The Malawi Social Action Fund (MASAF) introduced Community Driven Development (CDD) approaches in the implementation of community development projects in urban areas in Malawi in 2003. This was an effort aimed at alleviating urban poverty by allowing communities to demand development and participate in the project cycle. This book is based on a study which examined the nature of participation in CDD and its contributions to improving accessibility of services among the urban poor in Lilongwe City. The book presents the voices of the poor, insights, conclusions and practical recommendations that can have closer relevance in managing community development in urban poor communities in developing countries.