BMJ  2005;331 (1 October), doi:10.1136/bmj.331.7519.0-d

Approaches for improving health in Africa need rethinking

Current international approaches to poverty and health in Africa will at best have a limited effect and may even be counterproductive, argue Sanders and colleagues (p 755). They discuss the current initiatives and propose an alternative approach that focuses on social mobilisation and increasing the numbers and capacity of workers in primary care. But also, crucially, the international community must create favourable economic conditions through making trade fairer, limiting the arms trade, battling corruption, and ensuring that delivery of aid is improved.

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Confronting Africa's health crisis: more of the same will not be enough

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