While the author makes several important points on multisectoral factors in health that I agree with, the central role of Ministries of Health in addressing health issues should not be downplayed. Focusing on other sectors sometimes serves to justify the failure of health sector interventions. Immunization program efforts, other maternal and child health interventions, routine health service delivery, disease surveillance, NCD information communiation, etc. can be main contributors to overall burden of disease reduction, if implemented effectively. Perhaps the World Bank's HNP sector is trying to avoid accountability for failure to achieve better results by pointing to other sectors??