Since inception in 2012, the Harvard Ministerial Leadership Program has included a (post-Harvard) in-country Follow-up component designed to support participating Ministers in achieving their primary (legacy) goals by providing planning and implementation management capacity to senior officials. Over the past seven years, 21 countries and 272 officials have participated in the Follow-up component. Although a significant number of countries benefitted, the Follow-up was highly selective only inviting four or five countries annually. Furthermore, after seven years, it is evident that the Ministerial Program does not have the capacity to sustain this effort at the intensity needed to make a lasting impact.

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