In Brazil the Ministry of Health and PAHO have been involved in the MCE since the planning stage, and their inputs have resulted in substantial changes in the design of the study. Feedback continued during the data-collection phase with regular visits by the Principal Investigator to the Ministry of Health in Brasilia. The main summary results of the health-facility survey, particularly those related to areas in which the performance of IMCI-trained workers was still inadequate, were written up for health managers and health workers. Every municipality in the IMCI group was visited, and the main results of the study were fed back to the Municipal Secretaries of Health. Feedback at state level has been restricted so far to Ceará State, where the MCE is based. For political reasons, contacts with other states require the participation of the Ministry of Health; visits are planned for the second half of 2003 but suitable dates have not yet been decided. A web page, in Portuguese, contains the main study results; it has been disseminated at national, state and municipal levels.