GATES-INDIA 2LST

"That is not always executed on very well. You see, we
see programmes like in Ethiopia where that's being done well.
We see places like India, where the results are mixed," Gates
said.

"The answer in many locations is to organise women's
groups and to make sure they have the expectation that their
kids will be vaccinated, that they will get a bed net. And in
a lot of locations, their activism has been key to making sure
that nothing is lost between the money being given and the
services being delivered," he said.
In the case of vaccination, if people claim they are
doing it when they are not, it's easy to go in and do
surveillance. There's also a disease, measles that very
quickly shows up; people who claim to have high rates who
don't, he said.
Gates said there is always the challenge of which
countries to help, the ones that are in the greatest need or
the ones that have the best government so that the money will
be most effective.
"In Ethiopia, certainly in the health area, they have
very effective leadership. And the GHI (Global Health
Initiative) proposal talks about some of the ambitious goals
they've set for Ethiopia," he said, adding there are some
things like vaccinations that can be done even in the worst
areas.
"Some of the other things,like training health-care
workers and trying to get big improvement there, you want to
pick places where you have strong governance, and GHI has this
idea of picking countries. They have a challenge with India in
particular where you don't want to pick the whole country. You
probably want the ability to pick parts of the country," Gates
said. PTI LKJ
AHM


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