A plea for investment in district hospitals

摘要

We welcome the Lancet Commission on the Millennium Development Goals (MDGs; Sept 18, p 991).1 The report highlights the fact that the narrow focus on the three health MDGs 4 (reduction of child mortality), 5 (reduction of maternal mortality), and 6 (combat of HIV/ AIDS, malaria, and other diseases), encourages vertical organisation without full integration into the wider health system. Concerns that funding of specifi c health silos could perpetuate the fragmentation of global health have also been raised elsewhere.2