Recent studies show tangible improvements in budget preparation processes in many developing countries. However, budget execution remains a significant challenge. Once the budget has been approved, it must then be executed as planned with appropriate management control and accountability systems in place. This involves the development of incentive structures and sanctions, and systems of rules to control spending that ensures the efficient and effective use of funds. So where should donors, and committed partner governments, refocus their attention? Is the problem one of processes and systems, or skills and capacity?