Continuity and good management are key to better health outcomes in poor countries

BMJ 2011; 343 doi: (Published 18 October 2011) Cite this as: BMJ 2011;343:d6702
  1. Jacqui Wise
  1. 1London

Vision and long term planning, together with effective managers and continuity, have enabled some poor countries to achieve better health outcomes than others with similar incomes, says a new report.

The report follows up an influential report from the Rockefeller Foundation published in 1985. The earlier report found that Sri Lanka, Costa Rica, China, and the Indian state of Kerala achieved levels of health similar to those seen in richer countries but at much lower cost.

The new report, put together by a team from the London School of Hygiene and Tropical Medicine, revisits these four places and also assesses five other states or countries—Bangladesh, Ethiopia, Kyrgyzstan, Tamil Nadu in India, and Thailand—all of which have made substantial improvements in …

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