My comment and question: I am an African doctor in the middle of a whirlwind of corruption at all levels of the sector, mismanagement and inefficient health care delivery to the people. Mr Shanta is Africa doomed, is there no way out for her people? All our nations do is depend on foreign aid that goes to enriching their pockets only. I feel that the bank needs to challenge African leaders by making foreign aid available to countries whose leaders are making concrete effort to do the right thing by her people. The reward system in terms of foreign aid might be a better way to curb this epidemic of selfishness and greed that is killing millions in Africa. Thank you Mr Shanta.