This document comprises three papers related to the implementation of early childhood education, health care, and support programs. The first paper is a brief reflection on the nature of implementation, based on the contributions of Boudewijn Bekkers. The second is a proceedings chapter by Marian Hanrahan titled "Community Based Innovative Practices in Child Health Care: Early Childhood Care and Development Support Programs." The third paper is also a proceedings chapter, by Bert Prinsen titled "Issues of Program Design and Implementation." Together, these three papers consider implementation as a second stage in the process of innovation as applied to community-based support programs that promote education and health care for disadvantaged young children. Hanrahan's chapter addresses the implementation of a variety of programs to establish and strengthen international communication about community-based early childhood development programs focusing on disadvantaged populations such as migrants, drug users, and refugees and covering political issues, costs, and quality. Prinsen's chapter discusses nurturing community-based programs through improving programs that combine family support and health promotion; stimulating participation of target groups, marketing strategies focused on policy makers, health care workers, and the public; and evaluating cost-effective programs. (Contains 40 references.) (JPB)