Interview data showed that the most useful practices were agenda setting, goal setting, exploring ambivalence and assessing patient's confidence to change. Time restrictions and lack of systems in place to support self management on organizational level are considered the biggest barriers for SMS. Conclusion: ADP training effectively builds clinicians' SMS practices. Further research is necessary to establish whether applying those practices in clinical consultations influence patients' engagement in self managing their long term condition. A husband's neglecting/abandoning her if diagnosed with breast cancer is a woman's greatest fear and barrier to screening/early detection, a major reason for rising breast cancer morbidity and mortality in Malaysia. Thus, MENCARE!, focusing on men advocates to empower women for breast cancer screening, has been implemented. MENCARE! trains men working in public and private corporations to provide support for women's breast cancer screening. Project effectiveness was evaluated by assessing changes in policies and procedures in one public agency and changes in men's knowledge, attitudes on breast cancer, and actions to support women's breast cancer screening, using multistage pre & post advocacy evaluation design with mixed Methods: One month and one year post-training evaluation of 75 male advocates through questionnaire surveys and 3 focus group discussion (FDG) were conducted. In-depth interviews were conducted with 5 management personnel pre and one-year post advocacy. Organisationally, while existing health package within the agency still did not include breast cancer screening, it would support all cancer treatment 100% at the one year post-advocacy. The flexible time-off procedure for male staff needing to support spouse/family for breast cancer screening continued a year later. "Many of them have gone for screening" was observed by one personnel interviewed one year post-advocacy. Request for a mobile mammography clinic on-site was made by management a year later. Individually, the training increased male staff's knowledge of breast health, cancer and screening in certain though not all aspects. The training increased their willingness to be involved in all types of support for women: to discuss/motivate women to get early and complete treatment, to prepare types and levels of support. Yet, men expressed some problems: lack of awareness/ exposure to what is commonly regarded as a women's disease/ problem; embarrassed to talk about women's breasts; lack of screening facilities and medical insurance, especially in rural areas; and men's busy work schedule. Buying in of public or private corporations and targeting male support at the work-place appears strategic in addressing women's delayed or low uptake of breast cancer screening through changes in organisational policies and procedures as well as individual changes in knowledge, attitudes and support actions. Once a health intervention is proven effective at a technical level, the steps required to generate a delivery system that produces positive health outcomes are nontrivial and poorly understood. For governments, the political environment often precludes experimentation or data-driven decision-making at the program level. Particularly in HIV, the political processes often fail to serve those most at risk, the socially marginalized. We explore the Bill and Melinda Gates' Foundation's novel approach of building a large-scale HIV prevention program in India, called the Avahan Initiative, through partnerships with NGOs, small-scale delivery experiments and rigorous data collection, to then transition to the government, to understand its effectiveness as a strategy to yield scientific programming and policy nationally.