Norad’s Evaluation Department put out to tender the task of producing a “Synthesis Study on Best Practices and Innovative Approaches to Capacity Development in Low Income African Countries”. The task was won by Scanteam in association with Ghartey Associates of Ghana. The study is to focus on the delivery of public goods and services in five sectors: health, education, water, sanitation, and electricity. This report presents the main findings and conclusions from the study.