Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
I read with interest the article Children’s health priorities and interventions(1).
I agree with the strategic ideas, that is to say, it is important to be innovative and to tailor delivery approaches in order to increase the quality of child health services.
Currently, healthcare delivery is significantly dependent on institutionalised healthcare systems. Governments and civil society have not integrated well. Due to dysfunctional political and social systems, the global health community has failed to achieve the targets set in the Millennium Development Goals. Important issues such as reducing health inequalities or global health security cannot be achieved through ministries of health only. It requires the strategic link with other transnational agendas and a strengthening of the political ability to position health interests(2).
Sometimes NGOs would have poor accountability and competing interests. So far, governments, international health organisations and other funding agencies have largely failed to regulate NGOs. NGOs have not fully used their autonomy to be innovative and to fill the gap in primary healthcare.
NGOs have an opportunity to build bridges between grassroots organisations and local and national-level structures and processes(3).
1. Children’s health priorities and intervention. Wilson M Were et al. BMJ 2015;351:h4300
2. Global health governance – the next political revolution. I. Kickbusch, K.S. Reddy. Public Health, Volume 129, Issue 7, July 2015, Pages 838-842
3. NGOs, States, and Donors Revisited: Still Too Close for Comfort? Nicola Banks, David Hulme, Michael Edwards. World Development, Volume 66, February 2015, Pages 707-718