This is a report from the first ACCA meeting (out of a total of 15 meetings), which was held in February 2009 in Kathmandu, Nepal. The meeting was typical of the 15 ACCA meetings that were held during the five-year program (2009-2014), with the meetings being hosted by a different city each time, and after the projects were discussed and approved together, there were field trips and often some participation of the regional group in the local development process.