Dear Richard and HIFA,
This is most welcome. It is also at the start of life that medical efforts to prevent death can come with enormous costs. I have seen in middle-income countries efforts being made to prevent deaths of very low birth-weight neonates, emulating practices in high-income countries. But the services in those middle-income countries did not extend to the much greater long-term costs of care for the severely disabled. And total lack of follow-up meant that there was zero learning.
HIFA Profile: Stewart Britten is advisor to the British NGO, HealthProm, on its project to reduce maternal and child deaths in Northern Afghanistan. He has worked for the reduction of institutionalisation of babies and small children in Russia by introduction of parent support programmes.
Email: stewart.britten AT zen.co.uk