Very interesting analysis and observations. I agree that addressing the proximate problem does not completely provide the long term solution. the challenge among practitioners is addressing the systemic problems, many if not all of them involve governance and political issues which require long term transformation and mobilization of multi-stakeholders support. and since most donor support is short term, the focus tend to be on those areas which are visible and more manageable within the timeline. it would be useful to present good examples of how some countries have address some of these systemic issues and the lessons we can draw from these experiences. Regards.