The document discusses international experience in developing support for small and medium enterprises (SMEs). It notes that SMEs can play a major role in economic development, but that access to finance remains a key constraint, particularly in the Middle East and North Africa region. The document summarizes recommendations from a review by the G20 SME finance sub-group, including developing country strategies, strengthening legal/regulatory frameworks and financial infrastructure, and building capacity of financial institutions to better serve SMEs. Case studies from countries like Mexico, India, Brazil, Turkey and Russia provide examples of programs that have improved SME access to finance.