BMJ 1995;310:597 (4 March)

Letters

A new strategy is needed

EDITOR,--Fiona Godlee is right: the World Health Organisation is in crisis.1 In the past it came to occupy a position of leadership in major global undertakings such as the eradication of smallpox, the work resulting in the code on breast milk substitutes, the programme on essential drugs, and the primary health care movement. It grasped the importance of these issues, brought its own resources to bear, and harnessed resources from the outside. It became the instrument by which the global community could agree on common goals and achieve collective action.

But today's challenges are not being met in a similar manner. Health services are breaking down in many countries as a result of insufficient resources. Widespread privatisation programmes are jeopardising access to health care for poor people in developing and industrialised countries alike. The AIDS pandemic threatens to wipe out the progress with regard to health in many parts of . . . [Full text of this article]


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