At a local level, project planning and delivery is led by CAYAD coordinators, supported by local reference or project groups, and in several sites by hapu and iwi leadership.

Nationally, strategic leadership is provided by the National CAYAD Advisory Group and a National Co-ordination Team, who work closely with the Ministry of Health and CAYAD provider managers. 

The National CAYAD Advisory Group is a forum of experienced Co-ordinators who contribute to the strategic development of the national project. Members represent and support the CAYAD sites in their regions.  The group has an important role to advise and collaborate with the national co-ordinators and the Ministry of Health in an effort to maximise the alignment and contribution of CAYAD projects to the national CAYAD outcomes.

The National Co-ordination Team (NCT) provides formative evaluation and developmental support to CAYAD sites, supports the sharing of best practice and organises workforce development opportunities. The team works closely with the National CAYAD Advisory group, CAYAD provider managers, the Ministry of Health and other national stakeholders for the development of CAYAD. The team is based in the SHORE and Whariki Research Centre of Massey University.