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Submitted by Dr Elvira Beracochea on

Transparency is a two way street. It is good the UN and the World Bank are more open about how decisions are made. And it is good that they demand the same from countries they assist. However, we still have to go a long way to ensure that investments in development do yield the maximum return. We must be transparent about the results we can. We can make things work or make excuses for not achieving the planned results. I prefer the former. We know the poor have worse health outcomes and die younger and that the high cost of health care bankrupts families everywhere. In global health, the bank has made many investments. It is time to look back and measure their ROI and find new ways to make things work. We need projects that strengthen the country's programs not weaken it. For example, polio eradication is good but not at the expense of the country's immunization program and of other diseases such as measles and TB that also need to be eradicated. We need projects that leave a country's health program working better than when it started and the health system delivering better quality care for more people. In the case of polio, we must eradicate it by improving a country's immunization program and ensuring the health system continues to immunize very child that is born at the right time with the right vaccine after the donors stop funding it. It is simple, not easy, though. We first have to realize that the old way to working in development does not lead to lasting results and donors have to be transparent because they are part of problem and the solution.

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