Evidence brought together in this review suggests that such attempts would also require working with existing power structures at local levels, and perhaps more broadly. It also requires substantial local choice, power, management and ultimately ownership of both the "trigger" (the actual stimulus for change) and the process (Panter-Brick et al., 2006).Thus far, parenting programmes are the chosen trigger through which the feasibility of offering parenting support is being tested in the region. However, there are many other models that exist around the world (Daly et al.,