Any single standard package may not have enough flexibility to be adapted to a wide variety of specific local institutions and cultural contexts. Sometimes there is not enough community involvement in all the stages to assure appropriateness, cost-effectiveness, coverage,a nd continuity. Sometimes the innovative are in too much of a hurry to establish a large program and to go to scale nationally.
Government officials are often skeptical or suspicious of voluntary agencies.
Scaling up calls for a different kind of managerial capacity which will be less personal and informal at the top. Selection and maintenance of staff with requisite attitudes, skills and motivation. Training a sufficiently large cadre of field workers and project officers for participatory projects. Maintenance of an emphasis on participatory process, rather than the result alone. Maintenance of accountability to the people at the grass roots by alllevels of planners and administrators.