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This study looks at the changing relations between the Japanese state and non-governmental organizations (NGOs) in promoting effective aid policies and analyses the changing nature of policy making and governance in Japan. Based on extensive research in Southeast Asia and Japan, it investigates the role of Japanese aid in fields such as education, health care, environmental protection and economic development. It analyses the key players in aid policy making, including donor governments, multinational organizations, international and local NGOs, the business community and aid recipients.