by Rotary International in 2013 (see below).