Having some knowledge of the wonderful horizontal learning work that has been initiated in Bangladesh, I'm not surprised that facilitating the learning process for those who face the problem and leaving it to them to use bits and pieces of the learning, innovate and solve the problem is, in the long run, the simplest and most cost effective solution. I'm now doing some work in Bihar (India) with the Public Health & Engineering Department, Department of Health & Family Welfare and the Social Welfare Dept. My work involves streamlining the functioning of these *public health and nutrition outcome* focused departments to deliver better health & nutrition outcomes. Am keen to pick up some threads from the HLP in B'desh and initiate similar action in Bihar. Flurosis is a big issue in this state and one needs simple, implementable solutions to address the problems.