The GMR is a comprehensive document and covers a wide range of countries and situations. It does attempt a difficult task – to provide an overview illustrated with specific cases. However, the picture which emerges does give many clear signals concerning the issues and the solutions encountered. What is striking about the analysis is not that a great deal off new information emerges. The challenges are not so much in the finding of new solutions but in the successful implementation of known strategies and the creation of pressure on governments to provide what they signed up to in Dakar in 2000. The analysis is particularly helpful where it deals with hard data. The tables and figures are very welcome.