The effective implementation of a programme needs agents for the development of  different functions.  Step 5, therefore, requires the identification of responsible agents to ensure the delivery of accessible high quality interventions to the people.  They include: management; funding; provision; sectors other than health; regulation and advocacy.

Each programme activity requires the definition of a time frame in accordance with resources and technical capacities (step 6).  A programme can last for a shorter period than the policy or plan (one to five years).

In order to set up a programme it is necessary to construct a detailed budget with accurate accounting for income and expenditures (step 7). One of the advantages of developing a programme is that it facilitates an accurate calculation of human, physical and consumable resources.

Once a programme has been implemented it has to be evaluated.  This is important not only for assessing its impact and cost but also for providing information for the development of future programmes.