Creating representative security sector institutions where men and women participate equally at all levels of decision-making is a challenge, particularly in institutions where men traditionally tend to be greatly overrepresented (Chapter 13). The international community has supported some modest programmes for reproductive health and dealing with psychological trauma, for instance in Bosnia, Cambodia and Rwanda. As the treatment of traumatized women is labour-intensive, costly and often misunderstood, poor countries lack the resources, institutional infrastructure and cultural and social capacities to provide such services on a large scale and in a sustainable manner (Chapter 3).