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John,
Good point on the deworming study. And yes, i think ministries of finance and planning are key - but they need to get down into the details of sectoral problems -- and challenge their sectoral colleagues who are to wedded to their individual hammers. In donor organizations there needs to be a similar function, since they are often organized in line with the governments they work with (on average).
It would take a fair bit of work to track my thesis in some rigorous fashion. And with fungability in government budgets, it's a hard thing to prove...