Implementation requires adequate expertise, funding and clarity about roles. Governments may find, where resources are limited, that their most effective role is guiding service providers and donors regarding priorities established in the policy framework and monitoring changing needs and programme results. Bureaucratic impediments to supporting needed services should be minimized and interventions inconsistent with the national policy framework should be pre-empted. Raising public awareness and developing a consensus on needed responses can help mobilize local participation, probably the most important resource needed. Training is a crucial element in further developing capacity to respond effectively.