In the search to reduce the various divides between the developed and the developing world, Information and Communication Technology (ICT) is seen as an enabler in resource-constrained environments. However, the impact of ICT for Development (ICT4D) implementations is contested, and the ability to facilitate sustained change remains elusive. Sustainability emerged as a key lesson from the failure of early ICT4D projects, and has served as a focal point in facilitating ICT4D success. However, interpretation of the concepts of sustainability and sustainable development seems to be multiple and disconnected from practice, and is rarely translated into a useful construct for guiding project-level actions. The focus of international development is gradually shifting from donated aid towards capability and choice, empowerment, and per-poor initiatives. However, the reality remains that multiple organisations with varying levels of power, resources, and influence determine the outcomes and the sustainability of benefits from a development intervention. This research investigates mechanisms to sustain benefit by exploring the interface between various role players through the lens of decision-making. It builds on the view that the value created by the virtual ‘organisation’ of stakeholders in an ICT4D implementation results from the sum of its decisions, and develops a framework for decision-making with a view on sustaining benefits. The work follows a Design Science Research methodology, comprising an iterative process for the development, testing, and improvement of the framework based on three literature reviews, two case studies, and an expert review. The research answers the primary research question, namely: What are the elements of a framework that support strategic decision-making for the design and implementation of ICT4D interventions in resource-constrained environments, in support of sustained benefit? The knowledge contribution is primarily at the concept and methodological level. In addition to framework development, the decision problem in ICT4D is defined, andthe concept of sustained benefit is proposed as a means of operationalizing sustainability. This research illustrates the role of decision concepts in structuring the complexity of ICT4D problems. It introduces an alternative perspective into the debate on sustainability in ICT4D, and provides a basis for the future development of theory. / Information Systems / D. Litt. et Phil. (Information Systems)