Multigrade teaching and learning--where a teacher is responsible for learners in two or more curriculum grades at the same time--is a frequent occurrence in small schools worldwide. These schools are particularly common in low income countries and in rural areas, making the provision of quality multigrade teaching and learning in them key to achieving Education for All and to increasing meaningful educational access. This policy brief outlines the challenges facing teachers and students in multigrade settings, key strategies for multigrade management, and examples of innovative practice. It is based on the CREATE Pathways to Access Research Monographs, "Size Matters for EFA" (Little, 2008) [ED508799] and "Small, Multigrade Schools and Increasing Access to Primary Education in India: National Context and NGO Initiatives" (Blum and Diwan, 2007) [ED508743]. (Contains 1 table.)