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World Health Organization strategies for child survival has done a lot in changing the fate of children especially in developing world but unfortunately, some of the parametres in the strategies including family planning, food supplimentation practises, immunization, oral rehydration practises and breast feeding have deeply routed psychosocial element that are difficult to influence by routine educational effort. Similarly, the increasing poverty burden and bad governance has added extra family pressures that further compromises the impact of these strategies. A targeted assessment of the mpact of psychosocial variables will be a good starting point for specific identifyable burden in an identifyable community while the global demand for democracy, rule of law and social accountability should continue.