Roll Back Malaria: a failing global health challenge: Developing a market for bed nets and insecticides is problematic

doi:10.1136/bmj.328.7452.1378-b

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J Derek Charlwood, honorary fellow (dc@bilharziasis.dk)

Danish Bilharziasis Laboratory, Furvela, Mozambique

EDITOR—As shown in Yamey's recent editorial on the failure of the Roll Back Malaria campaign,1 appropriate economic thinking for sustainable development in Africa continues to be ignored. Thus, the customer for bed nets is not the individual African but the large non-governmental organisation, whose orders are largely based on price, not quality.

Economic lessons show, however, that …