I find this to be a tragic situation which to some extent is replicated across LICs, largely related to low standards, low pay and inadequate supervision in primary health care + lack of medicine regulation.
There must also be an issue of lack of female education.
It would be very good to hear from members in countries where these problems have been tackled effectively such as Kerala in India, Costa Rica and Cuba as to how such success could be replicated without losing another generation of children.
HIFA profile: Tony Waterston is a retired consultant paediatrician who worked mainly in the community in Newcastle upon Tyne, UK. He spent 6 years working in Zambia and Zimbabwe and directed the Royal College of Paediatrics and Child Health Diploma in Palestinian Child Health teaching programme in the occupied Palestinian territories. He was an Editor of the Journal of Tropical Pediatrics and is on the Executive Committee of the International Society for Social Pediatrics. His academic interests are child poverty, advocacy for child health and children's rights. He is currently the lead moderator of CHIFA (HIFA's sister forum on child health and rights). www.chifa.org He is also a member of the HIFA Steering Group.
Tony.Waterston AT newcastle.ac.uk