"The LCDD approach can be utilized in almost any country, but the design and management of programs will differ according to the country and locality. During the diagnostic phase, stakeholders discern the best strategic fit among the country and community context, the locus of management responsibilities, and the flow of funds. Experience in Africa shows a progression of institutional complexity and institutional sustainability. Through policy reforms, decentralization, and capacity building over the course of 10 to 15 years, institutional arrangements in many cases have moved away from separate, “silo” programs toward programs fully embedded in national and local government structures. This is both a reflection, in part, of LCDD approaches already taken and a positive trend for future LCDD activities."