There is an urgent need to view all development from the outcomes angle. For too long, it has been about how much money has been spent, i.e. inputs, and processes. The fact that water is not delivered, sanitation is poor, kids don't learn or people are still sick, is a result of this lopsided emphasis. The resistance to focussing on results is not only from the public sector providers (one can understand their incentives), but, perhaps not so surprising, also from non-government development practitioners, donors and civil society. Demanding or writing a cheque is the easiest option, and the least complicated!