This work, supported by the Asian Development Bank (ADB), New Delhi, is a synthesis of strategies and best practices adopted by various countries with respect to IMT. It identifies key concerns such as the structure and functions of water users' associations, financial mobilization and constraints, repair and maintenance of physical structures, operation of canal systems and capacity building and monitoring mechanisms. It also identifies enabling environments, including regulatory mechanisms and the role of non-governmental organizations. The last section of this volume distils critical issues and strategic options and suggests a way forward. It is largely based on secondary sources, although some field-based studies and visits were carried out across various states in India.