We are far beyond a consensus that funding should be provided to build schools and health clinics for all; we are still a long way, however, form realizing these commitments, with millions of children each day arriving at empty school because the teacher has failed to show up for work (World Bank 2003). A key part of this failure of implementation is that the social relations binding teachers, parents and communities are inadequate, relations that are needed to underpin the accountability mechanisms that ensure that learning actually take place, While there is considerable concern over the content of education (i.e., the curriculum), of more fundamental concern is that teaching and learning takes place in and through an ongoing social process, most particularly a face-to-face relationship between teacher and student that is sustained for six hours a day, two hundred days a year, for over a decade. Similar processes are needed to sustain medical, legal, and other social services