Right, and part of the "value" that Accenture brings is that it knows how to operate in these areas. It will send US-based managers to work with the foreign dev

Right, and part of the "value" that Accenture brings is that it knows how to operate in these areas. It will send US-based managers to work with the foreign dev teams to, ahem, ensure productivity on projects where it matters (on many projects e.g. government contracts the output doesn't really matter), it knows the local bribes and customs companies need to follow to operate in the area.