A collection of essays by expert practitioners on different aspects of design and management of international development activities, this unique book considers challenges from the perspective of development practitioners who confront technical, managerial, political, theoretical, and moral quandaries on a daily basis. It examines real issues and navigates the often contradictory demands of local development needs, international donor imperatives, and limited financial resources; the need to act despite limited time, information, and assurance of results; the competing pulls of administrative efficiency; and the desire to alleviate suffering.