To ensure sustainability, vertical or disease-specific programs or projects (government funded or external funded) should not develop standalone community participation interventions. They should be mandated to build on the existing social capital. The untied funds required for implementation of decentralized decision-making should be released in a timely manner without needless audit objections. Communities are not going to go anywhere. Hence, we need consistence in policy concerning community participation and patience from the administrators to implement community participation holistically with realistic sustainable short-term process indicators, while the focus is on medium- and long-term goals, including SDG3.