The Constitution (Eighteenth Amendment) Act, 2010 was unanimously passed with the support of all political parties in the Parliament and was promulgated on 20 April 2010. The Act includes 102 amendments in all, which amended, substituted, added or deleted various provisions of the Constitution of the Islamic Republic of Pakistan. The Amendment has huge implications on the overall allocation of subjects between the Federation and the Provinces, entailing a structural shift in the roles and responsibilities at the provincial level. The main objective of the project is to raise general awareness about the 18th Amendment in relevance to health, local government and women development departments of Punjab province, and address capacity issues of these departments, whose meaningful participation and subsequent actions will have a sustainable impact on implementation of 18th Amendment. Three assessment studies have been published, advocacy and capacity building initiatives for enhancing efforts to implementation 18th Amendment are being carried out with likeminded NGOs, government officials and other actors.