The document reports on the successful efforts of the San Francisco Home Health Service, which brings much needed homemaker/home health aide services to hundreds of elderly people in the San Francisco Chinatown area. Providing historical and cultural background information about the area, its residents, and its particular health problems, the report traces the program's development, which began with the cooperative efforts of the Self Help for the Elderly organization and the Chinese Hospital in 1966. The language barrier and lack of community acceptance were major obstacles in establishing the needed health service and a training unit for the preparation of homemaker/home health aides. However, an adapted homemaker/home health aide training program was initiated with the assistance of a three-member bilingual staff. Three case histories, chosen at random from the health service files, illustrate the type of problems encountered. An appraisal of the agency's ultimate acceptance by the community, its pattern of service, and major achievements close the report. (MW)