What seems to be crucial is the political will for implementation, along with the allocation of resources and the definition of a clear institutional framework to manage the policies. Around 2015, ten countries had implemented policies for comprehensive early childhood services with a care component.17 In the case of older adults, three countries have policies that refer to comprehensive care: Brazil, Costa Rica and Cuba. The latter include both day centres and long-stay institutional services. In Costa Rica, the Progressive Care Network for Comprehensive Care of Older Persons, managed by the National Council of the Elderly (CONAPAM), seeks to coordinate initiatives led by civil society, public entities and families, with a view to formulating and implementing social protection policies and strategies to resolve care needs in old age, with a territorial management approach.