We should like to extend our thanks to all persons in Ghana, Guyana and Nepal who have volunteered to express their most personal thoughts and feelings to help us understand the benefits and challenges of community-based rehabilitation (CBR). We have appreciated their frankness, openness and critical views. Without their willingness to contribute, this study would not have been possible. They have told their stories in the hope of being able to influence development and contribute to more efficient programmes in their country that will improve living conditions of persons with disabilities and their families. We hope that this report will do justice to what has been said and that it will lead to practical measures being implemented in many CBR programmes. As one person said "You spend so much time and so many resources quantifying and justifying what you are doing. But when is that going to help us?" We forward that question to the readers of this report.

Annika and Lennart Nilsson