Letters

Learning from low income countries: what are the lessons?: Improvement can occur even in resource constrained settings

BMJ 2004; 329 doi: http://dx.doi.org/10.1136/bmj.329.7475.1186 (Published 11 November 2004) Cite this as: BMJ 2004;329:1186
  1. Rocío Sapag, director of training programmes ([email protected]),
  2. Jaime Bayona, director ([email protected])
  1. Socios En Salud Sucursal Perú, Avenida Merino Reyna 575, Carabayllo, Lima 6, Perú
  2. Socios En Salud Sucursal Perú, Avenida Merino Reyna 575, Carabayllo, Lima 6, Perú

    EDITOR—Berwick's editorial on the lessons from developing nations on improving health care mistakenly abstracts improvement efforts from the complex context of poverty and inequality.1 Improvement is “an inborn human endeavour,” yet an under-nourished or sick child who wants to “jump higher or run faster” cannot do so unless basic needs are met first.1 In Peru we learnt that notable improvement …

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