The recent trend of participatory approaches presents challenges to those working in the development sector. Who Changes? draws together, for the first time, lessons and experiences from key development agencies around the globe on the institutional change needed to make participation a reality. The book explores the main issues and concerns of development professionals involved in PRA (Participatory Rural Appraisal) practices: adapting PRA methods from micro to macro organizations and the type of changes required by an organization to implement PRA effectively. In addition, the reader is provided with a checklist of practical considerations to guide them through this complex field: training programmes and training needs for all those involved in the participation programme, implementing projects from piloting stages to gradual scaling up, institutional change and the changing cultures and procedures of hierarchical organizations, and participatory monitoring and evaluation. Containing highly readable accounts and clear summaries by development workers from a variety of development settings across the globe, Who Changes? will be a valuable asset to all development professionals concerned with PRA approaches from fieldworkers to practitioners and policy makers.