This chapter covers the institutional capacities of governments in the region to implement digital government strategies and deliver the expected impact and results of the use of digital technologies in the public sector. This chapter assesses the use of key processes and tools enabling public institutions to make strategic decisions in ICT management and acquisition. It looks at the use of ICT business cases and the strategic procurement of ICTs, to avoid duplication of efforts and capture synergies, and help public institutions manage ICT projects effectively and achieve their objectives efficiently. In addition, Chapter 5 provides an overview of government’s ability to manage ICT projects and digital technologies, the availability of advanced digital skills in the public sector and the existence of legal and regulatory frameworks that enable the public sector to reap the full benefits of ICTs. The chapter advances recommendations to strengthen institutional capacities in the countries assessed.